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[术后儿童的心理性医源性疾病]

[Psychologic iatrogenic disease in the postsurgical child].

作者信息

Gaona Cartolano J M, Pérez de Sobrino R, Ocaña Losa J M, Romanos Lezcano A, Castilla del Pino C

出版信息

An Esp Pediatr. 1985 Oct 31;23(5):335-41.

PMID:4083628
Abstract

In the present paper, we comment on the psychological and emotional disorders occurring after surgery. We surveyed 150 children that were admitted in several surgical units of our Children's Hospital. We used the Vernon's test in a questionaire. We reached a high level of comprehension. As a result, 121 valid questionaires were returned. The considerable amount of information was statistically studied with a computer, obtaining data on the following aspects: Filiation, frequency and percentage of every answer. Post-hospitalization behaviour evaluated by Vernon's test. Partial and total results under the 6 factors of the questionaire: General anxiety and regression, anxiety about separation, anxiety about sleeping, eating disturbances, agressiveness against authority, apathy and isolation. Previous results in connection with the diverse filiation variables. When we analyzed the results, we confirmed the findings of other investigators: A global damage in child behaviour, that is present in two main aspects: "Anxiety about separation" and "Agressiveness against authority". In conclusion, our results support the need for implementing prophylactic measures, of which "psychological presentation" is the most important, to children that are going to be operated upon.

摘要

在本论文中,我们对手术后出现的心理和情绪障碍进行了评论。我们调查了在我院几个外科病房住院的150名儿童。我们在一份问卷中使用了弗农测试。我们达到了较高的理解水平。结果,共收回121份有效问卷。利用计算机对大量信息进行了统计研究,获得了以下方面的数据:亲子关系、每个答案的频率和百分比。通过弗农测试评估出院后的行为。问卷6个因素下的部分和总体结果:一般焦虑和退行、分离焦虑、睡眠焦虑、饮食紊乱、对权威的攻击性、冷漠和孤立。与不同亲子关系变量相关的先前结果。当我们分析结果时,我们证实了其他研究者的发现:儿童行为存在全面损害,主要体现在两个方面:“分离焦虑”和“对权威的攻击性”。总之,我们的结果支持对即将接受手术的儿童实施预防措施的必要性,其中“心理疏导”是最重要的。

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