دورية أكاديمية

[Is psychoprophylaxis a valid approach for heart surgery in children?].

التفاصيل البيبلوغرافية
العنوان: [Is psychoprophylaxis a valid approach for heart surgery in children?].
عنوان ترانسليتريتد: E válida psicoprofilaxia para cirurgia cardíaca em crianças?
المؤلفون: Pereira Ruschel P; Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia., Pierini Cidade D, Daudt NS, Rossi Filho RI
المصدر: Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 1995 Oct; Vol. 65 (4), pp. 317-20.
نوع المنشور: Clinical Trial; Comparative Study; Controlled Clinical Trial; English Abstract; Journal Article
اللغة: Portuguese
بيانات الدورية: Publisher: Sociedad Brasileira De Cardiologia Country of Publication: Brazil NLM ID: 0421031 Publication Model: Print Cited Medium: Print ISSN: 0066-782X (Print) Linking ISSN: 0066782X NLM ISO Abbreviation: Arq Bras Cardiol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Sao Paulo : Sociedad Brasileira De Cardiologia
مواضيع طبية MeSH: Psychotherapy*, Heart Defects, Congenital/*therapy, Child ; Child, Preschool ; Female ; Heart Defects, Congenital/psychology ; Heart Defects, Congenital/surgery ; Humans ; Male ; Play Therapy ; Postoperative Care ; Preoperative Care
مستخلص: Purpose: To validate the hypothesys that a psycological preparation for children who will undergo cardiac surgery may improve the outcome.
Methods: Sixty patients, with ages ranging between 3 and 10 years, submitted to heart surgery for treatment of congenital heart defects, were evaluated. They were divided in 2 groups: experimental and control. A questionnaire was designed for collecting data about psychological and clinical aspects of each patient.
Results: The following data was found to be of statistical significance: acceptance of peripheral vein puncture in the surgical group (chi 2 = 11.59, p < 0.05), calm awakening following general anesthesia (chi 2 = 9.64 p < 0.05), cooperation with the physiotherapy staff (chi 2 = 13.30, p < 0.05), coping with parents absence (chi 2 = 9.64, p < 0.05), acceptance of fluid restriction (chi 2 = 17.78, p < 0.05) and cooperation with removal of stitches and pacemaker electrodes (chi 2 = 19.20, p < 0.05). There was not statistical significance on demand of sedation, cooperation at removal of the orotracheal tube and during examination, necessity of reintubation and occurrence of clinical complications. However, the prepared group showed a slight tendency to have less postoperative complications (20%) than the control (27%).
Conclusion: It was found that children who had adequated psychologic preparation prior to the correction of congenital heart defects had better psychological results with the imposed trauma.
تواريخ الأحداث: Date Created: 19951001 Date Completed: 19961029 Latest Revision: 20061115
رمز التحديث: 20231215
PMID: 8728804
قاعدة البيانات: MEDLINE