The need for practice enhancements and parental empowerment during their child’s day surgery process: A pilot study

Ahamed Faiz Ali
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Abstract

Background: Perioperative experiences leave a lasting psychosocial impact on the parents of children undergoing surgery. Methods: A phenomenological study design recruited parents of children undergoing day surgery using purposive sampling. Semi-structured face to face interviews were conducted two weeks postoperatively. Results: Thematic analysis revealed 6 main themes with 12 sub-themes. Although the parents acknowledged the emotional support and tangible assistance from the healthcare team, mostly the themes revealed negative perceptions of the unique processes within paediatric day surgery. Conclusions: Parents’ feelings of anxiety, stress, helplessness and the pressure to be seen as a resource of physical and emotional support during their child’s perioperative period were expressed by them as their needs for additional information and counselling, remote access to the primary healthcare team postoperatively and advice on coping strategies. Practice enhancements using technology and innovative playtherapy in combination with active parental participation may make day surgery a positive experience for both parents and children. Journal of Paediatric Surgeons of Bangladesh (2019) Vol. 10 (1 & 2): 5-14
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在儿童日间手术过程中,需要加强实践和提高家长的能力:试点研究
背景:围手术期的经历会给接受手术的儿童家长留下持久的心理影响。研究方法采用现象学研究设计,通过有目的的抽样,招募接受日间手术儿童的家长。在术后两周进行了半结构化面对面访谈。结果:主题分析显示了 6 个主要的主题:主题分析揭示了 6 个主主题和 12 个次主题。虽然家长们认可医疗团队提供的情感支持和实际帮助,但大部分主题显示了他们对儿科日间手术独特流程的负面看法。结论家长们对孩子围手术期的焦虑感、压力感、无助感以及被视为身体和情感支持资源的压力感,被他们表达为对额外信息和咨询、术后与初级医疗团队的远程联系以及应对策略建议的需求。利用技术和创新的游戏疗法,结合家长的积极参与,可使日间手术成为家长和儿童的积极体验:5-14
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