Relacionamento terapêutico com criança no período perioperatório: utilização do brinquedo e da dramatização

Abstract

The purpose of this study was to analyse the therapeutic relationship between a nursing student and a 3 years old child during perioperative period. Through the use of careful development assessments, preoperative tours, and therapeutic play techniques her fears and anxiety because of hospitalization and surgery were reduced and the surgical experience was lived by the child in a constructive manner. Parents and peri-operative team have evaluated positively the preparation and assessment of the child for surgery.

Management of preoperative anxiety in children

“…These studies led to further studies linking preoperative anxiety and postoperative behavior 5 . Literature from around the world indicates that preoperative anxiety is a global concern 4,6–23 . Anesthesia care providers from the United Kingdom refer to the importance of reducing children's anxiety for humanitarian reasons 5 .…”

“…The therapeutic relationship that a nursing student established with a three‐year‐old during the perioperative period was analyzed in one case study 8 . The nursing student performed a thorough developmental assessment, provided a preoperative tour, and used therapeutic play techniques.…”

Production science in nursing: focus on pre-surgical care / Produção científica na enfermagem: enfoque no atendimento pré-cirúrgico

“…No caso de crianças o uso do brinquedo mostrou-se uma forma adequada para comunicar-se efetivamente com a criança . (17) .…”

Therapeutic Blowing Toys: Does the Overlap of Ventilatory Stimuli Alter the Respiratory Mechanics of Healthy Schoolchildren?

“…Including these in therapy improves the bond with the professional, promotes fun, relaxation and faster recovery, and favors better adherence to treatment. 4,5 In respiratory physiotherapy, the use of blow toys is frequent because they are facilitators to achieve the treatment goals, 6 stimulating and optimizing different breathing patterns. 7 Party whistlers, for example, when inserted in clinical practice, take children to a festive moment and enables them to effectively perform inspiration and exhalation in the simple act of blowing the toy.…”

“…One instrument that allows the evaluation of respiratory mechanics and can be used to verify the effects of blow toys on the airways is the impulse oscillometry system (IOS), which has been shown to be easy applicable in children because it does not require forced breathing maneuvers. 9 This system generates oscillatory pressures of different frequencies (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) Hz) that are transmitted to the lung tissue, and also measures airway resistance (R) and reactance (X). Commonly analyzed parameters are: R, X, airway impedance (Z), resonance frequency (Fres), and reactance area (AX).…”