The Journal of Pediatrics, Год журнала: 2023, Номер 259, С. 113450 - 113450
Опубликована: Май 9, 2023
Язык: Английский
Anesthesia & Analgesia, Год журнала: 2019, Номер 129(5), С. 1344 - 1353
Опубликована: Май 27, 2019
Medical procedures often evoke pain and anxiety in pediatric patients. Virtual reality (VR) is a relatively new intervention that can be used to provide distraction during, or prepare patients for, medical procedures. This meta-analysis the first collate evidence on effectiveness of VR reducing undergoing
Язык: Английский
Процитировано
442
European Journal of Anaesthesiology, Год журнала: 2019, Номер 36(10), С. 728 - 737
Опубликована: Окт. 1, 2019
Pre-operative anxiety in children is very common and associated with adverse outcomes.The aim of this study was to investigate if virtual reality exposure (VRE) as a preparation tool for elective day care surgery lower levels anxiety, pain emergence delirium compared control group receiving usual (CAU).A randomised controlled single-blind trial.A single university children's hospital the Netherlands from March 2017 October 2018.Two-hundred children, 4 12 years old, undergoing under general anaesthesia.On surgery, VRE were exposed realistic child-friendly immersive version operating theatre, so that they could get accustomed environment anaesthesia procedures.The primary outcome during induction (modified Yale Preoperative Anxiety Scale, mYPAS). Secondary outcomes self-reported observed pain, delirium, need rescue analgesia (morphine) parental anxiety.A total 191 included analysis. During anaesthesia, mYPAS (median [IQR] similar VRE, 40.0 [28.3 58.3] CAU, 38.3 53.3]; P = 0.862). No differences between groups found or anxiety. However, after adenoidectomy/tonsillectomy, condition needed significantly less often (55.0%) than CAU (95.7%) (P 0.002).In did not have beneficial effect on more painful often, clinically important finding because side effects analgesic drugs. Options future research are include higher examine timing duration VRE.Netherlands Trial Registry: NTR6116.
Язык: Английский
Процитировано
153
British Journal of Cardiac Nursing, Год журнала: 2025, Номер unknown, С. 1 - 8
Опубликована: Фев. 26, 2025
Mental health is an important factor in a person's overall outcomes. Congenital heart diseases are life-long conditions, often leading to repeated admissions hospital for variety of reasons. Most professionals aware the impact that poor psychological wellbeing and mental can have on cardiovascular health. Anxiety prevalent among people with congenital disease, patients may adopt unhealthy coping behaviours could contribute their risk. Psychological distress, such as feelings anxiety depression, adversely affect adherence treatment plans by impairing patient's ability follow medication regimens, comprehend medical instructions engage recommended lifestyle changes, ultimately contributing poorer support should be provided according personalised needs enhance quality life. As key point contact trusted advocate other professionals, adult disease clinical nurse specialists pivotal assessment wellbeing, provision advice, signposting and, where appropriate, referral expert these patients. This article aims improve awareness cardiac nurses regarding disorders adults including recommendations ensure holistic, patient-centred care delivered this patient group.
Язык: Английский
Процитировано
0
Cardiology in the Young, Год журнала: 2017, Номер 28(2), С. 192 - 198
Опубликована: Сен. 11, 2017
Because of the enormous advances in medical treatment CHD, long-term survival patients suffering from this disease has increased significantly. Currently, about 90% reach adulthood, which entails many new challenges both for and their families healthcare professionals. The main objective family-centred psychosocial care is to strengthen emotional resilience chronically ill by adopting a holistic approach. During biannual meeting working group 2012, participants expressed need general European guidelines. present recommendations were written support staff professionals provide best children adolescents with CHD as well families. This article describes detail how integrated psychological modules work, involving different specialists, including paediatric/congenital cardiologist or paediatrician. clinical implications specific needs have been taken into account provided on following: structured follow-up screening; identification stressful periods related cardiac surgery invasive procedures; evidence-based, disease-specific, family-oriented interventions; interactive media links information.
Язык: Английский
Процитировано
45
Health Psychology, Год журнала: 2019, Номер 38(2), С. 151 - 161
Опубликована: Янв. 17, 2019
Guidelines recommend psychological intervention for children, adolescents, and adults with childhood-onset heart disease their families, yet a comprehensive review of interventions is lacking. We aimed to determine the efficacy this population.We searched 6 electronic databases until August, 2017 English-language, controlled trials or congenital disease, inherited arrhythmias, cardiomyopathies, family members. Outcomes interest included: anxiety, depression, stress distress, health-related quality life, coping adjustment, developmental outcomes, physical health, parent outcomes.Of 7,660 identified articles, 11 articles reporting on 9 unique met inclusion criteria. Four included adolescents 2 which also individuals valvular conditions, arrhythmias. Five targeted parents, predominantly mothers, children disease. Clinical methodological diversity was observed across trials. Parent-focused demonstrated some improvements in maternal mental including anxiety worry, coping, functioning. Evidence limited. Most (8/9) were at "high" "serious" risk bias.Despite an established evidence-base other chronic illness populations, evidence families Interventions using conceptual frameworks tested methodologically robust are needed enhance provision health care people all ages (PsycINFO Database Record (c) 2019 APA, rights reserved).
