Ari Amichai Ben, Peri Tuvia, Margalit Daniella, Galili-Weisstub Esti, Udassin Raphael, Benarroch Fortu
Department of Behavioral Sciences, Ariel University, Israel; Herman Dana Division of Child and Adolescent Psychiatry, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Bar-Ilan University, Israel.
J Pediatr Surg. 2018 Aug;53(8):1526-1531. doi: 10.1016/j.jpedsurg.2017.10.043. Epub 2017 Oct 16.
Surgical procedures involve traumatic stress. Children may develop chronic psychological distress and dysfunction after surgery, with consequent reluctance to comply with medical follow-up care. A literature review of this topic shows that it has been understudied. Our study aims to assess the frequency and characteristics of symptoms of persistent psychological distress in children following surgery, which have not been documented before, in order to promote its awareness and its early identification.
Parents of 79 children (aged 1-6) that were hospitalized in a pediatric surgical ward, comprising a representative sample, completed three validated questionnaires assessing their children's psychological symptoms 3-5months after the hospitalization.
A significant portion of children suffer from psychological distress 3-5months after hospitalization. Moreover, 10.39% of the children exhibited symptoms of PTSD, and 28.6% of parents reported that the child's distress causes dysfunction. Additionally, our findings emphasize the parents' concerns regarding the child's behavior, function, and health following hospitalization.
Since a significant prevalence of hospitalization-related traumatic stress is documented, the awareness to it has to be improved, in order to reduce its frequency and increase adherence to medical follow-up care.
Prognosis study.
外科手术会带来创伤性应激。儿童术后可能会出现慢性心理困扰和功能障碍，进而不愿配合术后医疗随访。对该主题的文献综述表明，这方面的研究还不够充分。我们的研究旨在评估儿童术后持续心理困扰症状的发生率和特征，这些症状此前尚未有记录，以提高对此的认识并实现早期识别。
79名（年龄在1至6岁之间）在儿科外科病房住院的儿童的家长组成了一个具有代表性的样本，他们在孩子住院3至5个月后填写了三份经过验证的问卷，以评估孩子的心理症状。
相当一部分儿童在住院3至5个月后存在心理困扰。此外，10.39%的儿童表现出创伤后应激障碍（PTSD）症状，28.6%的家长报告孩子的困扰导致了功能障碍。此外，我们的研究结果强调了家长对孩子住院后的行为、功能和健康状况的担忧。
鉴于已记录到与住院相关的创伤性应激的高发生率，必须提高对此的认识，以降低其发生率并提高对术后医疗随访的依从性。
预后研究。
1级。
