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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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从儿科角度看术后期:混合方法研究

Selda Yüzer Alsaç1, Gökçen Aydın Akbuğa2

  • 1Department of Pediatric Nursing, Faculty of Health Science, Yozgat Bozok University, Yozgat, Türkiye.

Frontiers in pediatrics
|September 5, 2025
PubMed
概括

8至12岁的小儿手术患者会出现严重的焦虑,特别是年幼的儿童和接受生殖泌尿器手术的儿童. 在手术前的信息减少了这种焦虑,强调了需要量身定制的手术前的支持.

科学领域:

  • 儿童手术
  • 儿童心理学
  • 在外科手术后的护理

背景情况:

  • 接受手术的孩子面临着严重的焦虑.
  • 了解外科手术前的经历对于满足儿童需求至关重要.
  • 关于儿科手术患者的具体焦虑程度和需求的研究有限.

研究的目的:

  • 测量8至12岁的儿童进行手术时的焦虑程度.
  • 探索孩子们的经历和情感需求.
  • 确定影响儿童手术患者焦虑的因素.

主要方法:

  • 混合方法方法结合了定量 (儿童国家焦虑清单) 和定性 (深度采访) 数据.
  • 在公立医院的外科病房进行的研究 (2023年10月至2024年2月).
  • 126名儿科患者参加了定量阶段,其中12人接受了定性面试.

主要成果:

  • 平均焦虑分数为38. 39±10. 56;较年轻的儿童和经过尿生殖器手术的儿童报告了更高的焦虑.
  • 受过这些信息的儿童的焦虑评分显著降低 (p < 0.003).
  • 质量主题包括环境影响,社会支持和手术室的期望.
关键词:
焦虑一个孩子混合方法在外科手术期间有手术经验

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结论:

  • 年龄,手术类型和手术前的信息对儿童手术焦虑有很大影响.
  • 在整個手術前期, 孩子們的恐懼和焦慮是普遍的.
  • 解决环境因素和提供社会支持是缓解儿童手术焦虑的关键.