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儿童手术的心理社会体验和需求及其父母:系统评价。

The Psychosocial Experiences and Needs of Children Undergoing Surgery and Their Parents: A Systematic Review.

出版信息

J Pediatr Health Care. 2018 Mar-Apr;32(2):133-149. doi: 10.1016/j.pedhc.2017.08.003. Epub 2017 Oct 21.

Abstract

INTRODUCTION

Surgery in children can be difficult for patients and parents. We aimed to summarize pediatric patients' and parents' psychosocial experiences and needs in surgery.

METHOD

We used the Ovid search engine and screened 877 abstracts across three databases to extract data on pediatric patients' and parents' surgical experiences.

RESULTS

Our search yielded 11 eligible studies representing 1,307 children undergoing surgery and their parents. Children's adverse experiences included psychological and behavioral changes before, during, and after surgery (e.g., anxiety, eating disturbances). Parents commonly experienced psychological distress. Children's needs related to medical and health care services, whereas parents had high information needs.

DISCUSSION

Children's adverse experiences can negatively affect medical outcomes. Children's experiences are inextricably linked to their parents' and can become negatively affected by their parents' adverse experiences. Patients and parents with previous hospitalizations and surgeries had worse surgical experiences, highlighting further research in the context of chronic illness.

摘要

引言

儿童手术对患者和家长来说可能具有挑战性。我们旨在总结儿科患者和家长在手术中的心理社会体验和需求。

方法

我们使用 Ovid 搜索引擎,在三个数据库中筛选了 877 篇摘要,以提取儿科患者和家长手术体验的数据。

结果

我们的搜索结果包括 11 项符合条件的研究,代表了 1307 名接受手术的儿童及其家长。儿童的不良体验包括手术前、手术中和手术后的心理和行为变化(例如焦虑、饮食障碍)。家长通常会经历心理困扰。儿童需要与医疗保健服务相关,而家长则有很高的信息需求。

讨论

儿童的不良体验会对医疗结果产生负面影响。儿童的体验与他们的父母息息相关,父母的不良体验也会对儿童的体验产生负面影响。有既往住院和手术经历的患者和家长的手术体验更差,这突出了在慢性病背景下进一步研究的必要性。

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