20.500.12556/DKUM-89084 Pomen psihične priprave za zmanjševanje predoperativne anksioznosti pri otrocih The Importance of Psychological Preparation for Reducing Preoperative Anxiety in Children Uvod: Pri otroku, ki bo operiran v splošni anesteziji, poznamo za zmanjševanje predoperativne anksioznosti farmakološke in nefarmakološke ukrepe. Izbira ukrepov je individualno naravnana glede na otrokove potrebe, pri čemer ima dobra psihična priprava pomembno vlogo. Metode: Naredili smo pregled, analizo ter sintezo znanstvene in strokovne literature. Uporabili smo podatkovne baze PubMed, Chinal Ultimate in ScienceDirect. S PRISMA diagramom smo predstavili pregled literature. Izvedli smo hierarhijo dokazov. Vključene raziskave smo prikazali v evalvacijski tabeli in naredili smo vsebinsko analizo. Rezultati: Identificirali smo 113 raziskav. V končno analizo smo vključili 7 člankov. Raziskave so pokazale, da uporaba psihične priprave ugodno vpliva na zmanjšanje predoperativne anksioznosti pri otrocih. Ugotovili smo, da se v ta namen najpogosteje uporabljajo farmakološki ukrepi, čeprav nefarmakološki ukrepi, kot so glasba, slikanje, igre, filmi, aplikacije na tablici, videoigre ali navidezna resničnost prav tako učinkovito zmanjšujejo stopnjo anksioznosti. Razprava in zaključek: Raziskave jasno nakazujejo, da ni jasnih smernic, kako pristopiti k pripravi otroka na operativni poseg. Zavedati se moramo edinstvenosti posameznika in se prilagoditi vsakemu posebej. V praksi je uporaba farmakoloških ukrepov najpogostejša, a se moramo zavedati njihovih stranskih učinkov ter se, kadar je možno, poslužiti nefarmakoloških ukrepov, saj so enako učinkoviti. Introduction: In a child who will be operated on under general anesthesia, pharmacological and non-pharmacological measures are known to reduce preoperative anxiety. The choice of measures is individually oriented according to the child's needs, and good psychological preparation plays an important role. Methods: We made a review, analysisand synthesis of scientific and professional literature. We used PubMed, Chinal Ultimate and ScienceDirect databases. With the PRISMA diagram, we presented a review of the literature. We have implemented a hierarchy of evidence. The included research was shown in the evaluation table and a content analysis was made. Results: We identified 113 studies. We included 7 articles in the final analysis. Research has shown that the use of psychological preparation has a beneficial effect on reducing preoperative anxiety in children. We found that pharmacological measures are most often used for this purpose, although non-pharmacological measures such as music, painting, games, movies, tablet applications, video games or virtual reality also effectively reduce the level of anxiety. Discussion and conclusion: Research clearly indicates that there are no clear guidelines on how to approach preparing a child for surgery. We must be aware of the uniqueness of the individual and adapt to each one. In practice, the use of pharmacological measures is the most common, but we must be aware of their side effects and, when possible, use non-pharmacological measures, as they are equally effective. operativni poseg anksioznost otrok Surgical procedure Anxiety Child true true false [P. Košar] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2024-06-12 13:34:58 2024-09-03 17:37:12 2025-02-20 15:51:33 0000-00-00 00:00:00 2024 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-089.163-053.2:159.9(043.2) 203151875 VS_Kosar_Patricija_2024.pdf VS_Kosar_Patricija_2024.pdf 1 5E136CCFAAE50C559A89396589DFD740 6fac0417b2d2cc171c048bb52f902aa2880e6c6faa1431529ff891de301e058e f48f969d-28af-11ef-ae3f-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=180453 Fakulteta za zdravstvene vede 0 0 0