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降低手术前焦虑和手术后不适的孩子在囊切除和腺切除之前的催眠:一个潜在的随机试验
Barbara Schmidt1, Claudia Thomas2, Antje Göttermann2
1Institute for Psychosocial Medicine, Psychotherapy and Psychooncology Jena University Hospital Jena Germany.
Health science reports
|March 11, 2025
概括
与漫画单独相比,催眠音频干预并没有显著减少接受桃体切除或腺切除术的儿童的焦虑或不适. 需要对未服用药物的儿童进行进一步的研究.
科学领域:
- 儿科外科手术 儿科外科手术
- 麻醉学 麻醉学
- 心理学 心理学 心理学
背景情况:
- 桃切除术 (TT) 和腺切除术 (AT) 可能会导致儿童出现严重的手术前焦虑和手术后不适.
- 父母的焦虑与儿童手术后焦虑的增加有关.
- 以前的研究开发了一个麻醉漫画来缓解手术前的焦虑.
研究的目的:
- 评估手术前催眠音频干预在治疗TT或AT的儿童中减轻术后焦虑的疗效.
- 为了确定催眠是否可以减少手术后的不适,包括疼痛和恶心.
- 为了比较漫画+催眠组和漫画单独组之间的结果.
主要方法:
- 一项随机对照试验,涉及3-6岁儿童接受TT或AT.
- 参与者被分为一个漫画+催眠组 (n=34) 和一个只有漫画的组 (n=30).
- 收集的数据包括主观幸福感,家长焦虑 (STAI-S),手术内焦虑 (mYPAS) 和手术后疼痛.
主要成果:
- 两个小组都报告了在手术期间的高幸福感 (压力~2/10) 和低至中度焦虑 (mYPAS~33).
- 在这两组中,父母的焦虑程度均为中度 (STAI-S ~42).
- 在任何术后结果,包括疼痛 (最大~5/10),两组之间没有发现任何显著差异.
结论:
- 催眠音频干预,当添加到麻醉漫画时,没有提供额外的好处,减少术前焦虑或术后不适.
- 所有孩子都经历了高幸福感和低焦虑感,这表明单独的喜剧干预可能是有效的.
- 未来的研究应该探讨非药物干预在未服用药物的儿童中的附加效应.
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