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Application of situational adaptation training combined with childlike nursing for children undergoing tonsillectomy

Xin Li1, Xiao-Feng Qiao2, Lu Sun2

  • 1Department of Surgery, Children's Hospital of Shanxi Province, Taiyuan, 030001, China.

International Journal of Pediatric Otorhinolaryngology
|April 22, 2021
PubMed

Insights

Situational adaptation training and child-friendly nursing effectively reduce preoperative anxiety in children undergoing tonsillectomy or adenoidectomy. This approach also improves cooperation and satisfaction with care.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Child Psychology

Background:

  • Preoperative anxiety is common in children undergoing tonsillectomy or adenoidectomy.
  • Anxiety can negatively impact cooperation during anesthesia and postoperative recovery.

Purpose of the Study:

  • To evaluate the clinical effectiveness of situational adaptation training combined with child-friendly nursing.
  • To assess the impact on preoperative anxiety in pediatric patients.

Main Methods:

  • 160 children were randomized into a control group and a test group.
  • The test group received situational adaptation training and child-friendly nursing.
  • Physiological stress responses, anesthesia cooperation, anxiety levels (VAS), and nursing satisfaction were measured.

Main Results:

  • The test group showed significantly lower heart rates, blood pressure variations, and anxiety scores (VAS).
  • Improved cooperation with anesthesia and higher nursing satisfaction were observed in the test group.
  • Family members in the test group also reported significantly lower anxiety levels.

Conclusions:

  • Situational adaptation training and child-friendly nursing are effective in reducing preoperative anxiety in children and their families.
  • This combined approach enhances cooperation, mitigates physiological stress, and improves patient satisfaction.
  • The intervention is recommended for clinical application in pediatric tonsillectomy and adenoidectomy procedures.
Abstract

Keywords:
AdaptationOperation nursingPreoperative anxiety

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