Classification of postoperative behavior disturbances in preschool children: A qualitative study.
- Lopez U Department of Neurology, University Hospitals of Geneva, Geneva, Switzerland.
- Martin J Department of Neurology, University Hospitals of Geneva, Geneva, Switzerland.
- van Assche M Department of Neurology, University Hospitals of Geneva, Geneva, Switzerland.
- Fleury Schubert A Department of Anaesthesiology, University Hospitals of Geneva, Geneva, Switzerland.
- Fournet M Department of Neurology, University Hospitals of Geneva, Geneva, Switzerland.
- Quartier V Department of Psychology, University of Lausanne, Lausanne, Switzerland.
- Habre W Department of Anaesthesiology, University Hospitals of Geneva, Geneva, Switzerland.
- Van der Linden M Psychopathology and Cognitive Neuropsychology Unit, Department of Psychology, University of Geneva, Geneva, Switzerland.
- 2019-03-16
Published in:
- Paediatric anaesthesia. - 2019
anesthesia
child development
externalizing and internalizing problems behaviors
grounded theory
postoperative changes
preschool children
Anxiety
Child Behavior
Child Behavior Disorders
Child, Preschool
Female
Humans
Infant
Male
Postoperative Period
Qualitative Research
English
BACKGROUND/AIM
Negative postoperative changes in children are frequent and have been described for decades. However, there is currently no theoretical framework, nor any consensual operational criteria for identifying them. This study aims at characterizing the many dimensions involved in postoperative behavioral disturbances in early childhood, using a qualitative analysis applied for the first time to these symptoms.
METHOD
Fifty-seven parents of preschool children (1-5 years old; 38 boys), who underwent general anesthesia, were interviewed 10 days after surgery. Semi-structured interviews investigated behavioral disturbances classically described in preschool children. Qualitative analysis of the transcripts allied both deductive and inductive reasoning, and inductive coding was carried out using constant comparison method with dedicated qualitative software.
RESULTS
Parents reported both positive and negative postoperative changes. Negative changes were classified in four main categories: (a) Externalizing and (b) Internalizing problems behaviors, (c) Feeding sleeping disruption and (d) Somatic problems, each comprising different sub-categories. Importantly within these categories, the symptoms distribution changed in 5 years old children, compared to younger children. Finally, our method allowed defining whether these (negative or positive) changes were significant or not, that is, the importance of postoperative behavioral changes.
CONCLUSION
The results of this study highlight the heterogeneity of postoperative disturbances in preschool children. These results are of primary importance for the definition and measurement of postoperative behavioral disturbances.
Negative postoperative changes in children are frequent and have been described for decades. However, there is currently no theoretical framework, nor any consensual operational criteria for identifying them. This study aims at characterizing the many dimensions involved in postoperative behavioral disturbances in early childhood, using a qualitative analysis applied for the first time to these symptoms.
METHOD
Fifty-seven parents of preschool children (1-5 years old; 38 boys), who underwent general anesthesia, were interviewed 10 days after surgery. Semi-structured interviews investigated behavioral disturbances classically described in preschool children. Qualitative analysis of the transcripts allied both deductive and inductive reasoning, and inductive coding was carried out using constant comparison method with dedicated qualitative software.
RESULTS
Parents reported both positive and negative postoperative changes. Negative changes were classified in four main categories: (a) Externalizing and (b) Internalizing problems behaviors, (c) Feeding sleeping disruption and (d) Somatic problems, each comprising different sub-categories. Importantly within these categories, the symptoms distribution changed in 5 years old children, compared to younger children. Finally, our method allowed defining whether these (negative or positive) changes were significant or not, that is, the importance of postoperative behavioral changes.
CONCLUSION
The results of this study highlight the heterogeneity of postoperative disturbances in preschool children. These results are of primary importance for the definition and measurement of postoperative behavioral disturbances.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1111/pan.13627
- PMID 30873694
- Persistent URL
- https://sonar.ch/global/documents/53356
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