Department of Child and Adolescent Psychiatry, NYU School of Medicine, One Park Avenue, 7th Floor, New York, NY, 10016, USA.
Psychiatr Q. 2020 Dec;91(4):1439-1451. doi: 10.1007/s11126-020-09780-z.
Pre-operative anxiety affects millions of pediatric surgery patients each year and can have both short and long-term adverse effects in the post-operative period. As a result, it is particularly important for healthcare providers and others involved in the child's care, such as the parents, to be aware of interventions that can be used to reduce the onset of pre-operative anxiety and, thus, the likelihood of negative post-operative changes. The purpose of this paper is to familiarize the reader with the issue of pre-operative anxiety through a review of the literature and analysis of case studies. First, the paper looks at the causes of pre-operative anxiety and its effect on the development of maladaptive behavioral, emotional, and physiological changes. It then discusses the ways pre-operative anxiety can be measured and current methods for reducing the post-operative adverse outcomes associated with it. After doing so, it proposes the need for additional research and the use of precision medicine by physicians.
术前焦虑影响着每年数以百万计的儿科手术患者,并且会在术后产生短期和长期的不良影响。因此,医疗保健提供者和其他参与儿童护理的人(如父母)了解可以用来减少术前焦虑的干预措施非常重要,从而降低负面术后变化的可能性。本文的目的是通过文献回顾和案例分析,使读者熟悉术前焦虑问题。首先,本文探讨了术前焦虑的原因及其对不良行为、情绪和生理变化发展的影响。然后讨论了如何测量术前焦虑以及当前减少与之相关的术后不良后果的方法。最后,提出了需要进一步研究和医生使用精准医学的必要性。