医疗前程序 住院儿童的静脉管焦虑:一个基于设施的横截面研究
Sunil Baliga1, S R Ravikiran2, Rajath Rao3
1Department of Pediatrics, Yenepoya Medical College Hospital, Yenepoya (Deemed to be University), Mangaluru, Karnataka, India.
International journal of clinical pediatric dentistry
|December 2, 2025
概括
儿童在静脉注射 (IV) 管道之前会感到非常焦虑,特别是年轻的儿童和第一次接受手术的儿童. 这种手术前的焦虑与增加的手术疼痛有很强的相关性.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 疼痛管理 疼痛管理
- 儿童心理学 儿童心理学
背景情况:
- 住院儿童经常经历与静脉注射 (IV) 管相关的焦虑.
- 评估和理解这种焦虑对于有效的患者护理至关重要.
研究的目的:
- 评估接受静脉注射管治疗的住院儿童的手术前焦虑和手术疼痛.
- 为了确定手术前焦虑和手术疼痛之间的相关性.
主要方法:
- 对4-10岁儿童进行了一项观察性,横截面研究.
- 使用Venham图像测试 (VPT) 和Raghavendra,Madhuri和Sujata图像尺度 (RMS-PS) 来测量程序前的焦虑.
- 使用修订的面部疼痛量表 (FPS-R) 评估了手术过程中的疼痛.
主要成果:
- 在程序前的焦虑和程序性疼痛之间发现了显著的相关性 (斯皮尔曼的rho:VPT与FPS:0.76;RMS与FPS:0.66,两者p < 0.001).
- 年龄较小的儿童 (4-7岁) 的焦虑程度明显更高 (p < 0.001).
- 接受首次静脉管治疗的儿童报告了更高的焦虑,在这个群体中与疼痛有更强的相关性.
结论:
- 年龄较小的儿童和首次接受静脉注射管道治疗的儿童报告了更高的焦虑.
- 在入院儿童中,手术前的焦虑与手术疼痛有显著的相关性.
- 使用自我报告焦虑评估工具可以帮助儿科团队实施减轻焦虑的策略.
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