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| Effect of parental accompany anesthesia induction in preschool children during induction period of surgical anesthesia |
| ZHAO Feng YIN Ruirui▲ LYU Jie CAO Lu |
| Room of Outpatient Treatment, Xuzhou Children′s Hospital, Jiangsu Province, Xuzhou 221006, China |
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Abstract Objective To investigate the effect of parental accompanying anesthesia induction in preschool children during induction period of surgical anesthesia. Methods A total of 148 preschool children who underwent elective tracheal intubation and general anesthesia were selected from April 2017 to April 2019 in Children′s Hospital of Xuzhou City. They were divided into observation group and control group according to the random number table method, 74 cases in each group. The control group received routine intervention, and the observation group was accompanied by their parents during the induction period. The heart rate, blood pressure, and oxygen saturation, the children′s recovery period arousal score (PAED), the modified Yale preoperative anxiety scale (mYPAS), and the adverse reactions during anesthesia were compared between the two groups. Results The heart rate, systolic blood pressure and diastolic blood pressure of the two groups after intervention were lower than those before intervention; while the heart rate, systolic blood pressure and diastolic blood pressure in the observation were lower than those in control group, and the differences were statistically significant (P ＜ 0.05). The PAED and mYPAS scores of the two groups after intervention were lower than those before intervention, while the PAED and mYPAS scores of the observation group were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of severe cough, nausea and vomiting in the observation group were lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Parental accompanying in the preschool age children induction during period of surgical anesthesia can effectively avoid abnormal rises in heart rate and blood pressure, relieve anxiety, reduce agitation, and decrease the incidence of adverse reactions to anesthesia, which is worthy of promotion.
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[1] 吴孟航，刘岩，廖天治，等.镇静镇痛及安抚在小儿术后麻醉复苏期的应用[J].四川医学，2017，38（2）：223-226.
[2] 吴仿琴，颜伟，陆丽.手术室综合护理干预对腹股沟斜疝患儿围术期的影响[J].浙江医学，2019，41（4）：380-381， 392.
[3] Quinn BL，Solodiuk JC，Morrill D，et al. CE：Original Research：Pain in Nonverbal Children with Medical Complexity：A Two-Year Retrospective Study [J]. Am J Nurs，2018，118（8）：28-37.
[4] 林帆，王丹，黄馨宇，等.麻醉恢复室内音乐干预对全麻手术患者恢复效果及吗啡用量的影响[J].广西医科大学学报，2018，35（11）：1601-1604.
[5] 姚爽，张金萍.婴幼儿充气式麻醉苏醒垫的设计及应用[J].中华护理杂志，2019，54（5）：796-797.
[6] 郭履平，欧高文，黄丽明，等.基于不同年龄心理特点的兴趣诱导对患儿麻醉诱导合作度的影响[J].现代临床护理，2019，18（5）：53-56.
[7] Pour PS，Ameri GF，Kazemi M，et al. Comparison of Effects of Local Anesthesia and Two-Point Acupressure on the Severity of Venipuncture Pain Among Hospitalized 6-12-Year-Old Children [J]. J Acupunct Meridian Stud，2017，10（3）：187-192.
[8] 李华，丁瑞芳，陆叶青，等.术前游戏干预在患儿麻醉诱导期间的应用效果观察[J].中国实用护理杂志，2019，35（23）：1793-1797.
[9] 云麟钧，王恒，唐雪姣，等.麻醉复苏室陪同模式在小儿全麻术后苏醒期的应用[J].上海护理，2019，19（5）：39-42.
[10] 梁欣，高祖梅，张海元，等.父母陪伴下麻醉诱导对患儿围术期影响的Meta分析[J].护理学报，2019，26（6）：32-37.
[11] Bartz-Kurycki MA，Anderson KT，Supak DN，et al. Adherence to the Pediatric Preinduction Checklist Is Improved When Parents Are Engaged in Performing the Checklist [J]. Surgery，2018，164（2）：344-349.
[12] 邵沂.父母参与型护理对小儿麻醉诱导效果及苏醒期应激反应的影响[J].中国民康医学，2018，30（13）：121-123.
[13] 张智慧，王文华.兴趣诱导改善患儿术前心理状态和麻醉诱导配合度的研究[J].中华护理杂志，2017，52（4）：405-408.
[14] 李倩，何梦雪，邢唯杰，等.3岁以上儿童操作性疼痛管理的证据总结[J].中华现代护理杂志，2019，25（22）：2773-2777.
[15] Berglund IG，Bj?觟rkman B，Ensk?覿r K，et al. Management of Children with Autism Spectrum Disorder in the Anesthesia and Radiographic Context [J]. J Dev Behav Pediatr，2017，38（3）：187-196.
[16] 金约西，姜婉娜，吴温馨，等.卡通视频辅助的术前访视对学龄前患儿术后不适应性行为的影响[J].中华麻醉学杂志，2017，37（1）：30-33.
[17] Langhan ML，Li FY，Lichtor JL. The impact of capnography monitoring among children and adolescents in the postanesthesia care unit：a randomized controlled trial [J]. Paediatr Anaesth，2017，27（4）：385-393.
[18] 白雪，杜英杰.父母陪伴对全麻苏醒期患儿焦虑躁动的影响[J].护理学杂志，2018，33（22）：38-40. |
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