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Anesthesia in pediatric and adolescent orthopedic surgery: medical and psychological aspects
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Anesthesia in pediatric and adolescent orthopedic surgery: medical and psychological aspects
Annotation
PII
S020595920015209-5-
DOI
10.31857/S020595920015209-5
Publication type
Article
Status
Published
Authors
Natalia E. Kharlamenkova 
ORCID: 0000-0002-0508-4157
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
N. Yeskin
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
A. Akinshina
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
S. Batrakov
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
G. Vilenskaya
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
I. Dan
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
Marina Dan
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
N. Matveychuk
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
E. Nikitina
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
A. Snetkov
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
Edition
Volume 42 issue 3
Pages
75-86
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.

Keywords
ideas about anesthesia, stress, anxiety, coping, mothers, teenagers, surgery
Acknowledgment
The reported study was funded by RFBR according to the research project № 18-00-00393 К (№ 18-00-00123; № 18-00-00049)
Received
12.06.2021
Date of publication
12.06.2021
Number of purchasers
6
Views
211
Readers community rating
0.0 (0 votes)
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S020595920015209-5-1 Дата внесения правок в статью - 23.05.2021
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