在接受磁共振成像的儿童中发现出现妄想的危险因素
Lydia Merkel1, Mary Drouillard1, Shirley Wiggins1
1Children's Nebraska, Omaha, NE, United States of America.
Journal of pediatric nursing
|November 28, 2024
概括
在接受MRI的儿童中,突发性妄想 (ED) 与静止后更快的兴奋时间有关. 需要进一步的研究来确定手术前的危险因素,并为儿科ED开发干预措施.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 神经科学是一个神经科学.
- 儿童心理学 儿童心理学
背景情况:
- 出现妄想 (ED) 是儿科镇静和麻醉中常见的问题.
- 识别ED的风险因素对于改善患者安全和护理至关重要.
- 接受磁共振成像 (MRI) 的儿童是ED可能发生的特定人群.
研究的目的:
- 确定2至7岁儿童出现痴呆症 (ED) 的危险因素.
- 在接受MRI的儿童中调查ED和手术前因素之间的关联.
- 在这个儿科群体中记录ED的发病率.
主要方法:
- 一项描述性观察性研究在儿童医院进行.
- 使用儿童诱导行为评估 (CIBA) 和阿姆斯特丹手术前焦虑和信息量表 (APAIS) 评估了儿童和家长的焦虑.
- 使用小儿麻醉突发 Delirium (PAED) 尺度测量突发 Delirium (ED),并对人口统计和临床特征进行统计分析.
主要成果:
- 在136名儿童中,16.9%的儿童经历了出现妄想 (ED).
- 患有ED的儿童与没有ED的儿童相比,兴奋时间明显较短 (中位数为8分钟) (中位数为15分钟,p < 0.0001).
- 虽然在统计学上不显著,但米达佐拉姆前期治疗与更高的ED发病率有关 (25.6%与13.4%相比).
结论:
- 在接受MRI的儿童中,较短的术后兴奋时间是ED的重要风险因素.
- 在儿童中预测ED的程序前因素仍然不清楚.
- 需要跨学科的研究来制定干预措施,以减少儿科ED的发生率,并提高儿童的安全.
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