Burke Constance N, Voepel-Lewis Terri, Hadden Sue, DeGrandis Mary, Skotcher Sally, D'Agostino Rebecca, Walton Sarah, Malviya Shobha
Department of Anesthesiology, University of Michigan Health Systems, Ann Arbor, MI, USA.
J Perianesth Nurs. 2009 Aug;24(4):216-21. doi: 10.1016/j.jopan.2009.03.014.
This prospective, randomized study compared the incidence and duration of postanesthetic agitation in children whose parents were present or absent during emergence from anesthesia. Findings demonstrated that there was no difference in agitation between groups; however, more parents who were present believed they were present at "the right time," in contrast to those reunited later, who more often said they arrived "too late." Furthermore, these parents were comfortable in the setting and reported a high degree of helpfulness in comforting their child. Findings from this study suggest that although parental presence at emergence did not decrease agitation in young children, there was significant psychosocial benefit to the parents. Perioperative and perianesthesia nurses should consider these potential benefits when planning reunion of parents with their children after surgery.
这项前瞻性随机研究比较了麻醉苏醒期父母在场或不在场的儿童术后躁动的发生率和持续时间。研究结果表明,两组之间的躁动情况没有差异;然而,更多在场的父母认为他们在“合适的时间”在场,相比之下,那些稍后才团聚的父母更常表示他们来得“太晚”。此外,这些父母对环境感到舒适,并报告在安慰孩子方面有很大帮助。这项研究的结果表明,虽然父母在麻醉苏醒期在场并没有减少幼儿的躁动,但对父母有显著的心理社会益处。围手术期和麻醉后护理人员在计划手术后父母与孩子团聚时应考虑这些潜在益处。