Benarroch Fortu, Kapel Lev-Ari Rony, Ben-Ari Amichai
Herman Dana Division of Child and Adolescent Psychiatry, Hadassah-Hebrew University Medical Center, Jerusalem 9112001, Israel.
The Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 9112001, Israel.
Children (Basel). 2024 Jun 27;11(7):780. doi: 10.3390/children11070780.
The role of parental factors in the emergence of post-traumatic stress symptoms (PTSSs) following pediatric surgeries is well recognized, but the specific influence of parents' subjective preparedness for their child's surgery has not been explored. In a study involving 253 children hospitalized in a pediatric surgery ward, parents completed a demographic questionnaire during their child's stay, which included the question, "As a parent, have you been prepared for the surgical intervention your child is undergoing?" Four months post-surgery, the same parents were interviewed using two questionnaires that evaluated their children's post-traumatic symptoms. Our findings indicate that in emergency surgical settings, children whose parents felt prepared experienced significantly fewer PTSSs compared to children whose parents did not feel prepared. In contrast, for elective surgeries, parental subjective perception of preparedness did not significantly impact the children's PTSSs. We conclude that for emergency surgical procedures, addressing parents' subjective preparedness could be crucial. Further research is necessary to develop targeted interventions that leverage this insight to minimize the risk of PTSSs in children undergoing emergency surgeries.
父母因素在小儿外科手术后创伤后应激症状（PTSSs）出现中的作用已得到充分认识，但父母对孩子手术的主观准备情况的具体影响尚未得到探讨。在一项涉及253名入住小儿外科病房的儿童的研究中，父母在孩子住院期间完成了一份人口统计学调查问卷，其中包括“作为父母，你是否为孩子正在接受的手术干预做好了准备？”这个问题。手术后四个月，使用两份评估孩子创伤后症状的问卷对相同的父母进行了访谈。我们的研究结果表明，在急诊手术情况下，与父母感觉未做好准备的孩子相比，父母感觉做好准备的孩子经历的PTSSs明显更少。相比之下，对于择期手术，父母对准备情况的主观认知并未对孩子所经历的PTSSs产生显著影响。我们得出结论，对于急诊手术程序，解决父母的主观准备问题可能至关重要。有必要进行进一步研究，以制定有针对性的干预措施，利用这一见解将接受急诊手术的儿童出现PTSSs的风险降至最低。
