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心脏手术后“准备充分”的儿童的术后反应。

Postoperative responses in 'prepared' child after cardiac surgery.

作者信息

Gabriel H P, Danilowicz D

出版信息

Br Heart J. 1978 Sep;40(9):1046-51. doi: 10.1136/hrt.40.9.1046.

DOI:10.1136/hrt.40.9.1046
PMID:708530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC483531/
Abstract

Postoperative reactions of children and adolescents realistically prepared for cardiac surgery were analysed for acute and long-term responses. No cases of delirium or psychoses occurred in the 60 children while they were in hospital. Fifty sets of parents and children answered questionnaires 6 months to 4 years after operation (36 under 1 year, 8 from 1 to 3 years, and 6 over 3 years) and assessment of these showed only long-term reaction. Evaluation of reactions is presented by age and in detail. The children aged 2 to 7 years had the greatest number of negative reactions and the only long-term reaction also came from this group. Children 8 to 11 years of age had the least number of negative reactions and the highest number of positive gains. Adolescents, 12 to 19 years of age, were often concerned with their body image (wanted to be considered 'well', resented the scar, etc). From the standpoint of emotional stability and after effects, the 8 to 11-year-old group seemed to do best.

摘要

对为心脏手术做好实际准备的儿童和青少年的术后反应进行了分析,以了解其急性和长期反应。60名儿童住院期间未出现谵妄或精神病病例。50组家长和儿童在术后6个月至4年回答了问卷(1岁以下36组,1至3岁8组,3岁以上6组),对这些问卷的评估仅显示出长期反应。按年龄详细介绍了反应评估情况。2至7岁的儿童负面反应最多,唯一的长期反应也来自该组。8至11岁的儿童负面反应最少,积极收获最多。12至19岁的青少年通常关心自己的身体形象(希望被视为“健康”,讨厌疤痕等)。从情绪稳定性和后遗症的角度来看,8至11岁的组似乎表现最佳。

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本文引用的文献

1
PSYCHOLOGICAL RESPONSES OF CHILDREN TO HOSPITALIZATION. A COMPARISON OF HOSPITALIZED AND NONHOSPITALIZED TWINS.儿童对住院治疗的心理反应。住院双胞胎与非住院双胞胎的比较。
Am J Dis Child. 1965 Mar;109:228-31. doi: 10.1001/archpedi.1965.02090020230006.
2
Constriction of body image in children with congenital heart disease.先天性心脏病患儿身体意象的收缩
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Separation anxiety.分离焦虑
Int J Psychoanal. 1960 Mar-Jun;41:89-113.
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A study of the emotional reactions of children and families to hospitalization and illness.
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Children, stress, and hospitalization: a field experiment.
J Health Soc Behav. 1968 Dec;9(4):275-87.
6
Open-heart surgery--a triple threat.心脏直视手术——三大威胁。
South Med J. 1968 Feb;61(2):160-6. doi: 10.1097/00007611-196802000-00011.
7
Postoperative reactions in children: "normal" and abnormal responses after cardiac surgery.儿童术后反应:心脏手术后的“正常”与异常反应
Am J Psychiatry. 1971 Aug;128(2):185-8. doi: 10.1176/ajp.128.2.185.
8
Physical and emotional aspects of congenital heart disease in children.儿童先天性心脏病的身体和情感方面
Am J Cardiol. 1971 Jun;27(6):712-3. doi: 10.1016/0002-9149(71)90244-x.
9
Psychotic reactions after cardiac surgery. A critical review.心脏手术后的精神反应。批判性综述。
Semin Psychiatry. 1971 Feb;3(1):70-8.
10
Psychiatric complications following open-heart surgery.心脏直视手术后的精神并发症。
Heart Lung. 1974 May-Jun;3(3):423-8.