父母陪伴舒适麻醉技术对患儿麻醉诱导依从性的影响

目的 探讨父母陪伴舒适麻醉技术对患儿麻醉诱导依从性的影响.方法 将择期全身麻醉手术的患儿213例(年龄2～12岁,ASA分级Ⅰ～Ⅱ级,发育正常,无精神系统及认知功能障碍)分为试验1组、试验2组和对照组,试验1组患儿手术当天由家长陪伴进行麻醉诱导,试验2组患儿在术前对家长进行舒适麻醉技术指导后在手术当天由家长陪伴进行麻醉诱导.对照组术前常规访视,手术当天由手术室护士和麻醉医师陪伴进行麻醉诱导.结果 患儿年龄偏大、有手术经历及其父母不焦虑、心理控制类型为内控型者与对照组比较麻醉诱导期的依从性差异有统计学意义(P＜0.05),术前对家长进行麻醉诱导指导与不进行指导差异无统计学意义(P＞0.05).结论 父母陪伴舒适麻醉诱导技术可以有效提高年龄偏大、有手术经历、其父母不焦虑且心理控制类型为内控型患儿麻醉诱导期的依从性.

Effect of parents accompany comfort anesthesia technique on child anesthesia induction compliance

Objective To investigate the effect of parents accompany comfort anesthesia technique on child anesthesia induction compliance.Methods Two hundreds and thirteen children cases undergoing elective operation under general anesthesia were selected,aged 2-12 years old,ASA grade Ⅰ-Ⅱ,developmental normal,without mental system and cognitive dysfunction,and randomly divided into the experimental group 1,2 and control group.The children cases in the experimental group 1 conducted the anesthesia induction by their parents accompany on the operation day,while those in the experimental 2 conducted the anesthesia induction on the operation day after conducting the comfort anesthesia technique guidance.The control group was performed the conventional follow up before operation,the anesthesia induction was performed by the operation nurses and anesthesia doctor accompany on the operation day.Results There were statistically significant differences between the cases of slightly large age,with surgical experience,parents non-anxiety and psychological internal control type with the control group(P＜0.05).The difference between conducting the anesthesia induction guidance and non-conducting the anesthesia induction guidance was not statistically significant(P＞0.05).Conclusion The parents accompany comfort anesthesia induction technique can effectively increase the compliance during the anesthesia induction period in the children patients with slightly large age,operation experience,parents non-anxiety and psychological internal control type.