缓解儿科手术前焦虑,我们现在在哪里? - 一个全国性的调查调查
Shreya Bharat Shah1, Renu Sinha1, Sana Yasmin Hussain1
1Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Journal of Indian Association of Pediatric Surgeons
|January 4, 2024
概括
儿童手术前焦虑症 (PA) 管理在麻醉医生中不一致,只有37%的麻醉医生一致使用策略. 需要提高意识和多学科方法,以使其成为标准的儿科麻醉护理.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 患者的治疗结果.
- 在外科手术后的护理.
背景情况:
- 儿童的手术前焦虑 (PA) 是常见的,并与不良结果有关.
- 管理PA是一个标准的护理,但往往被忽视.
- 目前的做法和麻醉师对儿童PA管理的态度需要评估.
研究的目的:
- 评估麻醉科医生关于儿科手术前焦虑的全国实践模式.
- 了解麻醉师对缓解儿童手术前焦虑的态度.
- 在实施缓解焦虑的策略中识别障碍和促进者.
主要方法:
- 一项25个问题的调查分发给全国麻醉科医生.
- 该调查涵盖了PA减免的方法,不合规原因和并发症.
- 数据通过在线 (谷歌表单) 和手动分发的方式收集.
主要成果:
- 在450名接受调查的麻醉师中,97%使用了缓解焦虑的策略,但只有37%的麻醉师始终使用这种策略.
- 73%的人使用药理和非药理技术.
- 主要障碍包括预期的呼吸道困难 (88%) 和医院基础设施不足 (67%).
结论:
- 儿科手术前焦虑管理的应用不一致,实践中存在显著的差异.
- 涉及麻醉师,外科医生和护士的合作方法是必不可少的.
- 提高认识和改善基础设施对于标准化PA缓解服务至关重要.
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