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在接受桃体切除和腺切除的儿童中,在诱导麻醉时父母的存在
Xin Li1, Xiao-Feng Qiao2, Peng-Xia Ren3
1Department of Surgery, Children's Hospital of Shanxi Province, No. 13 of Xinmin North Street, Taiyuan, 030001, China. xinli_796@163.com.
概括
在麻醉诱导期间父母的存在显著减少了手术前的焦虑和生理压力在接受桃体切除和腺切除的儿童. 这种方法提高了家庭的满意度,并被推用于儿科手术护理.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 儿童心理学 儿童心理学
- 手术护理 手术护理
背景情况:
- 手术前的焦虑是儿科手术患者的常见问题.
- 桃切除术和腺切除术是儿童常见的手术,通常与焦虑有关.
- 越来越多地认识到父母参与外科手术前期的潜在好处.
研究的目的:
- 评估在麻醉诱导 (PPIA) 期间父母的存在对在接受桃体切除和腺切除的儿童中减少手术前焦虑的影响.
- 评估在麻醉诱导期间的生理应激反应和服从.
- 为了比较带有PPIA和没有PPIA的组之间的家庭满意度和麻醉师压力水平.
主要方法:
- 一项随机对照试验,涉及160名接受桃体切除和腺切除的儿童.
- 试验组包括在诱导麻醉期间的父母,而对照组接受了常规护理.
- 使用修改的耶鲁手术前焦虑量表 (m-YPAS) 测量焦虑,并记录心率和血压等生理参数. 此外,还评估了诱导合规性检查清单 (ICC) 和麻醉师压力.
主要成果:
- 与对照组相比,PPIA组的儿童表现出明显较低的焦虑评分 (m-YPAS) 和更好的诱导遵守 (ICC).
- 在PPIA组中,生理压力标志物 (心率,血压) 降低了.
- 在PPIA组中,家庭满意度更高,尽管手术时间,费用和麻醉师压力略有增加.
结论:
- 在麻醉诱导期间父母的存在是缓解儿科手术患者手术前焦虑和生理压力的有效策略.
- PPIA带来了改善患者和家庭体验,支持其在日常护理中的实施.
- 虽然与运营方面的小幅增加有关,但PPIA的好处超过了这些考虑.
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