Children's preoperative stress according to the parental presence evaluated by salivary cortisol and mYPAS: quasi-randomized trial.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-03-08 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0232en

Ketillyn Nayara de Macedo Silveira, Rodrigo Leal Alves, Paulo do Nascimento Júnior, Monique Antonia Coelho, Guilherme Antonio Moreira de Barros, Norma Sueli Pinheiro Módolo

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Abstract

Objective: The main objective of this study was to compare stress and anxiety levels in children undergoing surgical procedures with or without parental presence at induction of anesthesia by measuring salivary cortisol levels and applying the mYPAS.

Method: Quasi-randomized trial with children aged 5-12 year, with ASA physical status I, II, or III, undergoing elective surgery. According to parents' willingness, the pair were defined as accompanied or unaccompanied group. Chi-square, Fisher's exact tests, Student's t test, Mann-Whitney, Hodges-Lehman and Spearman's tests were used for statistical analyzes.

Results: We included 46 children; 63% were preschool children mostly accompanied by their mothers (80%). The median mYPAS score was 37.5 (quartile range, 23.4-51.6) in unaccompanied children, and 55.0 (quartile range, 27.9-65.0) in accompanied children, with an estimated median difference of +11.8 (95% CI of 0 to 23.4; p = 0.044). There were no significant differences in the mean salivary cortisol levels.

Conclusion: The level of anxiety was higher in accompanied children. There were no differences in salivary cortisol levels between both groups. Brazilian Registry of Clinical Trials (ReBEC): RBR-9wj4qvy.

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通过唾液皮质醇和 mYPAS 评估父母在场时儿童的术前压力：准随机试验。

研究目的本研究的主要目的是通过测量唾液皮质醇水平和应用 mYPAS，比较麻醉诱导时父母在场或不在场的接受外科手术儿童的压力和焦虑水平：方法：准随机试验，对象为接受择期手术的 5-12 岁儿童（ASA 身体状况为 I、II 或 III 级）。根据家长的意愿，将这对儿童定义为陪同组和非陪同组。统计分析采用了卡方检验、费雪精确检验、学生 t 检验、曼-惠特尼检验、霍奇斯-雷曼检验和斯皮尔曼检验：我们共纳入了 46 名儿童，其中 63% 是学龄前儿童，大部分由母亲陪伴（80%）。无人陪伴儿童的 mYPAS 得分中位数为 37.5（四分位数范围为 23.4-51.6），有人陪伴儿童的 mYPAS 得分中位数为 55.0（四分位数范围为 27.9-65.0），估计中位数差异为 +11.8（95% CI 为 0 至 23.4；p = 0.044）。唾液皮质醇平均水平无明显差异：结论：有陪伴的儿童焦虑程度更高。结论：陪护儿童的焦虑程度更高，两组儿童的唾液皮质醇水平没有差异。巴西临床试验登记处（ReBEC）：RBR-9wj4qvy。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista da Escola de Enfermagem da U S P

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