小儿麻醉诱导期家长陪同在手术室的应用及护理

目的 探讨小儿麻醉诱导期家长陪同(PPIP)在手术室的应用及护理.方法 择期行全麻手术的患儿86例,随机分成观察组和对照组,每组43例.观察组患儿术前在护士的指导下由家长陪同麻醉诱导,对照组则不需家长陪同,由护士直接带入手术室进行麻醉诱导;观察两组麻醉诱导前后的血压及脉搏变化,了解术前患儿及家长的情绪状况,调查术后家长对PPIP的满意度.结果 对照组患儿进入手术室前后血压及脉搏显著高于观察组(P<0.01),95%的患儿希望家长在麻醉前陪同,93.7%的家长希望参与PPIP, PPIP实施后满意度调查为95%.结论 PPIP可缓解麻醉前患儿的恐惧、焦虑及家长的不安情绪,减少麻醉前用药量,有利于麻醉诱导和医患合作,是值得在手术室推广应用的一种诱导模式.

Application of PPIP in operation room and nursing

Objective To explore the application of parents' presence induction program (PPIP) during anesthesia induction in children in the operation room and the nursing. Methods 86 children patients (1~11 years old) who would accept the operation were randomly divided into the observation and the control group (n=43 in each group). The observation group was accompanied by their parents when the children accepted the anesthesia induction under the instruction of nurses. But the patients were not present in the control group, and the patients were leaded into the operation room directly by the nurses to accept the anesthesia induction. Blood pressure and pulse changes before and after the anesthesia induction of these children patients were observed. The feeling of their heads of family before the operation and the satisfaction about PPIP were investigated. Results Blood pressure and pulses in the control group were significantly higher than those in the observation group before they were leaded into the operation room (P<0.01). 95% of heads of family hoped to accompany their children when they accepted the anesthesia induction, and 93.7% of heads of family wanted to take part in the PPIP. The satisfaction rate about PPIP was 95% after the completion of PPIP. Conclusions There are many profits about PPIP, such as mitigating the fear and anxiety of children and relaxing the unstable feeling of their heads of families before the anesthesia, and reducing the quantity of pre-anesthetic medications. These are helpful to the anesthesia induction and the cooperation of doctor patients. It is a best anesthesia induction mode worthy to be extended in the operation room.