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The perioperative d...
The perioperative dialogue reduces postoperative stress in children undergoing day surgery as confirmed by salivary cortisol
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- Wennström, Berith (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Department of Anaesthesia, Skaraborg Hospital, Kärnsjukhuset, 541 85 Skövde, Sweden / Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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- Törnhage, Carl-Johan (författare)
- Department of Pediatrics, Skaraborg Hospital, Skövde, Sweden
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- Nasic, Salmir (författare)
- Centre for Research and Development, Skaraborg Hospital, Skövde, Sweden
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- Hedelin, Hans (författare)
- Centre for Research and Development, Skaraborg Hospital, Skövde, Sweden / Department of Urology, Skaraborg Hospital, Skövde, Sweden
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- Bergh, Ingrid (författare)
- Högskolan i Skövde,Institutionen för vård och natur
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(creator_code:org_t)
- 2011-07-20
- 2011
- Engelska.
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Ingår i: Pediatric Anaesthesia. - : Wiley-Blackwell. - 1155-5645 .- 1460-9592. ; 21:10, s. 1058-1065
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://gup.ub.gu.se...
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Abstract
Ämnesord
Stäng
- Aim: To evaluate the efficacy of 'the perioperative dialogue (PD)' by analyzing salivary cortisol, in 5- to 11-year-old children undergoing day surgery. Background: To deal with anxiety prior to investigations and/or procedures, children need to be confident and informed about what is going to happen. Therefore, intervention strategies should be initiated before admission to hospital. Methods and materials: Children (n = 93), 79 boys and 14 girls, scheduled for elective day surgery requiring general anesthesia were randomly recruited into three groups: (i) standard perioperative care (n = 31), (ii) standard perioperative care including preoperative information (n = 31), and (iii) the PD (n = 31). Saliva was sampled for cortisol analysis at specific time points during the pre- and perioperative procedures. Results: The children who received the PD had significantly lower (P = 0.003) salivary cortisol concentrations postoperatively. Moreover, it continuously decreased during the day of surgery compared with the other two groups (P < 0.01). Among the children who received analgesics, the PD group received significantly less morphine (P = 0.014) related to body-weight: the mean dose was 0.1 mg.kg(-1) (n = 9) in the control group vs 0.04 mg.kg(-1) (n = 6) in the PD group. Irrespective of group, there was a positive correlation between the children's morphine consumption and salivary cortisol concentration (r = 0.56; P = 0.038). The W-B scale score was higher in the group that received morphine (median = 3 vs median = 1; P = 0.001). Conclusions: The PD's caring, continuity, and on-going dialogues were associated with low concentrations of salivary cortisol postoperatively and reduced morphine consumption and thus appears to be a valuable complement to standard perioperative care in children undergoing day surgery.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Nyckelord
- children
- cortisol
- day surgery
- nursing
- the perioperative dialogue
- stress
- Medical sciences
- Medicin
- children; cortisol; day surgery; nursing; the perioperative dialogue; stress
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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