Child Drawings and Salivary Cortisol in Children Undergoing Preoperative Procedures Associated With Day Surgery

被引:7
作者
Wennstrom, Berith [1 ]
Tornhage, Carl-Johan [2 ]
Hedelin, Hans [3 ,4 ]
Nasic, Salmir [3 ]
Bergh, Ingrid [5 ]
机构
[1] Skaraborg Hosp, Dept Anaesthesia, S-54185 Skovde, Sweden
[2] Skaraborg Hosp, Dept Pediat, S-54185 Skovde, Sweden
[3] Skaraborg Hosp, Ctr Res & Dev, S-54185 Skovde, Sweden
[4] Skaraborg Hosp, Dept Urol, S-54185 Skovde, Sweden
[5] Univ Skovde, Sch Life Sci, Skovde, Sweden
关键词
anxiety; Child Drawing: Hospital manual; cortisol; day surgery; preoperative stress; ANXIETY; STRESS; INDEX;
D O I
10.1016/j.jopan.2013.05.009
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Perioperative procedures in children can impair their emotional status negatively with stress and/or anxiety. Cortisol concentrations and drawings could be helpful in gaining information about a child's levels of stress and/or anxiety when attending the hospital for surgery Purpose: The purpose of this study was to determine the degree of anxiety and stress as well as to explore the association between objective measures of stress (cortisol concentration in saliva) and subjective assessment of hospital anxiety (children's drawings) as interpreted by the Swedish version of the Child Drawing: Hospital manual. Methods: A total of 93 children scheduled for day surgery were included. Salivary cortisol was sampled preoperatively on the day of surgery at which time the children were also requested to make a drawing of a person at the hospital. Results: Results showed no association between salivary cortisol concentration and the CD:H score. Conclusion: The drawings and salivary cortisol concentration preoperatively on the day of surgery reflect different components of the conditions of feat; anxiety, or stress emerging in the situation.
引用
收藏
页码:361 / 367
页数:7
相关论文
共 31 条
[1]   Can drawing be considered a projective measure for children's distress in paediatric dentistry? [J].
Aminabadi, Naser Asl ;
Ghoreishizadeh, Arezoo ;
Ghoreishizadeh, Mohammadali ;
Oskouei, Sina Ghertasi .
INTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, 2011, 21 (01) :1-12
[2]  
[Anonymous], 1991, EMOTION ADAPTATION
[3]  
Bay E J, 1999, Nurs Diagn, V10, P103
[4]  
Boudarene M, 2002, ENCEPHALE, V28, P139
[5]  
Clatworthy S, 1999, J Pediatr Nurs, V14, P2, DOI 10.1016/S0882-5963(99)80054-2
[6]  
Clatworthy S, 1999, J Pediatr Nurs, V14, P10, DOI 10.1016/S0882-5963(99)80055-4
[7]  
Erikson H.R., 2006, Stress in health and disease, P46
[8]  
Gunnar M., 2001, Biobehavioral Assessment of the Infant, P167
[9]   Strategies for salivary cortisol collection and analysis in research with children [J].
Hanrahan, Kirsten ;
McCarthy, Ann Marie ;
Kleiber, Charmaine ;
Lutgendorf, Susan ;
Tsalikian, Eva .
APPLIED NURSING RESEARCH, 2006, 19 (02) :95-101
[10]   Preoperative preparation programs in children: A comparative examination [J].
Kain, ZN ;
Caramico, LA ;
Mayes, LC ;
Genevro, JL ;
Bornstein, MH ;
Hofstadter, MB .
ANESTHESIA AND ANALGESIA, 1998, 87 (06) :1249-1255