Curatola Antonietta, D'Agostin Martina, Favaretto Elena, Vittori Giada, Vidonis Viviana, Strajn Tamara, De Vita Nicole, Saccari Alessia, Barbi Egidio, Cortellazzo Wiel Luisa
Department of Pediatrics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Department of Pediatrics, University of Trieste, 34127 Trieste, Italy.
Children (Basel). 2022 Jul 18;9(7):1068. doi: 10.3390/children9071068.
Nurses play a pivotal role during pediatric procedural sedation and their perspective is an important indicator for the quality of care. The aim of this study is to examine nurses' satisfaction comparing four different pharmacological regimens used for pediatric sedation outside of the operating room. A prospective observational study was conducted in a third-level pediatric teaching hospital, involving all the nurses with experience in the field of pediatric procedural sedation. A 13-item survey was used to assess the level of nurses' satisfaction for the quality of sedation with four different analgesic-sedative drugs. Fifty-one questionnaires were completed by pediatric nurses, with a median length of experience of 10 years. Regarding the overall quality of the sedation, the highest median satisfaction scores were observed for propofol (8, IQR 7-9), dexmedetomidine (8, IQR 6-8) and midazolam (8, IQR 7-9). Ketamine (5, IQR 3-7) displayed the lowest score. When asked to rate their level of perceived safety, nurses gave high scores to all the four drugs studied, with no statistically significant difference between them. Non-pharmacological techniques during procedural sedation were judged as important by 38 (74.5%) nurses. According to this sample of pediatric nurses, the best quality of procedural sedation in children outside of the operating room is obtained with propofol, dexmedetomidine and midazolam. During procedural sedation, nurses feel safe overall, regardless of the pharmacological regimen used. Moreover, they highlighted the relevance on non-pharmacological approaches in the preparation of the child for the procedure.
护士在儿科程序性镇静过程中发挥着关键作用，她们的观点是护理质量的重要指标。本研究的目的是比较用于手术室以外儿科镇静的四种不同药物方案，以检验护士的满意度。在一家三级儿科教学医院进行了一项前瞻性观察研究，纳入了所有在儿科程序性镇静领域有经验的护士。使用一份包含13个条目的调查问卷来评估护士对四种不同镇痛 - 镇静药物镇静质量的满意度水平。儿科护士完成了51份问卷，中位工作年限为10年。关于镇静的总体质量，丙泊酚（中位数满意度得分8，四分位间距7 - 9）、右美托咪定（8，四分位间距6 - 8）和咪达唑仑（8，四分位间距7 - 9）的中位数满意度得分最高。氯胺酮（5，四分位间距3 - 7）得分最低。当被要求对她们感知到的安全水平进行评分时，护士对所有四种研究药物都给出了高分，它们之间没有统计学上的显著差异。38名（74.5%）护士认为程序性镇静期间的非药物技术很重要。根据这一样本的儿科护士，手术室以外儿童的程序性镇静最佳质量是通过丙泊酚、右美托咪定和咪达唑仑获得的。在程序性镇静期间，无论使用何种药物方案，护士总体上感觉安全。此外，她们强调了非药物方法在为儿童进行操作准备中的相关性。
