在手术前麻醉咨询期间预测2-6岁儿童的焦虑 - - 一项前性观察性研究
Armin Sablewski1, Charlotte Neitzel1, Maximilian Grosser1
1Department of Anesthesiology and Intensive Care Medicine, University Hospital S-H, Kiel, Germany.
Paediatric anaesthesia
|December 9, 2025
概括
在幼儿中预测手术前的焦虑对父母和麻醉师来说都是一个挑战. 在咨询期间简单的行为暗示可能有助于识别在麻醉诱导期间患有高焦虑症的儿童.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 儿童心理学 儿童心理学
背景情况:
- 手术前的焦虑在接受手术的幼儿 (2-6岁) 中很常见.
- 这种焦虑会导致不良结果.
- 麻醉科医生经常依靠有限的手术前互动来预测孩子的焦虑程度.
研究的目的:
- 评估麻醉科医生和家长对早期焦虑预测的准确性.
- 确定儿童在麻醉诱导时增加焦虑的早期预测因素.
- 改进手术前的焦虑管理策略.
主要方法:
- 一项前性观察性研究,涉及92名2-6岁儿童.
- 麻醉师和家长使用视觉模拟尺度 (VAS) 预测孩子的焦虑.
- 用修改的耶鲁手术前焦虑量表短形式 (mYPAS-SF) 测量观察到的焦虑;通过相关性和ROC分析评估预测准确性.
主要成果:
- 对于家长来说,预测和观察到的焦虑之间的相关性很弱 (rs=0.220) 和麻醉师的相关性非常弱 (rs=0.106).
- 父母的预测性表现有限 (AUC=0.643),麻醉师的预测性表现微不足道 (AUC=0.517).
- 对问候的积极反应 ('高五') 与显著较低的诱导焦虑相关 (p<0.001);年轻的年龄,移民背景和吸入诱导与更高的焦虑有关.
结论:
- 儿童手术前焦虑预测对父母和麻醉师来说都是不准确的.
- 简单的行为线索,比如孩子对问候的反应,可能有助于早期识别有风险的儿童.
- 建议包括儿童和家长在内的个性化焦虑管理策略.
相关概念视频
01:18Anxiety: Overview
865
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
865
01:30Generalized Anxiety Disorder
610
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
610
01:22Stages of General Anesthesia
1.4K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
1.4K
01:26Anxiolytic Drugs: Overview
1.0K
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
1.0K