Язык: Английский
Процитировано
36
Pediatric Cardiology, Год журнала: 2025, Номер unknown
Опубликована: Март 24, 2025
Язык: Английский
Процитировано
0
Healthcare, Год журнала: 2025, Номер 13(8), С. 914 - 914
Опубликована: Апрель 16, 2025
Background: This study explores barriers and facilitators to psychological safety during medical procedures among individuals diagnosed with chronic illnesses in childhood. Psychological healthcare, detected via neuroception the autonomic nervous system’s responses perceived or threat, is essential for well-being mental health of chronically ill patients, especially those early diagnoses. Methods: Using Polyvagal Theory as a framework, semi-structured interviews were conducted six participants (aged 20–64) who experienced disease from young age. The Neuroception Safety Scale (NPSS) guided thematic exploration understand participants’ experiences. Thematic analysis identified key themes that reflect contributors detractors care. Results: Four primary developed: (1) knowledge empowerment through information facilitated inquiry, (2) holistic acknowledgment social impacts, (3) role parental involvement healthcare interactions, (4) need an individualised, patient-centred approach. Participants expressed support integrated their treatment importance autonomy clear communication. Conclusions: central experiences requires patient-centred, psychologically informed Emphasising tailored support, family involvement, comprehensive consideration can foster more effective care enhance patients’ long-term well-being.
Язык: Английский
Процитировано
0
Journal of Child & Adolescent Trauma, Год журнала: 2018, Номер 13(1), С. 1 - 10
Опубликована: Июнь 28, 2018
Язык: Английский
Процитировано
37
British Journal of Health Psychology, Год журнала: 2020, Номер 25(3), С. 452 - 473
Опубликована: Апрель 20, 2020
Objectives The importance of personalized and dignified care is increasingly being recognized in health policy practice. Despite the known impact clothing on social identity self‐expression, hospital patient well‐being has been widely overlooked. Patients are often required to wear clothing, commonly a backless gown, during medical procedures surgeries. wearing well‐being, this time vulnerability, was explored. Design A sequential multi‐method approach consisting two studies. Methods Two studies were carried out consider gown among adults with without chronic conditions. first study consisted conducting in‐depth, semi‐structured interviews ( n = 10) living lifelong condition (congenital heart disease). second cross‐sectional online survey exploring adults' views 928) experiences gown. Results Qualitative analysis identified following master themes: (1) symbolic embodiment ‘sick’ role, (2) relinquishing control professionals, (3) emotional physical vulnerability. Quantitative data indicated that reported despite lack necessity. Its design considered be not fit for purpose lacking dignity. Conclusions implications these findings practice discussed, emphasizing challenging cultural norms since dehumanizing aspects care, as symbolically represented by may adversely well‐being. Statement contribution What already Getting dressed form which contributes construction identity, yet few have explored exist suggest it predominantly associated feeling depersonalized, stigmatized, devitalized, ‘patient role’, low status, privacy. However, previous include variety including pyjamas (Edvardsson, 2009) dressing gowns (Topo & Iltanen‐Tähkävuori, 2010), whereas United Kingdom, 'one‐size‐fits‐all' held together ties at back, most used. adds This furthers understanding about lived experience people disease) without. Wearing (most gown) vulnerability condition. Findings from wider sample, drawn general population, used necessity leaving patients exposed, self‐conscious, vulnerable, uncomfortable, cold, embarrassed, disempowered. These exacerbated long‐term women. Together, current impacts negatively
Язык: Английский
Процитировано
28
Current Cardiology Reports, Год журнала: 2023, Номер 25(6), С. 455 - 465
Опубликована: Май 2, 2023
Abstract Purpose of Review To provide an update the current evidence cardiac disease–induced posttraumatic stress disorder (CDI-PTSD) with a focus on acute coronary events. Recent Findings A cardiovascular disease, particularly life-threatening event is often highly stressful experience that can induce PTSD in patients and their caregivers, taking chronic course if left untreated. There are several features distinguishing CDI-PTSD from “traditional” induced by external trauma, namely enduring somatic threat, inability to avoid trauma-related cues hyperarousal internal body sensations leading constant fear recurrent An increased risk CVD events may be explained pathophysiological changes, unhealthy lifestyle non-adherence treatment. trauma-focused approach might useful treat CDI-PTSD. Summary Treatment options for caregivers as well long-term effects interventions physical mental health outcomes should future research directions.
Язык: Английский
Процитировано
10