20.500.12556/DiRROS-29822 Psihološka priprava kot dejavnik zmanjševanja predoperativne anksioznosti pri pediatričnih pacientih narativni pregled literature Psychological preparation as a factor in reducing preoperative anxiety in pediatric patients a narrative literature review Uvod: Psihološka priprava otroka pred operativnim posegom pomembno zmanjšuje predoperativno anksioznost. Pristop mora biti prilagojen individualnim značilnostim otroka. Namen pregleda literature je raziskati pomen ustrezne psihološke priprave otroka na operativni poseg v splošni anesteziji ter njen vpliv na zmanjševanje predoperativne anksioznosti pri otrocih. Metode: Izveden je bil narativni pregled literature v bazah PubMed, CINAHL Ultimate in ScienceDirect ter v iskalniku COBISS. Uporabljeni so bili iskalni niz v angleščini in ključne besede v slovenščini. Z iskanjem je bilo pridobljenih 113 zadetkov, od katerih je bilo v končno analizo vključenih sedem randomiziranih kontroliranih raziskav. Rezultati: V šestih raziskavah so nefarmakološki pristopi (slikanice, virtualna resničnost, igre na pametnih telefonih, prevoz z otroškim avtomobilom, informativne brošure) statistično značilno zmanjšali predoperativno anksioznost in/ali izboljšali kooperativnost pri indukciji anestezije, medtem ko ena intervencija s tabličnim računalnikom ni dosegla statistične značilnosti. V eni raziskavi je bila psihološka priprava enako učinkovita kot peroralni midazolam, virtualna resničnost pa je učinkovito preprečila povečanje anksioznosti med indukcijo anestezije; ugotovljeno je bilo tudi zmanjšanje anksioznosti staršev.Diskusija in zaključek: Enotne smernice za najprimernejši pristop še niso oblikovane, zato je ključnega pomena prilagajanje individualnim potrebam otroka. Učinkoviti ukrepi vključujejo izobraževalne in vedenjske intervencije, tehnike odvračanja pozornosti, prisotnost staršev ter ustrezno komunikacijo zdravstvenega osebja, ki pomembno zmanjšujejo predoperativno anksioznost. Introduction: Psychological preparation of children before surgery significantly reduces preoperative anxiety. However, the approach must be tailored to each child’s individual characteristics. The aim of this literature review was to examine the importance of appropriate psychological preparation for children undergoing surgery under general anaesthesia, as well as its impact on reducing preoperative anxiety.Methods: A narrative literature review with a systematic search was conducted in the PubMed, CINAHL Ultimate, and ScienceDirect databases (2013–2023), and using the COBISS search engine. An English-language search string and Slovenian keywords were used. The search yielded 113 results. Of these, seven randomised controlled trials were included in the final analysis.Results: In six studies, non-pharmacological approaches (picture books, virtual reality, smartphone games, toy-car transport, informational brochures) significantly reduced preoperative anxiety and/or improved cooperation during anaesthesia induction, while one tablet-based intervention did not reach statistical significance. In one study, psychological preparation was found to be as effective as oral midazolam, and virtual reality effectively prevented anxiety escalation during induction, and also reduced parental anxiety.Discussion and conclusion: As unified guidelines for the most appropriate approach have not yet been established, it is essential to adapt to the individual needs of each child. Proven effective measures include educational and behavioural interventions, distraction techniques, parental presence, and appropriate communication by healthcare staff, all of which significantly reduce preoperative anxiety. operativni poseg strah otroci psihična priprava operacija surgical procedure fear children psychological preparation surgery true false true Zbornica zdravstvene in babiške nege Slovenije, Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije Slovenski jezik Angleški jezik https://obzornik.zbornica-zveza.si:8443/index.php/ObzorZdravNeg/index Neznano 2026-06-07 09:57:09 2026-06-07 09:57:10 2026-06-08 03:45:27 0000-00-00 00:00:00 2026 0 0 str. 133-142 suppl. 1 Letn. 60 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2026-06-01 159.98-053.2 1318-2951 10.14528/snr.2026.60.Suppl.1.3331 280378371 https://doi.org/10.14528/snr.2026.60.Suppl.1.3331 1 7f0d38ca-6246-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44842 https://obzornik.zbornica-zveza.si:8443/index.php/ObzorZdravNeg/article/view/3331 1 7df3936d-6246-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44841 WEB_obzornik_2026-60-2_Klanjsek_.pdf WEB_obzornik_2026-60-2_Klanjsek_.pdf 1 F9DABF5A3541DAFC1029C4FC4A8A345A 796d84c22e1c90d233b7515474bfb357bd218d0efea61cc804fb1cbd3aff0c1b 9094911c-6247-11f1-9215-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44843 Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije 0 0 0