DIAGNOSTIC PLAY ENDOSCOPY OF UPPER RESPIRATORY TRACT FOR REDUCING STRESS IN CHILDREN AGED FROM 3 TO 7 YEARS

Loginova I.; Vakhrushev S.; Kononenko I.; Vishnyakova N.; Sergeevna Y.; Smbatyan A.

doi:10.14529/jpps200204

I. O. Loginova 1. Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation; 2. Federal State-Financed Institution Federal Siberian Research Clinical Centre under the Federal Medical Biological Agency, Krasnoyarsk, Russian Federation http://orcid.org/0000-0002-9551-1457 loginova70_70@mail.ru
S. G. Vakhrushev 1. Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation; 2. New Technologies Clinic, Krasnoyarsk, Russian Federation http://orcid.org/0000-0002-7774-0969 vsg20061@yandex.ru
I. O. Kononenko Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation http://orcid.org/0000-0002-9416-3040 kio62@mail.ru
N. N. Vishnyakova Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation http://orcid.org/0000-0001-6173-0638 vishnina@mail.ru
Y. S. Sergeevna 1. Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation; 2. New Technologies Clinic, Krasnoyarsk, Russian Federation http://orcid.org/0000-0002-5167-3171 chuprakova.lor@gmail.com
A. S. Smbatyan 1. Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation; 2. New Technologies Clinic, Krasnoyarsk, Russian Federation http://orcid.org/0000-0002-5851-8668 amar-88@mail.ru

DOI: https://doi.org/10.14529/jpps200204

Keywords: stress, endoscopic examination, ENT diagnosis, play endoscopy

Abstract

Aim. In modern medical and psychological literature, the importance of reducing stress during medical examination of children is explained by the ambivalent characteristics of the modern technological approach: on the one hand, it gives more accurate data on the status of the body, on the other hand, it acts as an additional stressor. This work demonstrates the possibilities of reducing stress during ENT diagnosis in children aged from 3 to 7 years by means of play endoscopy. Materials and methods. Children from 3 to 7 years of age requiring ENT endoscopy (n=30) participated in the study. All children were divided into 2 groups by the pair distribution function. The first group was offered a play endoscopy. Play endoscopy is an ENT endoscopy performed with endoscopic equipment provided with a fairy-tale character (hereinafter the product). Play endoscopy is carried out to reduce stress during consultation and examination (patent application No 2020104836). The second group of children was offered a traditional endoscopic examination. The research was conducted on the premises of the New Technologies Clinic. Results. In the first group, 13% of children showed signs of stress during ENT endoscopy, while in the second group there were 53% of stressed children. In the first group (15 children), 13 children without prevalence of any syndrome chose bright products corresponding to age and gender. Children in the second group were not offered play products. Conclusion. A comprehensive examination of a child requires an increase in the humanitarian component of the treatment process. The method of play endoscopy based on the selection of a toy with its subsequent use with endoscopic equipment has shown its effectiveness. Wider application of this technique for reducing stress in children aged from 3 to 7 years may be the subject of further research.

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Author Biographies

I. O. Loginova , 1. Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation; 2. Federal State-Financed Institution Federal Siberian Research Clinical Centre under the Federal Medical Biological Agency, Krasnoyarsk, Russian Federation

¹Doctor of psychological Sciences, Professor, head of the Department of clinical psychology and psychotherapy; ²scientific consultant in psychology

S. G. Vakhrushev , 1. Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation; 2. New Technologies Clinic, Krasnoyarsk, Russian Federation

¹ Doctor of medical Sciences, Professor, head of the Department ENT-diseases; ² Scientific supervisor, otorhinolaryngologist

I. O. Kononenko , Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation

Candidate of pedagogical Sciences, associate Professor, Department of clinical psychology and psychotherapy

N. N. Vishnyakova , Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation

Candidate of psychological Sciences, associate Professor, Department of clinical psychology and psychotherapy

Y. S. Sergeevna , 1. Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation; 2. New Technologies Clinic, Krasnoyarsk, Russian Federation

¹Assistant of the Department of ENT diseases; ²otorhinolaryngologist

A. S. Smbatyan , 1. Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky, Krasnoyarsk, Russian Federation; 2. New Technologies Clinic, Krasnoyarsk, Russian Federation

¹ Assistant of the Department of ENT diseases; ² Head of the clinic, doctor-otorhinolaryngologist

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