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The perioperative dialogue reduces postoperative stress in children undergoing day surgery as confirmed by salivary cortisol
Department of Anaesthesia, Skaraborg Hospital, Kärnsjukhuset, 541 85 Skövde, Sweden / Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Pediatrics, Skaraborg Hospital, Skövde, Sweden.
Centre for Research and Development, Skaraborg Hospital, Skövde, Sweden.
Centre for Research and Development, Skaraborg Hospital, Skövde, Sweden / Department of Urology, Skaraborg Hospital, Skövde, Sweden.
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2011 (English)In: Pediatric Anaesthesia, ISSN 1155-5645, E-ISSN 1460-9592, Vol. 21, no 10, 1058-1065 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To evaluate the efficacy of 'the perioperative dialogue (PD)' by analyzing salivary cortisol, in 5- to 11-year-old children undergoing day surgery. Background: To deal with anxiety prior to investigations and/or procedures, children need to be confident and informed about what is going to happen. Therefore, intervention strategies should be initiated before admission to hospital. Methods and materials: Children (n = 93), 79 boys and 14 girls, scheduled for elective day surgery requiring general anesthesia were randomly recruited into three groups: (i) standard perioperative care (n = 31), (ii) standard perioperative care including preoperative information (n = 31), and (iii) the PD (n = 31). Saliva was sampled for cortisol analysis at specific time points during the pre- and perioperative procedures. Results: The children who received the PD had significantly lower (P = 0.003) salivary cortisol concentrations postoperatively. Moreover, it continuously decreased during the day of surgery compared with the other two groups (P < 0.01). Among the children who received analgesics, the PD group received significantly less morphine (P = 0.014) related to body-weight: the mean dose was 0.1 mg.kg(-1) (n = 9) in the control group vs 0.04 mg.kg(-1) (n = 6) in the PD group. Irrespective of group, there was a positive correlation between the children's morphine consumption and salivary cortisol concentration (r = 0.56; P = 0.038). The W-B scale score was higher in the group that received morphine (median = 3 vs median = 1; P = 0.001). Conclusions: The PD's caring, continuity, and on-going dialogues were associated with low concentrations of salivary cortisol postoperatively and reduced morphine consumption and thus appears to be a valuable complement to standard perioperative care in children undergoing day surgery.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2011. Vol. 21, no 10, 1058-1065 p.
Keyword [en]
children, cortisol, day surgery, nursing, the perioperative dialogue, stress
National Category
Pediatrics
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-5518DOI: 10.1111/j.1460-9592.2011.03656.xISI: 000294975700012PubMedID: 21771174Scopus ID: 2-s2.0-80052408762OAI: oai:DiVA.org:his-5518DiVA: diva2:511778
Available from: 2012-03-23 Created: 2012-03-01 Last updated: 2013-04-12Bibliographically approved

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