伤害比益处更多? 父母对直肠形的扩张的看法
Ana Isabel Barros1, Mário Rui Correia2, Fátima Carvalho2
1Department of Pediatric Surgery of Centro Hospitalar Universitário de Santo António, Unidade Local de Saúde de Santo António, Porto, Portugal. u14478@chporto.min-saude.pt.
Pediatric surgery international
|June 19, 2025
概括
在直肠形手术 (ARM) 后的常规部扩张 (AD) 对儿童和护理人员造成了严重的心理痛苦. 有证据表明,由于其可疑的益处和负面影响,需要重新评估AD的必要性.
科学领域:
- 儿科手术 儿科手术
- 心理社会健康 心理健康
- 直肠异常变形 直肠异常变形
背景情况:
- 直肠形 (ARM) 的术后管理通常包括常规部扩张 (AD) 以防止部狭窄.
- 新出现的证据质疑AD的必要性,并突出了患者和护理人员潜在的心理痛苦.
研究的目的:
- 评估部扩张 (AD) 对儿童和护理人员在直肠形 (ARM) 手术修复后的心理社会影响.
主要方法:
- 在2009年至2023年间接受手术修复的ARM患者的家长接受了电话问卷.
- 收集的数据包括父母对阿尔茨海默病的看法,它对孩子的影响,患者人口统计学,ARM分类,阿尔茨海默病时间和并发症.
主要成果:
- 32名护理人员参与了这项研究;手术时的中位数年龄为5个月,调查时为10.5岁.
- 在家中进行AD的家长报告说,他们自己和孩子感到困难 (54.2%) 和痛苦.
- 很大一部分人 (28.1%) 认为阿尔茨海默病的负面心理影响,当外科医生在外科医生面前进行扩张时,他们报告了痛苦.
结论:
- 部扩张 (AD) 与儿童和照顾者的大量心理负担有关.
- 这些发现支持重新评估AD在直肠形 (ARM) 手术后管理中的常规使用.
- 考虑到可疑的益处和记录的心理影响,可能有必要从常规的AD转变.
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