PECULIARITIES OF PREPARING CHILDREN FOR SURGICAL TREATMENT
DOI:
https://doi.org/10.11603/1811-2471.2023.v.i4.14319Keywords:
child, surgery, peculiarities of preparation, age dependence, psycho-emotional factors, preparationAbstract
SUMMARY. The aim – to draw the attention of surgical practitioners to the peculiarities of preparing children for surgical interventions depending on the age of the child, his/her psycho-emotional state in order to minimise trauma to the child's psyche and obtain positive treatment results.
Material and Methods. We analysed the results of research by modern scientists over the past ten years on the peculiarities of preparing children for surgery. We also took into account our observations of children who received planned and emergency surgical care in our medical institution. We carefully studied outpatient and inpatient documentation related to children who received surgical care. The preoperative preparation for the operation consisted of establishing contact with the child, parents and, above all, the child's mother gradually, smoothly, taking into account the child's age, outlook and preferences. All surgical procedures were performed only after adequate local or general anaesthesia. Examination methods included radiography, computed tomography, magnetic resonance imaging, and ultrasound diagnostics.
Results. Patients aged one to three years have greater opportunities to prepare for surgery. The main emphasis is on verbal contact. When preparing a child aged 3 to 6 years for surgery, you need to choose your words carefully, because the wrong approach can provoke a number of phobias. If so, let him or her tell you in detail about the subject of fear. An approach to preparing children aged 6 to 10 years is relevant and complex. The child should choose the things from his or her wardrobe that he or she wants to take with him or her to the hospital, what books he or she will read and what games he or she will play. In adolescence, the methods of preparing for surgery should be completely different from those for younger children. If a child is subject to urgent surgical treatment, preoperative psychological preparation is extremely diverse both in terms of the amount of information and the time during which this information must be conveyed to the child.
Conclusions. Psycho-emotional preoperative preparation for children is essential. Given the age-specific characteristics of the child's development, such preparation is multifaceted and varied in each age range, which must be taken into account before surgery.
References
Karpinska, T.H., Hrabovska, T.V., Sereda, S.V., & Korotkyi, V.V. (2021). Pokaznyky stanu zdorovia suchasnykh pidlitkiv, yak odna iz skladovykh zdorovia naselennia derzhavy [Health indicators of modern adolescents as one of the components of the health of the state's population]. Ukrainskyi medychnyi chasopys. Aktualni pytannia klinichnoi praktyky – Ukrainian medical journal. Topical issues of clinical practice, 3, 143 [in Ukrainian].
Protsaylo, M.D., Dzhyvak, V.H., Synytska, V.O., Krytskyi, I.O., Hoshchynskyi, P.V., & Chornomydz, I.B. (2023). The knee joint is the Achilles' heel of a child's body. East Ukr. Med. J., 11(3), 260-270. DOI: 10.21272/eumj.2023;11(3):260-270.
Korytskyi, H. I., Korda, M.M., Hoida, N.H., & Pavlyshyn, H.A. (2017). Medychna dopomoha ditiam v Ukraini: realii ta perspektyvy [Medical care for children in Ukraine: realities and prospects]. Ternopil: TDMU [in Ukrainian].
Awuah, W.A., Ng, J.C., Mehta, A., Yarlagadda, R., Khor, K.S., Abdul-Rahman, T., Hussain, A., Kundu, M., Sen, M., & Hasan, M.M. (2022). Vulnerable in silence: Paediatric health in the Ukrainian crisis. Annals of medicine and surgery, 82, 104369. DOI: 10.1016/j.amsu.2022.104369
Sotnikova-Meleshkina, Z.V., Mikhanovska N.Н., & Ostrovska, H.E. (2020). A longitudinal study of health-related quality of life in primary school children. Clinical and Preventive Medicine, 4(14), 62-69. DOI: 10.31612/2616-4868.4(14).2020.05.
Parkhomenko, L.K. (2004). Yuvenolohiia. Praktykum z pidlitkovoi medytsyny [Juvenology. Workshop on adolescent medicine]. Kharkiv: Fakt [in Ukrainian].
Gil Mayo, D., Sanabria Carretero, P., Gajate Martin, L., Alonso Calderón, J., Gomez Rojo, M., & Hernández Oliveros, F. (2023). Parental Presence during Induction of Anesthesia and Emergence Delirium Influence the Incidence of Postoperative Maladaptive Behavioral Changes. European journal of pediatric surgery. DOI: 10.1055/a-2128-0974.
Nair, T., Choo, C.S.C., Abdullah, N.S., Lee, S., Teo, L.L.E., Chen, Y., Nah, S.A., & Chiang, L.W. (2021). Home-Initiated-Programme-to-Prepare-for-Operation: evaluating the effect of an animation video on peri-operative anxiety in children: A randomised controlled trial. European journal of anaesthesiology, 38(8), 880-887. DOI: 10.1097/EJA.0000000000001385.
Chow, C.H.T., Poole, K.L., Xu, R.Y., Sriranjan, J., Van Lieshout, R.J., Buckley, N., Moffat, G., & Schmidt, L.A. (2023). Children's Shyness, Frontal Brain Activity, and Anxiety in the Perioperative Context. Behavioral sciences (Basel, Switzerland), 13(9), 766. DOI: 10.3390/bs13090766.
Dmytrovych, P.M., Volodymyrovych, H.P., Orestovych, K.I., & Georgiyovych, D.V. (2022). Pediatric high-energy and other traumatic injury: Cases and reviews. International Journal of Health Sciences, 6(S1), 11513-11524. DOI: 10.53730/ijhs.v6nS1.7790.
Mathias, E.G., Pai, M.S., Guddattu, V., & Bramhagen, A.C. (2023). Non-pharmacological interventions to reduce anxiety among children undergoing surgery: A systematic review. Journal of child health care : for professionals working with children in the hospital and community, 27(3), 466-487. DOI: 10.1177/13674935211062336.
