陪护下麻醉诱导对围术期患儿心理干预的影响

目的:探讨在父母陪护下进行麻醉诱导对患儿心理干预的影响。方法:将104例手术患儿随机分为实验组和对照组各52例,实验组在麻醉诱导室内由父母陪伴下进行麻醉诱导;对照组术日由卫生员直接用轮椅或平车接入手术间,无父母陪伴下进行麻醉诱导。结果:实验组诱导后血压、心率与诱导前相比无明显变化,对照组诱导后血压、心率高于诱导前及实验组(P<0.05);实验组患儿术前(T1)、进入麻醉诱导室或手术室(T2)、静脉穿刺麻醉诱导(T3)、术后6 h(T4)4个时间焦虑评分显著低于对照组比较(P<0.05);实验组患儿诱导期合作程度评分、家长与患儿分离时焦虑程度评分明显低于对照组(P<0.05);实验组患儿发生术后行为改变例数明显少于对照组(P<0.05);实验组麻醉诱导效果明显优于对照(P<0.05)结论:在麻醉诱导室内进行父母陪护下麻醉诱导,有利于缓解患儿术前恐惧心理,减轻患儿家属的焦虑情绪,提高麻醉效果,有利于患儿术后康复。

Effect of anesthesia induction with parents' accompanying on psychological intervention on children patients in the perioperative period

Objective:To explore the effect of anesthesia induction with parents’ accompanying on psychological intervention on children patients in the perioperative period.Methods:104 children patients who would receive operation were randomly divided into an experimental group and a control group(52 cases in each group).The children patients in the experimental group were given anesthesia induction with the accompanying of their parents and the children patients in the control group received anesthesia induction without accompanying.Results:Heart rate and blood pressure of the children patients had no significant change after the induction in the experimental group,compared with those before the induction;in the control group,heart rate and blood pressure of the children patients were faster and higher before the induction than those after the induction and than the experimental group(P<0.05);the anxiety scores of the children patients were significantly lower in the experimental group than the control group in the different time(before operation,entering the anesthesia induction room or operation room,anesthesia induction by venous puncture,6 hours after operation)(P<0.05);the coordination scores and anxiety scores of the children patients were significantly lower when their parents left in the experimental group than the control group(P<0.05);the cases of postoperative behavioral change were significantly fewer in the experimental group than the control group(P<0.05);the anesthesia induction effect was better in the experimental group than the control group(P<0.05).Conclusion:The anesthesia induction with parents’ accompanying in the induction room is conducive to easing children’s preoperative fear,lightening the mood of anxiety and improving the anesthetic effect,and it is also helpful for postoperative rehabilitation of the children patients.