Navigation Links
Different methods can reduce hospital fear in children

Undergoing surgery can be a terrifying experience for a child. But stress and fear, and the use of pain relief after the procedure, can be reduced with simple means: drawings, continuity and dialogue. This has been shown by research at the Sahlgrenska Academy at the University of Gothenburg, Sweden.

Berith Wennstrm presents in her thesis interviews with children describing how they experienced being in hospital and undergoing surgery. The thesis also presents work in which, for example, saliva samples from 93 children aged between 5 and 11 years have been analysed, to measure the concentration of the stress hormone cortisol.

Special model

The children were assigned to one of three groups: children in the first group were taken care of in a conventional manner before the surgery, those in the second group received additional information of what was to happen on the day of the operation, and those in the third group were taken care of according to a special model known as "the perioperative dialogue" (PD).

Lower levels of stress

"The research showed than children who received care according to the PD model had lower levels of stress after the surgery and required less pain relieving morphine that children who had received conventional care", says Berith Wennstrm.

Unique experiment

The thesis presents also a unique experiment using a method based on analysing children's fear of hospital through drawings. Comparing the drawings of children in school with those in hospital allowed such features as a weak pen pressure, the use of few colours and poor use of the area on the page to be coupled with an increased anxiety in children who were to undergo day surgery.

Unpredictable situation

Interviews with children aged 6-9 years before and after day surgery are presented in the thesis. These interviews show that the children often feel compelled into an unpredictable situation in which they meet an unfamiliar world and must withstand hospital stress imposed on them. 

"The children initially attempt to gain control of the situation, and then they experience that they loose this when they become dizzy, for example, from sedatives."

Using the childrens language

In order to prevent fear and anxiety about the surgery, it is important to carry out a continuous dialogue with the children, and it is important that this takes place using the children's own language. Sedatives should not be routinely given: this must be the subject of careful individual assessment.

Important to minimise stress

"The thesis concludes that Swedish perioperative healthcare functions relatively well and supports children and their parents", says Berith Wennstrm. "But it is important to minimise stress and the fear of hospital in children before the surgery, and we must view the hospital situation from a child's perspective, if we are to succeed."

The thesis "Experiences, symptoms and signs in 3-11 year-old children undergoing day surgery in the context of the perioperative dialogue" was successfully defended on 11 November 2011.

The perioperative dialogue. The PD model is based on giving the child time to reflect on the impending surgery through continuity and dialogue, and allowing the nurse anaesthetist "sufficient" time and resources to be able to support the child and the family. The model includes, for example, preparative visits to the clinic such that the child meets a familiar face on the day of the procedure. Drawings can be used to facilitate dialogue with children who are to undergo day surgery, and as a way for the children to make themselves understood and communicate questions and feelings.

Contact: Berith Wennstrm
University of Gothenburg

Related medicine news :

1. Anxiety Disorder Patients Process Emotions Differently
2. Game Ready(R) Presented with Frost & Sullivan 2010 Product Differentiation Excellence Award
3. Contrast-enhanced MRI could play a key role in differentiating between common types of arthritis
4. Farmers markets offer different strokes for different folks
5. Nouns and verbs are learned in different parts of the brain
6. Different signaling pathways of cholangiocarcinoma
7. Tahitian Noni Extra Released With 16 Different Iridoids
8. HCG True Diet Redesigns Its Website to Differentiate Its Brand from Competitors
9. Clues Found to How Different Flu Vaccines Work
10. Different strokes for married folks?
11. OTC Drugs May Work Differently in Obese Kids
Post Your Comments:
Related Image:
Different methods can reduce hospital fear in children
(Date:11/24/2015)... Leamington, ON (PRWEB) , ... November 24, 2015 , ... ... Innovations with Ed Begley Jr., airing first quarter 2016 via Discovery Channel. Dates and ... laws of the Province, and is in the business of producing and supplying medical ...
(Date:11/24/2015)... Salt Lake City, UT (PRWEB) , ... November 24, 2015 , ... ... according to Forbes Magazine. For a business, it is critical that the first impression ... of a business, they are not likely to buy anything or want to return. ...
(Date:11/24/2015)... FL (PRWEB) , ... November 24, 2015 , ... In ... a growing epidemic as deaths from prescription opioids in the United States grew 400 ... cocaine. In 2013 alone, opioids were involved in 37 percent of all fatal drug ...
(Date:11/24/2015)... VA (PRWEB) , ... November 24, 2015 , ... ... people across the United States to support their local poison centers through donations ... designated as #GivingTuesday: calls it “a day that inspires people to collaborate ...
(Date:11/24/2015)... LINCOLN, R.I. (PRWEB) , ... November 24, 2015 , ... ... why Amica Insurance is sharing safety tips to help protect your family and vehicle. ... traffic crashes around the 2013 Thanksgiving holiday weekend. Amica is sharing the following safety ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... 25, 2015 --> ... eine Lizenz für das Patent über eine neue Hepatitis-B-Behandlung, ... ENS-Lyon innehaben, an Enyo Pharma vergeben haben. ... Leben gerufenen und von Edelris gemeinsam mit seinen Partnern ... Behandlungsziel für HBV identifiziert, und es wurden neue Inhaltsstoffe ...
(Date:11/24/2015)... 24, 2015  Natera, Inc. (Nasdaq: ... testing and the analysis of circulating cell-free ... at the 27 th  Annual Piper Jaffray ... p.m. ET.  Matthew Rabinowitz, Ph.D., CEO of Natera, ... activities and financial outlook.  ...
(Date:11/24/2015)... York , 24. November 2015 /PRNewswire/ ... Avery Breathing Pacemaker Systems, ist erfreut, die ... Clinical Consultant bekannt geben zu können. ...   --> Foto - ... (Schweden). Von 1984-1986 war er ...
Breaking Medicine Technology: