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Guidelines for Elective Pediatric Fiberoptic Intubation
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The application value of anticipatory nursing in pediatric fiberoptic bronchoscopy

Juan Dong1, Ting Liu

  • 1Pediatrics Department, Yancheng Third People's Hospital, Yancheng, Jiangsu Province, China.

Medicine
|July 15, 2025
PubMed

Insights

Anticipatory nursing significantly reduces anxiety and improves outcomes for children undergoing fiberoptic bronchoscopy. This patient-centered approach enhances examination success rates, compliance, and parental satisfaction while lowering complication incidence.

Area of Science:

  • Pediatric Respiratory Medicine
  • Nursing Interventions
  • Clinical Trial Methodology

Background:

  • Pediatric fiberoptic bronchoscopy is a common procedure associated with potential anxiety and compliance challenges in children.
  • Traditional nursing care may not adequately address the psychological and procedural needs of pediatric patients undergoing bronchoscopy.
  • Optimizing nursing strategies is crucial for improving patient experience and procedural success.

Purpose of the Study:

  • To evaluate the clinical application value and effectiveness of anticipatory nursing in pediatric fiberoptic bronchoscopy.
  • To compare the impact of anticipatory nursing versus traditional nursing on children's anxiety, compliance, examination success, complication rates, and parental satisfaction.

Main Methods:

  • A comparative study involving 140 pediatric patients undergoing fiberoptic bronchoscopy, divided into an anticipatory nursing group (70) and a traditional nursing group (70).
  • Anticipatory nursing included preoperative education, simulated procedures, procedural accompaniment, and postoperative follow-up.
  • Outcomes were assessed using the modified Yale Preoperative Anxiety Scale (m-YPAS), a self-made compliance scoring sheet, examination success rates, complication incidence, and a self-made parental satisfaction questionnaire.

Main Results:

  • The anticipatory nursing group exhibited significantly lower anxiety scores (35.2 ± 4.8 vs 42.6 ± 5.3, P < .01) and higher compliance scores (8.5 ± 1.2 vs 6.8 ± 1.5, P < .01) compared to the traditional group.
  • Examination success rates were higher in the anticipatory nursing group (98.6% vs 90.0%, P < .05), with a significantly lower incidence of complications (4.3% vs 14.3%, P < .05).
  • Parental satisfaction scores were significantly elevated in the anticipatory nursing group (9.2 ± 0.8 vs 7.6 ± 1.1, P < .01).

Conclusions:

  • Anticipatory nursing is a valuable intervention for pediatric fiberoptic bronchoscopy, effectively reducing children's anxiety.
  • This nursing approach demonstrably improves patient compliance, examination success rates, and parental satisfaction.
  • Anticipatory nursing significantly lowers the incidence of complications, highlighting its important clinical application in pediatric respiratory care.

Keywords:
anticipatory nursinganxiety levelschildrencompliance with examinationfiberoptic bronchoscopyincidence of complicationsparental satisfaction

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