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Preoperativ oro: Icke- farmakologiska strategier för att hjälpa oroliga barn -En systematisk litteraturstudie
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
preoperative anxiety : Non-pharmacological strategies to help troubled children-A systematic literature study (English)
Abstract [sv]

Sammanfattning

Bakgrund:  Preoperativ oro kan orsaka höga nivåer av stress hos barnet bland annat på grund av separation från föräldrarna, rädsla, inte veta vad som skall hända och att befinna sig i en okänd miljö. Upp till 50% av barn som skall opereras upplever preoperativ oro vilket kan leda till oönskade konsekvenser som högre förekomst av postoperativt delirium, postoperativ oro och ökad smärta men även ge negativa effekter under en längre tid postoperativt som mardrömmar, att vakna gråtandes, separationsångest, vredesutbrott, trots riktat mot föräldrarna och nytillkommen nattlig sängvätning. Anestesisjuksköterskan har ett ansvar i att minska preoperativ oro och därmed förbättra barnets upplevelse av situationen och förebygga negativa konsekvenser.

Syfte: Syftet med studien är att belysa icke farmakologiska strategier och deras effekt i arbetet med preoperativt oroliga barn vilka skall genomgå generell anestesi.

Metod: Systematisk litteraturstudie. Inklusionskriterier experiment studier rörande barn 0-18 år som skulle genomgå generell anestesi inför operation,  publicerade 120101-180213, i vetenskapliga engelskspråkiga referee-granskade tidskrifter. Databassökningar utfördes i PubMED, Cinahl och PsychINFO.

Resultat: Två metoder som effektivt lindrar oro framkom i materialet. Distraktion, genom film, spel eller böcker, i samband med anestesiinduktion är en metod. Även preoperativt förberedande information i form av multi-media eller specialskrivna texter (sagoböcker och informationsbroschyrer) har visat sig ha en lindrande effekt.

Utvidgad information till föräldrar, med tanke att förberedda föräldrar bättre hjälper sitt barn och minskar barnets preoperativa oro, gav inte mätbar effekt på barnens oro.

Abstract [en]

Abstract Background: Preoperative anxiety can cause high levels of stress in the child, for example due to separation from parents, fear, not knowing what to happen and being in an unknown environment. Up to 50% of children to be treated experience preoperative anxiety which may lead to unwanted consequences such as higher incidence of postoperative delirium, postoperative anxiety and increased pain but also give negative effects for a longer period of time postoperatively like nightmares, waking crying, separation anxiety, outbreaks of anger, temper tantrums and enuresis. Nurse anesthetist has a responsibility in reducing preoperative anxiety and thus improving the child's experience of the situation, preventing negative consequences. Purpose: The purpose of the study is to highlight non-pharmacological strategies and their effects in the work with preoperatively anxoius children, undergoing general anesthesia. Method: Systematic literature study. Inclusion criteria experimental studies on children 0-18 years who were to undergo general anesthesia prior to surgery, published 120101-180213, in scientific English-language referee-reviewed journals. Database searches were performed in PubMED, Cinahl and PsychINFO. Result: Two methods that relieve anxiety emerged in the material. Distraction, through movies, games or books, during the anesthesia indiction or preoperatively preparatory information in the form of multi-media or special-written texts (storybooks and information brochures). Expanded information to parents, given that prepared parents better help their children and reduce the child's preoperative anxiety, did not give a measurable effect. Conclusion: Preoperative, age-appropriate information for the child and distraction

during the anesthesia induction are, respectively, effective methods to alleviate the preoperative anxiety of children.

Place, publisher, year, edition, pages
2018. , p. 107
Keywords [en]
Anesthesia, child, preoperative anxiety, prevention and control
Keywords [sv]
Anestesi, barn, preoperativ oro, prevention, reduktion
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-72825OAI: oai:DiVA.org:lnu-72825DiVA, id: diva2:1197782
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Anaesthetic Care, 60 credits
Supervisors
Examiners
Available from: 2018-04-17 Created: 2018-04-13 Last updated: 2018-04-17Bibliographically approved

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CiteExportLink to record
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