Department of Surgery, Children's Hospital of Shanxi Province, Taiyuan, 030001, China.
Department of Otorhinolaryngology, Shanxi Provincial People's Hospital Affiliated to Shanxi Medical University, Taiyuan, 030001, China.
Int J Pediatr Otorhinolaryngol. 2021 Jun;145:110707. doi: 10.1016/j.ijporl.2021.110707. Epub 2021 Apr 9.
This study aimed to investigate the clinical effect of situational adaptation training combined with child-friendly nursing in relieving the preoperative anxiety of children undergoing tonsillectomy or adenoidectomy.
A total of 160 children undergoing tonsillectomy or adenoidectomy were randomly divided into two groups: a control group and a test group. In addition to the routine operating room nursing in the control group, children in the test group underwent situational adaptation training one day before surgery and child-friendly nursing on the day of surgery. The heart rates and differences in average dynamic pressure were compared between groups, both preoperatively and during anesthesia induction. The cooperativeness with anesthesia was also assessed. The anxiety states of children and their family members after the interventions were scored using the anxiety visual analog scale (VAS). The postoperative satisfaction with nursing was assessed and compared between groups.
The heart rates, differences in average dynamic pressure, cooperativeness with anesthesia, and VAS scores were significantly lower in the test group than in the control group. The VAS scores of family members were significantly lower in the test group than in the control group. The satisfaction degrees with nursing were significantly higher in the test group than in the control group.
Situational adaptation training combined with child-friendly nursing can significantly relieve the preoperative anxiety of children undergoing tonsillectomy or adenoidectomy and their family members. This treatment improves child cooperativeness during therapy, significantly reduces the amplitude of physiological stress response during surgery, and increases the satisfaction with nursing. Thus, situational adaptation training combined with child-friendly nursing is worthy of application in clinics.
本研究旨在探讨情境适应训练联合亲情护理对缓解扁桃体切除术或腺样体切除术患儿术前焦虑的临床效果。
将 160 例行扁桃体切除术或腺样体切除术的患儿随机分为两组：对照组和试验组。除常规手术室护理外，试验组患儿在术前 1 天和手术当天接受情境适应训练和亲情护理。比较两组患儿的心率和平均动压差值，比较两组患儿麻醉诱导前和麻醉诱导时的差异。评估患儿对麻醉的配合程度。采用焦虑视觉模拟量表（VAS）对患儿及其家属干预后的焦虑状态进行评分。评估两组患儿术后护理满意度。
试验组患儿的心率、平均动压差值、麻醉配合度和 VAS 评分均明显低于对照组，患儿家属的 VAS 评分明显低于对照组，护理满意度明显高于对照组。
情境适应训练联合亲情护理可明显缓解扁桃体切除术或腺样体切除术患儿及其家属的术前焦虑，提高患儿治疗配合度，明显降低手术期间的生理应激反应幅度，提高护理满意度，值得临床推广应用。
