Lööf Gunilla, Andersson-Papadogiannakis Nina, Silén Charlotte
Department of Learning, Informatics, Management and Ethics Karolinska Institutet Stockholm Sweden.
Department of Paediatric Anaesthesia and Intensive Care Karolinska University Hospital Stockholm Sweden.
Nurs Open. 2019 Jul 18;6(4):1363-1371. doi: 10.1002/nop2.332. eCollection 2019 Oct.
To explore children's perspectives when facing anaesthesia and surgery.
Interpretative qualitative design.
Children undergoing outpatient surgery were interviewed in three different phases, before and after anaesthesia and surgery (phase 1 and 2) and 1 month after the hospitalization (phase 3). Twenty-two children (4-15 years) were interviewed in phase 1 and 2 and six children (5-13 years) in phase 3. Data were analysed using manifest and latent qualitative content analysis.
Two contrasting themes were identified: Fearful in association with anaesthesia and surgery and Confident in association with anaesthesia and surgery. Comprehension of the perioperative procedures, continuous information and interaction with the healthcare providers were decisive factors for children's expressions of confidence or fearfulness. Events considered as major from a healthcare perspective may be of no importance to the child, while events considered as less important by healthcare providers may be significant to the child. Understanding children's perspectives and awareness of their need to process the information provided are significant factors for establishment of trust and confidence in a highly technological perioperative environment.
探讨儿童面对麻醉和手术时的观点。
诠释性定性设计。
接受门诊手术的儿童在麻醉和手术前、后（第1和第2阶段）以及住院1个月后（第3阶段）的三个不同阶段接受访谈。第1和第2阶段有22名儿童（4 - 15岁）接受访谈，第3阶段有6名儿童（5 - 13岁）接受访谈。采用显性和隐性定性内容分析法对数据进行分析。
确定了两个形成对比的主题：与麻醉和手术相关的恐惧以及与麻醉和手术相关的自信。对围手术期程序的理解、持续的信息以及与医护人员的互动是儿童表达自信或恐惧的决定性因素。从医疗保健角度被视为重要的事件对儿童可能并不重要，而医护人员认为不太重要的事件对儿童可能意义重大。理解儿童的观点以及意识到他们处理所提供信息的需求是在高科技围手术期环境中建立信任和信心的重要因素。
