非药物干预以预防儿童手术后 Delirium 和激动: 一个系统的审查
Peiman Prandeh Afshar1, Fatemeh Dehghan2, Eied Saber Alamain Ali3
1Student Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
概括
非药物方法,如糖果吸和母声录音,可以帮助预防儿童的手术后妄想. 其他干预措施,如虚拟现实,需要进一步调查.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 基于证据的实践.
- 儿童心理学 儿童心理学
背景情况:
- 手术后妄和动荡是儿科患者常见的担忧.
- 非药物干预为管理这些不良事件提供了一个有希望的途径.
- 确定有效的策略对于改善儿科手术结果至关重要.
研究的目的:
- 系统地审查非药物干预措施,以预防儿童手术后妄想和激动.
- 综合来自随机对照试验和准实验研究的证据.
- 确定已被证明有效的干预措施和需要进一步研究的干预措施.
主要方法:
- 随机对照试验和准实验研究的系统审查 (2000-2025年).
- 搜索了六个主要的数据库 (科学网络,Scopus,PubMed,EMBASE,Cochrane,谷歌学者).
- 包括10项研究,在选1300个标题和摘要后进行了研究.
主要成果:
- 吸子,母声录音,遮眼技术和双光谱索引导向麻醉显著减少了手术后妄想.
- 平板电脑的使用和虚拟现实暴露没有显示出显著的益处 (P > .05).
- 需要进一步研究针心脏的电刺激 7针点.
结论:
- 非药物干预措施包括糖果吸,母声,双光谱指数引导麻醉和眼罩显示出减少儿科术后妄想的潜力.
- 像平板电脑和虚拟现实这样的干预措施需要额外的研究来确定其有效性.
- 更多的研究是必要的,以验证针和其他新方法的有效性,以防止出现妄想.
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