家庭在麻醉后护理单位的存在减少了学龄前儿童的负面术后行为变化:一个随机对照试验
Yue-Rong Zhang1, Ai-Hua Liu1, Yuan-Yuan Wan1
1Department of Anesthesiology, Children's Hospital of Fudan University Shanghai 201102, China.
American journal of translational research
|October 20, 2025
概括
在麻醉后恢复期间,家庭的存在显著减少了学龄前儿童的负面行为变化. 这支持实施家庭陪伴计划,以改善儿科外科护理.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 术后护理 术后护理
- 儿童心理学 儿童心理学
背景情况:
- 在全身麻醉后的学龄前儿童中,负面的术后行为变化 (NPOBC) 是常见的.
- 在康复期间家庭的存在可能会减轻这些不良影响.
- 需要证据来支持临床实施家庭陪伴计划.
研究的目的:
- 评估家庭在麻醉后恢复期间对学龄前儿童NPOBCs的影响.
- 为家庭伴随计划的临床实施提供证据.
主要方法:
- 随机对照试验,对132名接受全身麻醉的学前儿童进行随机对照试验.
- 实验组:家庭陪伴 + 标准护理. 控制组:仅提供标准护理.
- 在手术后1,7和14天评估生命体征,情绪状态和行为变化 (PHBQ).
主要成果:
- 实验组表现出稳定的生理参数 (心率,呼吸率,血压下降) 和情绪状态的改善.
- 在手术后7天和14天,NPOBC在实验组显著降低.
- 在实验组中,镇静的需要显著减少 (3例对32例).
结论:
- 在麻醉后恢复期间家庭的存在对儿科患者产生了积极的影响.
- 它稳定生理参数,增强情绪健康.
- 它有效地减少了中期到晚期的术后行为变化,支持计划实施.
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