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一项家长探视计划对麻醉后护理单元(PACU)术后儿童苏醒期谵妄的影响。

The Effect of a Parental Visitation Program on Emergence Delirium Among Postoperative Children in the PACU.

作者信息

In WooYoung, Kim Young Man, Kim Hee Soon, Hong SeoHee, Suh YuRi, Cha Yerin, Kim Naeun, Kim JongWon, Kang HyunJi, Kwon HyoEun, Kim YangSoo, Park Wyunkon

出版信息

J Perianesth Nurs. 2019 Feb;34(1):108-116. doi: 10.1016/j.jopan.2018.04.003. Epub 2018 Jul 10.

DOI:10.1016/j.jopan.2018.04.003
PMID:30005899
Abstract

PURPOSE

The purpose of this study was to examine the effects of parental presence on the incidence of emergence delirium (ED) of children in the postanesthesia care unit (PACU).

DESIGN

A quasi-experimental pretest and post-test study with nonequivalent and nonsynchronized control groups.

METHODS

About 93 children aged 3 to 6 years undergoing general anesthesia for tonsillectomy were divided into two groups: parental presence and absence. ED was recorded using the Pediatric Anesthesia Emergence Delirium Scale at 0, 10, 20, and 30 minutes after PACU admission.

FINDINGS

ED score at each time point in the experimental group was lower than the control group, but not statistically significant. ED score in the experimental group significantly decreased over time (F = 6.98; P = .010).

CONCLUSIONS

Parental visitation programs could be effective on the degree of ED in children in the PACU setting. This result may contribute to the establishment of PACU visitation program policy in South Korea.

摘要

目的

本研究旨在探讨术后麻醉恢复室(PACU)中家长陪伴对儿童苏醒期谵妄(ED)发生率的影响。

设计

一项采用非等效、非同步对照组的准实验性前后测研究。

方法

约93名接受扁桃体切除术全身麻醉的3至6岁儿童被分为两组:有家长陪伴组和无家长陪伴组。在进入PACU后0、10、20和30分钟,使用小儿麻醉苏醒期谵妄量表记录ED情况。

结果

实验组各时间点的ED评分均低于对照组,但差异无统计学意义。实验组的ED评分随时间显著降低(F = 6.98;P = 0.010)。

结论

家长探视计划可能对PACU环境中儿童的ED程度有效。这一结果可能有助于韩国制定PACU探视计划政策。

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