护士带领的手术前教育与家庭互联网资源为儿科患者及其家长
1Nell Hodgson School of Nursing, Emory University, Atlanta, GA.
概括
儿科患者和家长经常经历手术焦虑. 由护士提供的基于证据的手术前教育,可以赋予家庭权力,改善手术经验,减少对药物的依赖.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 护理教育 护理教育
- 儿童心理学 儿童心理学
背景情况:
- 儿科患者和家长经常经历围绕手术的重大恐惧和焦虑.
- 对于焦虑的传统药理干预 (例如,类药物) 有潜在的缺点,包括发育神经毒性,并且不解决先前存在的焦虑.
- 对儿科患者和家长进行不一致的手术前准备,特别是在资源较低的环境中,造成了护理差距.
研究的目的:
- 突出预麻醉护士为儿科患者及其家长实施基于证据的手术前教育的机会.
- 倡导开发和使用量身定制的,适合发育的教育工具,以减轻外科手术的焦虑.
- 为家庭提供家庭实践资源,促进更积极的外科手术体验.
主要方法:
- 对儿科手术前焦虑管理当前实践的审查.
- 在资源较低的社区医院中发现护理差距.
- 建议利用领先的儿童医院的现有资源来制定教育计划.
主要成果:
- 对焦虑的药理学方法有局限性和潜在风险.
- 术前教育是小儿手术护理中未得到充分利用但至关重要的组成部分.
- 通过有针对性的教育干预,护士可以在弥合护理差距方面发挥关键作用.
结论:
- 预麻醉护士可以通过提供基于证据的,量身定制的手术前教育,有效地解决儿科手术焦虑.
- 赋予家庭可获得资源的权力促进了积极的外科手术体验,并减少了对药理干预的需求.
- 实施标准化,但又可适应的教育计划可以改善不同医疗机构的护理一致性.
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