Anesthesia in pediatric and adolescent orthopedic surgery: medical and psychological aspects

 
PIIS020595920015209-5-1
DOI10.31857/S020595920015209-5
Publication type Article
Status Published
Authors
Occupation: chief research officer, laboratory of psychology of subject development in normal and post-traumatic states
Affiliation: Institute of Psychology RAS
Address: Moscow, Russian Federation
Occupation: Head of the Department of functional diagnostics
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10
Occupation: Traumatologist-orthopedist, Department of Pediatric Bone Pathology and Adolescent Orthopedics (Department 11)
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10
Occupation: Orthopedic trauma surgeon, Department of Pediatric Bone Pathology and Adolescent Orthopedics (Department 11)
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10
Occupation: Senior researcher of the laboratory of psychology of development of the subject in normal and post-traumatic States
Affiliation: FGBUN Institute of Psychology RAS
Address: Russian Federation
Occupation: Orthopedic traumatologist, Department of Pediatric Bone Pathology and Adolescent Orthopedics (Department 11)
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10
Occupation: Junior Researcher
Affiliation: Laboratory of Psychology of Person Development in Normal and Post-traumatic States, Institute of Psychology Russian Academy of Sciences
Address: Yaroslavskaya st., 13, bldn. 1
Occupation: Anesthesiologist-resuscitator, Department of Anesthesiology and Resuscitation
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10
Occupation: Researcher
Affiliation: Laboratory of Psychology of Person Development in Normal and Post-traumatic States, Institute of Psychology Russian Academy of Sciences
Address: Moscow, Yaroslavskaya st., 13, bldn. 1
Occupation: Head of the Department of Pediatric Bone Pathology and Adolescent Orthopedics (Department 11)
Affiliation: Federal State Budgetary Institution “N.N. Priorov National Medical Research Center of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation
Address: Moscow, Priorova st., 10
Journal namePsikhologicheskii zhurnal
EditionVolume 42 issue 3
Pages75-86
Abstract

The current study examined the topic of application and experiencing the anesthesia as an interdisciplinary medical and psychological issue. The connection of deep personal meanings and experiences of both the subject of anesthesia (child) and their parents was noted. Mothers' ideas about anesthesia, in connection with their teenage children’s surgery for a benign tumor of the musculoskeletal system has been scrutinized. The study involved adolescents aged 12−16 (n=44) who underwent surgery under endotracheal general anesthesia (n=27) or regional anesthesia (n=17) and their mothers. We used the Perceived Stress Scale (for adults and for children), the authors’ “Perception of Anesthesia” questionnaire, and the Color attitude test. Mothers whose children got endotracheal general anesthesia had higher scores on Help and Right Choice descriptors than those whose children got the regional anesthesia. Child’s and mother’s anxiety level were related before and after surgery according to the data from the Color test, but their levels of perceived stress correlated only before surgery. Mothers with high level of stress differ from other groups by the “Uncertainty, unknown” factor, but do not differ by the “Acceptance of the situation” factor. The conclusion emphasizes the importance of mutual communication between the doctor, the patient and his or her social environment for maintaining the patient's psychological well-being during treatment and for the success of such treatment.

Keywordsideas about anesthesia, stress, anxiety, coping, mothers, teenagers, surgery
AcknowledgmentThe reported study was funded by RFBR according to the research project № 18-00-00393 К (№ 18-00-00123; № 18-00-00049)
Received12.06.2021
Publication date12.06.2021
Number of characters31989
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