Moñiz Mora M V, Vaz Leal F J, Vázquez Rueda F
Departamento de Psiquiatría. Facultad de Medicina. Universidad de Extremadura. Hospital Universitario Reina Sofía. Córdoba.
An Esp Pediatr. 2000 Sep;53(3):229-33.
To determine the psychological response in children undergoing short-stay ambulatory surgery.
< psychological responses (CDS, STAIC-E); factor 2: personality (EPQ-J and STAIC-R) and adaptability (TAMAI); factor 3: anxiety and hospital fears (HFRS). Student's paired t-test was used to compare clinical variables.
< 8.17 +/- 2.10). The most frequent diagnosis in boys was phymosis and that in girls was inguinal hernia. Forty-one children had previously been hospitalized, of which 29 had undergone surgery. Factorial analysis of the variables explained 46.8% of variance. STAIC-E and STAIC-R scores significantly decreased in the postoperative period. Girls had higher HFRS scores than boys. STAIC-R scores were lower in previously hospitalized children. FILE values in the previous 12 months correlated with increased STAIC-R scores.
Elective ambulatory surgery in children minimizes emotional disruption to the child. In this study no differences were observed in the STIC-R and STAIC-E scores before and after surgery. Girls had higher levels of anxiety and fear of surgery. Previously hospitalized children, with or without surgery, had lower anxiety levels. Family problems during the 12 months prior to surgery increased the children's anxiety and depression.
确定接受短期门诊手术儿童的心理反应。
<心理反应（儿童抑郁量表、儿童状态-特质焦虑量表-情绪）；因素2：人格（艾森克人格问卷-少年版和儿童状态-特质焦虑量表-特质）及适应性（儿童适应行为量表）；因素3：焦虑与医院恐惧（医院恐惧评定量表）。采用学生配对t检验比较临床变量。
<8.17±2.10）。男孩最常见的诊断是包茎，女孩是腹股沟疝。41名儿童既往曾住院，其中29名接受过手术。变量的因子分析解释了46.8%的方差。术后儿童状态-特质焦虑量表-情绪和儿童状态-特质焦虑量表-特质评分显著降低。女孩的医院恐惧评定量表评分高于男孩。既往住院儿童的儿童状态-特质焦虑量表-特质评分较低。过去12个月的家庭问题得分与儿童状态-特质焦虑量表-特质评分升高相关。
儿童择期门诊手术可将对儿童的情绪干扰降至最低。本研究中，手术前后儿童状态-特质焦虑量表-特质和儿童状态-特质焦虑量表-情绪评分未观察到差异。女孩的焦虑和手术恐惧水平较高。既往住院儿童，无论是否接受过手术，焦虑水平较低。手术前12个月的家庭问题会增加儿童的焦虑和抑郁。
