Dong Juan, Liu Ting
Pediatrics Department, Yancheng Third People's Hospital, Yancheng, Jiangsu Province, China.
Medicine (Baltimore). 2025 Jul 11;104(28):e43095. doi: 10.1097/MD.0000000000043095.
This study investigates the application value of anticipatory nursing in pediatric fiberoptic bronchoscopy, and to evaluate its effects on children's anxiety levels, compliance with the examination, success rate of the examination, incidence of complications, and parental satisfaction. A total of 140 children who underwent fiberoptic bronchoscopy in the pediatric respiratory department of a tertiary hospital from January 2022 to December 2023 were selected as the subjects. According to the differences in the previous nursing methods received, they were divided into the expected nursing group and the traditional nursing group, with 70 cases in each group. The anticipatory nursing group received systematic and individualized anticipatory nursing interventions, including preoperative health education, simulated examination, full accompaniment during the procedure, and postoperative follow-up. The traditional nursing group received routine nursing care. The anxiety levels of the children (assessed using the modified yale preoperative anxiety scale, m-YPAS), compliance with the examination (assessed using a self-made scoring sheet), success rate of the examination, incidence of complications, and parental satisfaction (assessed using a self-made questionnaire) were compared between the 2 groups. The anxiety scores of the children in the anticipatory nursing group were significantly lower than those in the traditional nursing group (35.2 ± 4.8 vs 42.6 ± 5.3, P < .01). The compliance scores of the children in the anticipatory nursing group were significantly higher than those in the traditional nursing group (8.5 ± 1.2 vs 6.8 ± 1.5, P < .01). The success rate of the examination in the anticipatory nursing group was 98.6%, significantly higher than the 90.0% in the traditional nursing group (P < .05). The incidence of complications in the anticipatory nursing group was 4.3%, significantly lower than the 14.3% in the traditional nursing group (P < .05). The parental satisfaction scores were significantly higher in the anticipatory nursing group than in the traditional nursing group (9.2 ± 0.8 vs 7.6 ± 1.1, P < .01). Anticipatory nursing can effectively alleviate anxiety in children undergoing fiberoptic bronchoscopy, improve compliance and success rate of the examination, reduce the incidence of complications, and enhance parental satisfaction. It has important clinical application value.
本研究探讨预见性护理在小儿纤维支气管镜检查中的应用价值，评估其对患儿焦虑水平、检查依从性、检查成功率、并发症发生率及家长满意度的影响。选取2022年1月至2023年12月在某三级医院儿科呼吸科行纤维支气管镜检查的140例患儿作为研究对象。根据既往接受护理方法的不同，将其分为预见性护理组和传统护理组，每组70例。预见性护理组接受系统、个性化的预见性护理干预，包括术前健康教育、模拟检查、术中全程陪伴及术后随访。传统护理组接受常规护理。比较两组患儿的焦虑水平（采用改良耶鲁术前焦虑量表，m - YPAS评估）、检查依从性（采用自制评分表评估）、检查成功率、并发症发生率及家长满意度（采用自制问卷评估）。结果显示，预见性护理组患儿的焦虑评分显著低于传统护理组（35.2±4.8 vs 42.6±5.3，P <.01）。预见性护理组患儿的依从性评分显著高于传统护理组（8.5±1.2 vs 6.8±1.5，P <.01）。预见性护理组的检查成功率为98.6%，显著高于传统护理组的90.0%（P <.05）。预见性护理组的并发症发生率为4.3%，显著低于传统护理组的14.3%（P <.05）。预见性护理组家长的满意度评分显著高于传统护理组（9.2±0.8 vs 7.6±1.1，P <.01）。结论：预见性护理可有效缓解小儿纤维支气管镜检查患儿的焦虑情绪，提高检查依从性和成功率，降低并发症发生率，提高家长满意度，具有重要的临床应用价值。
