PREPARING CHILDREN FOR THE OPERATING-ROOM - PSYCHOLOGICAL ISSUES

被引:50
作者
MCGRAW, T
机构
[1] Department of Anesthesiology, UHS-2, Oregon Health Sciences University, Portland, 97201, OR
来源
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1994年 / 41卷 / 11期
关键词
ANESTHESIA; PEDIATRIC; PSYCHOLOGICAL RESPONSES; SURGERY;
D O I
10.1007/BF03015661
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Children respond psychologically to the prospect of surgery in a variable and age-dependent manner. This review summarizes the psychoanalytic, cognitive, behavioural and family system models of child development. It then reviews studies of hospitalization and anaesthesia in children. These studies suggest that younger children, children previously anaesthetized, and children who experience turbulent anaesthetic inductions are at particular risk for postoperative behavioural disturbances. Strategies of dealing with children and their parents during the perioperative period are discussed. Such strategies include: allowing a parent to be present during induction of anaesthesia, administering sedative premedication, creating a supportive environment, educating children and parents (verbal descriptions, tours, books, videos), and establishing rapport with children and their parents. Age-specific techniques of establishing rapport with children are discussed. If children are less anxious during the perioperative period, not only will they often exhibit less behavioural disturbances postoperatively, but they may face subsequent medical care more easily.
引用
收藏
页码:1094 / 1103
页数:10
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