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减轻手术室中儿童的心理压力。

Reducing children's psychological stress in the operating suite.

作者信息

Jones S T

出版信息

Ophthalmic Plast Reconstr Surg. 1985;1(3):199-203. doi: 10.1097/00002341-198501030-00008.

DOI:10.1097/00002341-198501030-00008
PMID:3940132
Abstract

Children often experience extremely high levels of psychological stress in the operating suite because of anxiety associated with the separation from their parents, the unfamiliar and intimidating environment, the presence of strangers in unusual attire (masks, caps, and gowns), the act of being forcibly restrained, and the forceful pressing over the mouth and nose of an anesthetic mask that emits a foul-smelling gas and that seems to restrict breathing in a manner reminiscent of suffocation. The recovery room can be very frightening for children because of the separation from parents and the frequently overpowering scene of human injury and suffering. If the personnel in the operating suite are trained in child development, and if they are encouraged to practice elementary "preventive psychiatry" and to use common sense, then the psychological morbidity resulting from the experience in the operating suite can be minimized. Arrangements ought to be made for children undergoing relatively simple and short operations to go to a place different from the "intensive-care" type of recovery room.

摘要

由于与父母分离带来的焦虑、陌生且令人生畏的环境、穿着怪异服装(口罩、帽子和手术服)的陌生人在场、被强行约束的行为,以及被压在散发着难闻气味且似乎以令人联想到窒息的方式限制呼吸的麻醉面罩上,儿童在手术室中常常经历极高程度的心理压力。由于与父母分离以及频繁出现的人体受伤和痛苦的强烈场景,恢复室对儿童来说可能非常可怕。如果手术室的工作人员接受过儿童发育方面的培训,并且如果鼓励他们践行基本的“预防性精神病学”并运用常识,那么手术室经历所导致的心理疾病就可以降到最低。对于接受相对简单且短暂手术的儿童,应该安排他们前往不同于“重症监护”类型恢复室的地方。

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