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儿科麻醉术前信息需求评估。

Evaluation of Preoperative Information Needs in Pediatric Anesthesiology.

机构信息

Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Department of Anesthesiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Med Sci Monit. 2018 Dec 4;24:8773-8780. doi: 10.12659/MSM.910734.

DOI:10.12659/MSM.910734
PMID:30511705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6289029/
Abstract

BACKGROUND Adequate preoperative information for pediatric patients and their families can prevent preoperative anxiety and improve postoperative outcome. The aim of this study was to conduct a survey to determine the preoperative information needs of children and their parents before anesthesia for elective surgery. MATERIAL AND METHODS Two healthcare centers enrolled children from 10 to 17 years of age who had planned elective surgery under general or regional anesthesia, and their parents and anesthesiologists. A questionnaire was designed for the study. Participants were asked to complete the questionnaire on the day of the preoperative visit of the pediatric anesthesiologist. RESULTS There were 158 respondents, including 43 children (27.2%) undergoing elective surgery, 92 parents (58.2%), and 23 pediatric anesthesiologists (14.6%). The most helpful way of providing information, according to 12 children (41.4%), 53 parents (67.1%), and 17 pediatric anesthesiologists (77.3%), was in written form as a leaflet. The most common requests for information included: the postoperative regimen, 78 parents (96.3%) and 28 children (90.3%); recovery from anesthesia, 77 parents (95.1%) and 29 children (93.5%); postoperative pain management, 78 parents (96.3%) and 26 children (83.9%); and duration of anesthesia, 78 parents (96.3%) and 23 children (74.2%). CONCLUSIONS A preoperative survey of children and their parents showed that the most requested information was about the postoperative regimen, recovery from anesthesia, postoperative pain management, and duration of anesthesia. Both children and parents preferred to have preoperative information provided in written form, and the best time to provide information was on the day before surgery.

摘要

背景

为儿科患者及其家属提供充分的术前信息可以预防术前焦虑并改善术后结果。本研究旨在进行一项调查,以确定接受择期手术全身或区域麻醉的儿童及其父母的术前信息需求。

材料和方法

两个医疗中心招募了年龄在 10 至 17 岁之间、计划接受全身或区域麻醉择期手术的儿童及其父母和麻醉师。为研究设计了一份问卷。参与者被要求在儿科麻醉师的术前访视当天填写问卷。

结果

共有 158 名受访者,包括 43 名(27.2%)接受择期手术的儿童、92 名家长(58.2%)和 23 名儿科麻醉师(14.6%)。根据 12 名儿童(41.4%)、53 名家长(67.1%)和 17 名儿科麻醉师(77.3%)的说法,提供信息最有帮助的方式是书面形式的传单。最常见的信息请求包括:术后方案,78 名家长(96.3%)和 28 名儿童(90.3%);麻醉恢复,77 名家长(95.1%)和 29 名儿童(93.5%);术后疼痛管理,78 名家长(96.3%)和 26 名儿童(83.9%);以及麻醉持续时间,78 名家长(96.3%)和 23 名儿童(74.2%)。

结论

对儿童及其父母进行的术前调查显示,最需要的信息是术后方案、麻醉恢复、术后疼痛管理和麻醉持续时间。儿童和家长都希望以书面形式提供术前信息,提供信息的最佳时间是手术前一天。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34b/6289029/cd5f4d1ca4e2/medscimonit-24-8773-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34b/6289029/cd5f4d1ca4e2/medscimonit-24-8773-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34b/6289029/cd5f4d1ca4e2/medscimonit-24-8773-g001.jpg

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