儿科日间手术中的家长焦虑:识别高风险家庭,以提供针对性的手术前支持
Sabri Cansaran1, Özlem Balcı1, Deniz Kaan Balal1
1Department of Pediatric Surgery, University of Health Sciences Zeynep Kamil Maternity and Children's Diseases Health Training and Research Center, İstanbul, Türkiye.
Journal of pediatric urology
|March 13, 2026
概括
手术前的家长焦虑在儿科日间手术中很普遍,影响超过80%的家庭. 识别风险因素,如手术类型和人口统计数据,可以为更好的以家庭为中心的护理提供有针对性的支持.
科学领域:
- 儿科手术 儿科手术
- 焦虑研究 焦虑研究
- 手术对心理的影响.
背景情况:
- 手术前父母的焦虑是影响儿科手术结果和知情同意的重要因素.
- 验证的工具,如阿姆斯特丹手术前焦虑和信息量表 (APAIS) 和国家轨道焦虑清单 (STAI),对于评估至关重要.
研究的目的:
- 为了评估日间手术的儿童的家长焦虑水平.
- 在这个人群中确定手术前焦虑的预测因素.
主要方法:
- 对父母的孩子进行选择性日间手术的前性横截面研究.
- 使用APAIS和STAI问卷进行焦虑评估.
- 多变量逻辑回归分析了焦虑的人口和手术预测因素.
主要成果:
- 根据APAIS分数,80.8%的家长报告了焦虑.
- 在单变量分析中,母亲,未受割礼儿童的父母,年轻父母和年轻儿童的父母表现出更高的焦虑.
- 在多变量分析中,没有人口学变量仍然是独立显著的预测因素.
结论:
- 手术前的家长焦虑在儿科日间手术中非常普遍.
- 统一的风险标志物表明有针对性的查和对高风险家庭的支持.
- 建议使用像APAIS这样的仪器进行例行焦虑查,以优化以家庭为中心的外科护理.
相关概念视频
01:19Autism Spectrum Disorder
1.5K
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
1.5K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
506
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
506
01:28Social Anxiety Disorder
692
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
692
01:22Aneurysm IV: Nursing Management
563
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
563
01:26Kidney Transplant II: Surgical Procedure
659
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
659