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父母在手术室陪伴可减轻儿童焦虑。

Parental Accompaniment in Operating Rooms Reduces Child Anxiety.

作者信息

Ejiri Harumi, Imura Hideto, Baba Reizo, Sumi Akiko, Koga Akiko, Kanno Kaoru, Kunimoto Miho, Hayami Kayo, Niimi Teruyuki, Nomoto Shuji, Natsume Nagato

机构信息

College of Life and Health Sciences, Chubu University, 1200 Matsumoto, Kasugai 487-8501, Aichi, Japan.

Division of Research and Treatment for Oral and Maxillofacial Congenital Anomalies, School of Dentistry, Aichi Gakuin University, 2-11, Suemori-Dori, Chikusa-ku, Nagoya 464-8651, Aichi, Japan.

出版信息

Healthcare (Basel). 2023 Aug 14;11(16):2289. doi: 10.3390/healthcare11162289.

DOI:10.3390/healthcare11162289
PMID:37628487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10454404/
Abstract

BACKGROUND

We believe that parental presence before the induction of anesthesia for surgery among children with a cleft palate/lip would be effective in mitigating their preoperative anxiety.

OBJECTIVE

We assessed the states of patients with a cleft palate/lip when their parents accompanied them into operating rooms and clarified their and their parents' cognition using a questionnaire.

METHODS

Data were collected via nursing observation when patients and their parents entered the operating room. Furthermore, an anonymous questionnaire was administered to patients and parents after the operation regarding their feelings about parental presence in the operating room.

RESULTS

In total, nine patients cried when they entered the surgical room. Furthermore, six patients and three parents reported preoperative anxiety. In addition, eight patients agreed that they were satisfied with the presence of their parents before induction.

CONCLUSION

Approximately half of the patients cried. However, the presence of parents before the induction of anesthesia was effective in reducing anxiety among most patients and their parents.

摘要

背景

我们认为,唇腭裂患儿在麻醉诱导前父母陪伴在旁,对于减轻其术前焦虑是有效的。

目的

我们评估了唇腭裂患者父母陪同进入手术室时患者的状态,并通过问卷调查明确患者及其父母的认知情况。

方法

当患者及其父母进入手术室时,通过护理观察收集数据。此外,术后对患者和父母进行匿名问卷调查,了解他们对父母在手术室陪伴的感受。

结果

共有9名患者进入手术室时哭泣。此外,6名患者和3名父母报告有术前焦虑。另外,8名患者表示对诱导前父母在场感到满意。

结论

约一半患者哭泣。然而,麻醉诱导前父母在场能有效减轻大多数患者及其父母的焦虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09bf/10454404/1e9f01c29d21/healthcare-11-02289-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09bf/10454404/b68c72f4a846/healthcare-11-02289-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09bf/10454404/1e9f01c29d21/healthcare-11-02289-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09bf/10454404/b68c72f4a846/healthcare-11-02289-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09bf/10454404/1e9f01c29d21/healthcare-11-02289-g002.jpg

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本文引用的文献

1
Early Childhood Caries and Oral Health-Related Quality of Life: Evaluation of the Effectiveness of Single-Session Therapy Under General Anesthesia.幼儿龋齿与口腔健康相关生活质量:全身麻醉下单次治疗效果评估
Eur J Dent. 2023 Jul;17(3):834-839. doi: 10.1055/s-0042-1757210. Epub 2022 Oct 28.
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Parental Presence at Induction of Anesthesia to Reduce Anxiety: A Systematic Research and Meta-Analysis.诱导麻醉时家长在场以减轻焦虑:一项系统研究与荟萃分析
J Perianesth Nurs. 2023 Feb;38(1):12-20. doi: 10.1016/j.jopan.2022.03.008. Epub 2022 Jul 25.
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Premedication and Induction of Anaesthesia in paediatric patients.
小儿患者的麻醉前用药及麻醉诱导
Indian J Anaesth. 2019 Sep;63(9):713-720. doi: 10.4103/ija.IJA_491_19.
4
Parental satisfaction with being present in the operating room during the induction of anesthesia prior to pediatric neurosurgical intervention: a qualitative analysis.儿科神经外科手术干预前麻醉诱导期间家长在手术室陪伴的满意度:一项定性分析
J Neurosurg Pediatr. 2018 May;21(5):528-534. doi: 10.3171/2017.10.PEDS17261. Epub 2018 Feb 9.
5
The Effects of Perioperative Music Interventions in Pediatric Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.围手术期音乐干预对小儿外科手术的影响:随机对照试验的系统评价和荟萃分析
PLoS One. 2015 Aug 6;10(8):e0133608. doi: 10.1371/journal.pone.0133608. eCollection 2015.
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Video Distraction and Parental Presence for the Management of Preoperative Anxiety and Postoperative Behavioral Disturbance in Children: A Randomized Controlled Trial.视频分心与家长陪伴对儿童术前焦虑及术后行为障碍的管理:一项随机对照试验
Anesth Analg. 2015 Sep;121(3):778-784. doi: 10.1213/ANE.0000000000000839.
7
Limited family members/staff communication in intensive care units in the Czech and Slovak Republics considerably increases anxiety in patients' relatives--the DEPRESS study.捷克共和国和斯洛伐克共和国的重症监护病房内,家属/医护人员之间的交流有限,这极大地增加了患者亲属的焦虑情绪——DEPRESS 研究。
BMC Psychiatry. 2014 Jan 27;14:21. doi: 10.1186/1471-244X-14-21.
8
Genetics of cleft lip and cleft palate.唇腭裂的遗传学。
Am J Med Genet C Semin Med Genet. 2013 Nov;163C(4):246-58. doi: 10.1002/ajmg.c.31381. Epub 2013 Oct 4.
9
An evidence-based review of parental presence during anesthesia induction and parent/child anxiety.关于麻醉诱导期间家长陪伴与家长/儿童焦虑的循证综述。
Can J Anaesth. 2009 Jan;56(1):57-70. doi: 10.1007/s12630-008-9008-3. Epub 2008 Dec 20.
10
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Pediatrics. 2006 Aug;118(2):651-8. doi: 10.1542/peds.2005-2920.