父母陪伴联合情景模拟游戏在全身麻醉患儿麻醉复苏期的应用

摘要
图/表
参考文献(17)
相关文章 (15)

全文: PDF (0 KB) HTML (34 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨父母陪伴联合情景模拟游戏在全麻患儿麻醉复苏期的应用。方法选取2018年6月～2019年12月我院收治的40例手术患儿作为研究对象，按照随机数字表法分为对照组（20例）和研究组（20例）。两组患儿手术中均进行全身麻醉。对照组患儿实施术前常规护理，研究组患儿采用常规护理联合给予父母陪伴联合情景模拟游戏的护理干预。比较两组患儿的手术相关指标及麻醉过程监察观察指标。结果两组的手术时间比较，差异无统计学意义（P＞0.05）。研究组患儿的术后疼痛评分低于对照组，住院时间和麻醉复苏时间短于对照组，研究组患儿的麻醉费用少于对照组，差异均有统计学意义（P＜0.05）；研究组患儿的麻醉复苏不良反应发生率低于对照组，麻醉复苏期镇静药物使用率低于对照组，差异均有统计学意义（P＜0.05）。研究组患儿麻醉诱导期、复苏期的收缩压、心率均低于对照组，差异有统计学意义（P＜0.05）。结论父母陪伴联合情景模拟游戏在全麻患儿麻醉复苏期应用，可有效缩短患儿的麻醉复苏所需的时间，减轻疼痛，降低麻醉风险和小儿身心伤害的风险，而且可以缩短住院时间，减轻额外的医疗费用，增加患儿麻醉复苏期的舒适感。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	冯剑贞

关键词 ：全身麻醉患儿, 父母陪伴, 情景模拟游戏, 麻醉复苏期, 应用效果

Abstract：Objective To explore the application of parent-accompanied combined with scenario simulation games in children under general anesthesia during anesthesia resuscitation.Methods A total of 40 cases of surgical children admitted to our hospital from June 2018 to December 2019 were selected as the research objects.They were divided into control group (n=20) and research group (n=20) according to the random number table method.Both groups received general anesthesia during the operation.The children in the control group received preoperative routine nursing, and the children in the study group received routine nursing combined with parent-accompanied and situational simulation game nursing intervention.The operation related indexes and anesthesia process monitoring indexes were compared between the two groups.Results There was no significant difference in operation time between the two groups (P＞0.05).The postoperative pain score of the study group was lower than that of the control group, the hospitalization time and anaesthetic resuscitation time of the study group were shorter than those of the control group, and the anesthesia cost of the study group was less than that of the control group, with statistically significant differences (P＜0.05).In the study group, the incidence of adverse reactions of anesthesia resuscitation was lower than that of the control group, and the use rate of sedative drugs during anesthesia resuscitation was lower than that of the control group, with statistically significant differences (P＜0.05).Systolic blood pressure and heart rate in anesthesia induction and recovery period in the study group were lower than those in the control group, and the differences were statistically significant (P＜0.05).Conclusion The application of parent-accompanied combined with scenario simulation games in children under general anesthesia during anesthesia resuscitation can effectively shorten the time needed for anesthesia recovery, reduce pain,reduce the risk of anesthesia and children′s physical and mental injury, shorten the hospital stay, reduce additional medical costs, and increase the comfort of children during anesthesia recovery.

Key words： Children with general anesthesia Parental companionship Scene simulation game Anaesthesia resuscitation period Application effect

引用本文:

冯剑贞. 父母陪伴联合情景模拟游戏在全身麻醉患儿麻醉复苏期的应用[J]. 中国当代医药, 2020, 27(23): 137-139转143.
FENG Jian-zhen. Application of parent-accompanied and situational simulation game in anesthesia resuscitation period of children with general anesthesia. 中国当代医药, 2020, 27(23): 137-139转143.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I23/137

[1]	朱小冬，谢海辉，刘锦珍.父母陪伴麻醉复苏对小儿全麻苏醒期恢复的影响[J].护理实践与研究，2009，6（14）：4-6.
[2]	许强，武庆平.小儿麻醉舒适化技术研究进展[J].国际麻醉学与复苏杂志，2012，33（2）：115-118.
[3]	Hino M，Mihara T，Miyazaki S，et al.Development and validation of a risk scale for emergence agitation after general anesthesia in children：A prospective observational study[J].Anesth Analg，2017，125（2）：550-555.
[4]	余晓帆，周艳，罗小茜，等.住院学龄期患儿医疗恐惧护理干预的研究现状[J].现代临床护理，2016，15（2）：71-75.
[5]	McGraw T.Preparing children for the operating room：psychological issues[J].Can J Anaesth，1994，41（11）：1094-1103.
[6]	王峰.安全护理在全麻手术室手术中的应用效果分析[J].中国保健营养，2018，28（7）：145.
[7]	蔡红月.安全护理在手术中的应用探讨叨.中国保健营养，2016，26（30）：173.
[8]	刘红霞，郜玉珍，栾志燕，等.国外新生儿疼痛评估常用工具研究进展[J].护理研究，2007，21（1A）：14.
[9]	王敬华，蒋坤，王子龙.右美托咪啶和丙泊酚对儿童七氟烷麻醉苏醒期躁动的影响[J].护理实践与研究，2015，12（2）：10-11.
[10]	马玉娟，寇建明，郭惠丽，等.父母陪护下行小儿麻醉诱导的效果研究[J].中华护理杂志，2009，44（9）：845-847.
[13]	]曹兴华，刘松涛.父母陪伴舒适麻醉技术对患儿围术期焦虑的影响[J].湖南师范大学学报（医学版），2016，13（3）：19-22.
[16]	高兴莲，刘英，田莳，等.兴趣游戏用于降低学龄前患儿术前焦虑的效果研究[J].中华护理杂志，2013，48（1）：27-29.
[17]	詹如富，蒋润年，翁迪贵.老年结直肠肿瘤腹腔镜手术快通道麻醉行超前镇痛对复苏质量的影响分析[J].中外医疗，2016，35（34）：128-130.
[11]	Perry JN，Hooper VD，Masiongale J.Reduction of preoperative anxiety in pediatric surgery patients using age appropriate teaching interventions[J].J Perianesth Nurs，2012，27（2）：69-81.
[12]	Banchs RJ，Lerman J.Preoperative anxiety manage ment，emergence delirium，and postoperative behavior[J].Anesthesiol Clin，2014，32（1）：1-23.
[14]	Kain ZN，Mayes LC，Cicchetti DV，et al.The Yale Preoperative Anxiety Scale：How does it compare to a gold standard?[J].Anesth Analg，1997，85（4）：886-892.
[15]	Kain ZN，Mayes LC，Wang SM，et al.Parental presence during induction of anesthesia versus sedative premedication：which intervention is more effective?[J].Anesthesiology，1998，89（5）：1147-1156.