计划性手术前儿童的福祉和期望
Alina Trojanowska1, Danuta Zarzycka1
1Department of Paediatrics and Paediatric Nursing, Medical University, Lublin, Poland.
Annals of agricultural and environmental medicine : AAEM
|September 30, 2025
概括
在等待手术的儿童中,手术前的焦虑和恐惧很常见,通常是由于缺乏信息. 提供心理支持和清晰的信息可以显著改善他们的福祉和康复.
科学领域:
- 儿科心理学 儿科心理学
- 手术患者护理手术患者护理
- 儿童焦虑研究儿童焦虑研究
背景情况:
- 手术程序给孩子们带来了相当大的心理负担,表现为恐惧和焦虑.
- 这种手术前的痛苦可能会对手术过程和随后的恢复产生负面影响.
- 了解孩子的情绪状态,包括焦虑,愤怒,恐惧和期望,对于有效的护理至关重要.
研究的目的:
- 评估儿童手术患者在手术前的心理健康状况.
- 专门评估等待手术的儿童的焦虑和愤怒程度.
- 确定孩子们对手术经验的主要恐惧和期望.
主要方法:
- 一项涉及112名11至16岁儿童的研究,这些儿童在外科,喉科和骨科部门接受手术.
- 使用了公开焦虑量表 (SJN),愤怒表达量表 (SEG) 和一个定制问卷.
- 在手术前等待期内从儿童中收集的数据.
主要成果:
- 观察到安全性降低 (90.0%) 和手术前焦虑 (92.9%) 的高患病率,通常与信息不足有关.
- 焦虑程度各不相同,轻度焦虑报告了44.6%,中度焦虑报告了28.6%,严重焦虑报告了19.7%.
- 对幸福感产生负面影响的因素包括父母的焦虑和观察其他患者;父母的存在和工作人员的善意是有益的. 常见的恐惧包括疼痛和活动限制,期望集中在信息,疼痛管理和快速恢复上.
结论:
- 面临手术的儿童和青少年需要心理治疗干预.
- 医务人员的信息支持对于减轻手术前的焦虑至关重要.
- 解决心理需求可以积极影响手术结果和康复.
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