Children's accounts of their preoperative information needs

Smith, Lucy; Callery, Peter

doi:10.1111/j.1365-2702.2004.01029.x

Cited by 106 publications

(128 citation statements)

References 41 publications

(41 reference statements)

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“…4 Ameliyat öncesi dönemde en sık karşılaşılan psikolojik sorunlardan birisinin, birçok faktöre bağlı olarak gelişen ve her yaştaki bireylerde deneyimlenen anksiyete olduğu bilinmektedir.…”

Section: Discussionunclassified

“…2,3 Aynı zamanda hastane ortamının yabancılığı, tanıma-dığı bireylerle iletişim kurma zorunluluğu, sağlık ekibi üyelerinin tıbbi terimleri kullanması, bilinmeyen aletlerin kullanılması, uygulanan tanı, tedavi ve bakım uygulamaları gibi birçok nedenin bireylerin anksiyete düzeyleri üzerinde etkili olduğu vurgulanmaktadır. 4,5 Köşgeroğlu ve İlhan'ın yapmış oldukları çalışmada, cerrahi girişim uygulanan adolesanların sevdiklerinden ayrı kalma, uygulanan işlemler ve tedaviler, narkoz korkusu ve normal yaşama dönememe nedeniyle korku yaşa-dıkları belirtilmektedir. 5 Anksiyete yaşam kalitesini olumsuz yönde etkileyen bir deneyimdir.…”

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“…Adolesanlarda, yukarıda sı-ralanan nedenlere ek olarak anne/babalarından ayrı kalmanın anksiyete düzeylerinin artmasına yol aç-tığı belirtilmektedir. 1,4 Anne/babaların ise genellikle, cerrahi girişimin etkinliği, olası komplikasyonlar, çocuğunun kaybı ya da sakat kalması, yardım edememe düşüncesi, suçlanma duygusu, bilgi eksikliği, iş yeri ile ilgili izin problemleri, sosyal ve ekonomik sorunlar ile ilgili belirsizliklere bağlı olarak anksiyetelerinin arttığı vurgulanmaktadır. 4,6,7. Gönener ve ark.nın çalışmasında çocuklarına cerrahi girişim uygulanacak anne/babaların genellikle hastane ortamı, anestezi, invaziv işlemler, sevdikleri birinin kaybı ya da sakat kalması, ço-cuklarının ağrı yaşaması ve onlara nasıl yardımcı olacaklarını bilememe ve geleceğe ilişkin konularda korku ve anksiyete yaşadıkları bildirilmekte, bu tepkilerinin evrensel ve doğal olduğu vurgulanmaktadır.…”

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“…9 Sağlık ekibi içinde hemşireler, sağlıklı/hasta birey ve aileleri ile iyi iletişim kurabilen, onların psikolojik, sosyal ve ekonomik sorunlarını iyi göz-lemleyebilen ekip üyeleridir. 4,10 Bu anlamda hemşirenin cerrahi girişim öncesi ve sonrası anne, baba ve çocukta anksiyete yaratabilecek faktörleri ve anksiyete düzeylerini tanılaması, doğru, uygun yardım girişimlerini planlayarak uygulaması ve bakı-mın sonuçlarını değerlendirmesi gerekir.…”

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See 3 more Smart Citations

The Relationship Between Anxiety Levels of Adolescents Who Undergo Surgical Interventions and Their Parents and Analysis of Anxiety Causes

Turan¹,

Acaroğlu²

2012

Turkiye Klinikleri J Med Sci

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Section: Discussionunclassified

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See 2 more Smart Citations

The Relationship Between Anxiety Levels of Adolescents Who Undergo Surgical Interventions and Their Parents and Analysis of Anxiety Causes

Turan¹,

Acaroğlu²

2012

Turkiye Klinikleri J Med Sci

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“…Children should be encouraged to ask questions and engage in the process so that their fears might be allayed. 34 In terms of who should perform the preparation, there are few data to support a clear recommendation. Research has shown that medical staff, parents, or other personnel can effectively prepare the pediatric patient.…”

Section: Formatmentioning

confidence: 99%

Behavioral Approaches to Anxiety and Pain Management for Pediatric Venous Access

2008

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Pediatric venous access causes unnecessary anxiety and pain in children and, in turn, can have detrimental consequences. Behavioral approaches to pediatric venous access distress management can be organized temporally. Specifically, preparation before the procedure includes providing children with sensory and procedural information in an age-appropriate manner and providing training in coping skills. It is important to consider the timing, format, and content of the approach to provide optimal preparation for the unique circumstances of the individual patient. In addition to the child patient, preparing parents and teaching them which specific behaviors might be most helpful to their child should prove valuable to both patient and parents. During the procedure, there are benefits to providing secure and comfortable positioning. In addition, researchers recommend that adults encourage children to cope and actively engage children in distracting activities. For infants, there is support for the distress-mitigation properties of swaddling, skin-to-skin contact, breastfeeding, and sucrose. After venous access, distraction and encouragement of coping should speed recovery. In sum, research in behavioral approaches to pediatric pain management has provided recommendations for minimizing children's anxiety and pain associated with venous access. Pediatrics 2008;122:S134-S139 P EDIATRIC PAIN FROM medical procedures results in short-term suffering, but there are recent data to indicate that there are also long-term detrimental effects. Specifically, early painful insults might have lasting negative effects on neuronal development, pain threshold and sensitivity, coping strategies, emotionality, and pain perceptions. 1,2 As an example, Bijttebier and Vertommen 3 showed that children with a history of negative medical experiences showed high anxiety before venipuncture and were distressed and uncooperative during the procedure. Childhood medical pain has also been linked to later adulthood fear, pain, and avoidance of medical care. 4 In addition, high pain at medical visits predicts missed future medical appointments and poor health care follow-up. [5][6][7] Fortunately, there is a rich body of data supporting behavioral strategies that mitigate the anxiety and pain associated with pediatric medical procedures generally, 8 and children's needle-related pain in particular. 9 Nonpharmacologic or behavioral approaches to acute pediatric pain are rooted in the gate-control theory. 10,11 The theory suggests that descending nerve impulses from the brain, such as thoughts, beliefs, emotions, and attention, can influence the ascending pain signal from the tissue damage. For example, anxiety might heighten pain experience, whereas attention focused on a pleasant activity might decrease pain. Thus, behavioral interventions typically involve teaching coping, inducing relaxation, or providing distraction. Although literature documenting the efficacy of behavioral interventions for children's acute medical pain exists, the data...

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Looking to the Future

Callery¹

2015

Developing Nursing Practice With Children and Young People

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Children's accounts of their preoperative information needs

Abstract: Patients attending a children's hospital can have little information provided prior to admission. Information about hospital should be presented directly to children in the most accessible and flexible form.

Cited by 106 publications

References 41 publications

The Relationship Between Anxiety Levels of Adolescents Who Undergo Surgical Interventions and Their Parents and Analysis of Anxiety Causes

The Relationship Between Anxiety Levels of Adolescents Who Undergo Surgical Interventions and Their Parents and Analysis of Anxiety Causes

Behavioral Approaches to Anxiety and Pain Management for Pediatric Venous Access

Looking to the Future

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