关键词: School-aged children information needs postoperative pain preoperative anxiety

来  源:   DOI:10.1016/j.pedhc.2024.05.005

Abstract:
OBJECTIVE: To understand preoperative experiences and information needs of Chinese school-aged children undergoing elective surgery to design standardized preoperative education programs to alleviate preoperative anxiety.
METHODS: Semi-structured interviews combined with drawing, writing, and telling techniques were conducted in 12 children. The paintings were interpreted alongside children\'s verbal expressions. All data were analyzed using thematic analysis.
RESULTS: Three themes emerged: Origins of Surgical Knowledge: Proximity-based knowledge, media exposure, past personal medical experiences, ward-mate interactions, healthcare staff education; Pre-Surgery Experiences: Anticipation of pain, post-op sensations and impact on life, fantasizing about the operation, being aware of risks, demonstrating psychological resilience, being curious about anesthesia experience, enjoying a break; Preoperative Informational Needs: 55 identified.
CONCLUSIONS: Lack of standardized preoperative education creates a gap between children\'s knowledge and actual surgical experiences. Developing preoperative education tailored to individualized informational needs and developmental level helps fill their gaps, alleviate preoperative anxiety and improve health outcomes.
摘要:
目的:了解中国学龄儿童择期手术的术前经验和信息需求,设计规范化的术前教育方案,缓解术前焦虑。
方法:半结构化访谈结合绘图,写作,告诉技术在12个孩子中进行。这些画与儿童的口头表达一起被解释。所有数据均采用专题分析法进行分析。
结果:出现了三个主题:外科知识的起源:基于接近的知识,媒体曝光,过去的个人医疗经验,病房-伴侣互动,医护人员教育;手术前经验:疼痛的预期,术后的感觉和对生活的影响,幻想着手术,意识到风险,表现出心理韧性,对麻醉经验感到好奇,享受休息;术前信息需求:55个确定。
结论:缺乏标准化的术前教育会造成儿童知识和实际手术经验之间的差距。根据个性化的信息需求和发展水平制定术前教育有助于填补他们的空白,减轻术前焦虑,改善健康结果。
公众号