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小儿外科手术准备阶段父母焦虑的干预措施:一项叙述性综述

Interventions for Parental Anxiety in Preparation for Pediatric Surgery: A Narrative Review.

作者信息

Santapuram Pooja, Stone Amanda L, Walden Rachel Lane, Alexander Louise

机构信息

School of Medicine, Vanderbilt University, Nashville, TN 37212, USA.

Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37212, USA.

出版信息

Children (Basel). 2021 Nov 20;8(11):1069. doi: 10.3390/children8111069.

Abstract

The preoperative experience can cause significant anxiety for both pediatric patients and their parents in the lead up to a surgical procedure. Pediatric anxiety in a preoperative setting has been shown to have significant negative downstream effects on the clinical outcomes of children and the healthcare system as a whole. Studies have found that preoperative parental anxiety has significant negative effects on children, regarding anxiety and emotional response. Therefore, interventions for parental preoperative anxiety are important to reduce the child's anxiety. This review provides a brief overview of a broad range of strategies used to alleviate parental anxiety in a preoperative setting. Preoperative education, play-based interventions, music therapy, the presence of parents at induction of anesthesia, and integrative preoperative preparation programs have all demonstrated some evidence for reducing parental preoperative anxiety. The ultimate goal of using interventions for parental preoperative anxiety is to equip healthcare systems to better support families and optimize the perioperative outcomes of children.

摘要

术前经历会在手术即将进行时给儿科患者及其父母带来极大焦虑。术前环境下的儿科焦虑已被证明会对儿童的临床结局以及整个医疗系统产生重大的负面下游影响。研究发现,术前父母的焦虑在焦虑和情绪反应方面对儿童有显著负面影响。因此,针对父母术前焦虑的干预措施对于减轻儿童焦虑很重要。本综述简要概述了一系列用于减轻术前环境下父母焦虑的策略。术前教育、基于游戏的干预措施、音乐疗法、父母在麻醉诱导时的陪伴以及综合术前准备计划都已显示出一些减轻父母术前焦虑的证据。使用针对父母术前焦虑的干预措施的最终目标是使医疗系统能够更好地支持家庭并优化儿童围手术期结局。

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