Sjöberg Carina, Svedberg Petra, Carlsson Ing-Marie, Nygren Jens M
School of Health and Welfare, Halmstad University, 301 18 Halmstad, Sweden.
Healthcare (Basel). 2020 Sep 2;8(3):314. doi: 10.3390/healthcare8030314.
Increasing survival rates for childhood cancer have brought attention to the high level of burden of cancer and its treatment. Improving supportive care for children throughout their cancer trajectory is thus important and could reduce the difficulties related to treatment, including time-consuming treatments and the waiting time associated with treatment procedures. The aim of this study is to describe time intervals and the Propofol dose used during sedation for intrathecal chemotherapy in three different settings. The study is based on retrospective data from repeated treatment sessions recorded in operation planning programs and hospital records in the period 2011-2018 ( = 164). Children, 1-12 years old ( = 22), undergoing a varying number of treatments, were included in the study. The most crucial finding in this study is that the time from the child's first meeting with the nurse anesthetist to the induction of sedation is significantly reduced if the procedure is performed in the children's ward. The study highlights the importance of the setting for sedation for intrathecal chemotherapy when implementing a child-centered approach in pediatric oncology care.
儿童癌症存活率的提高使人们关注到癌症及其治疗带来的沉重负担。因此，在儿童整个癌症治疗过程中改善支持性护理非常重要，这可以减少与治疗相关的困难，包括耗时的治疗以及与治疗程序相关的等待时间。本研究的目的是描述在三种不同环境下进行鞘内化疗镇静时的时间间隔和丙泊酚剂量。该研究基于2011 - 2018年期间在手术规划程序和医院记录中重复治疗疗程的回顾性数据（n = 164）。纳入研究的是1至12岁（n = 22）、接受不同次数治疗的儿童。本研究最关键的发现是，如果在儿童病房进行该操作，从儿童首次与麻醉护士接触到开始镇静的时间会显著缩短。该研究强调了在儿科肿瘤护理中实施以儿童为中心的方法时，鞘内化疗镇静环境的重要性。
