非药物干预对术后儿童紧急妄想的比较疗效:系统性审查和贝叶斯网络元分析
Chengxiang Liu1, Sainan Li1,2, Yingze Wang1,2
1Department of Anesthesia and Perioperative Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, China.
International journal of surgery (London, England)
|January 20, 2026
概括
虚拟现实 (VR) 和冰块有效地减少了儿童的出现妄想 (ED) 和手术后疼痛. 家长的参与和教育计划有助于分别在儿童和护理人员中管理术后焦虑.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 基于证据的医学基于证据的医学.
- 进行元分析分析.
背景情况:
- 突发性妄想 (ED) 是小儿麻醉后的一种严重并发症,导致痛苦和长时间住院.
- 非药物干预越来越多地用于ED,但它们的有效性需要进一步研究.
研究的目的:
- 系统地审查和比较非药物干预措施在儿科患者治疗ED的有效性.
- 确定减少ED,手术后疼痛和全身麻醉儿童焦虑的干预措施.
主要方法:
- 进行了随机对照试验 (RCT) 的贝叶斯网络元分析.
- 在主要数据库 (PubMed,EMBASE,Cochrane CENTRAL,Web of Science) 中进行了搜索.
- 使用积累性排名曲线 (SUCRA) 下面的表面值来排名有效性.
主要成果:
- 虚拟现实 (VR) 和冰淋在减少ED方面表现出最高的有效性.
- 虚拟现实在减少术后疼痛方面也最有效.
- 父母积极参与麻醉诱导 (PAPIA) 和教育计划 (EP) 分别对儿童和护理人员的焦虑有效.
结论:
- 虚拟现实和冰淋在减少儿科患者的ED和疼痛方面表现有前途.
- PAPIA和EP可以帮助儿童及其护理人员管理术后焦虑.
- 没有干预显著改善了诱导合规性.
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