父母陪伴对全身麻醉术后恢复期患儿苏醒质量的影响

Influence of parental accompanying on awakening quality in convalescence in children after general anesthesia surgery

  • 摘要:
      目的  探讨父母陪伴对全身麻醉术后恢复期患儿术后躁动、术后疼痛及苏醒质量的影响。
      方法  将211例全身麻醉术后恢复期的患儿随机分为对照组和干预组,对照组113例实施传统常规护理,干预组98例在接受常规护理的基础上介入父母陪伴,比较2组Riker镇静-躁动指标、表情-肢体-行为-哭闹-可安慰(FLACC)疼痛指标以及Steward苏醒指标。
      结果  2组全身麻醉术后患儿的基本临床信息与人口学资料差异无统计学意义(P>0.05); 2组全身麻醉术后患儿的Riker镇静-躁动评分在时间效应、组间效应以及二者的交互效应中差异均有统计学意义(P<0.05); 2组全身麻醉术后患儿的FLACC疼痛指标评分在时间主效应上差异均有统计学意义(P<0.05); 相较对照组,干预组患儿在苏醒程度总分以及气道顺畅评分上提高,差异具有统计学意义(P<0.05)。
      结论  较之于传统的术后护理,全身麻醉术后恢复期患儿进行父母陪伴护理,虽然不能缓解患儿的术后疼痛,但能够有效减轻患儿术后躁动,提高患儿的苏醒程度。

     

    Abstract:
      Objective  To explore the influence of parental accompanying on restlessness, postoperative pain and awakening quality in convalescence in children after general anesthesia surgery.
      Methods  A total of 211 children in convalescence after general anesthesia surgery were randomly divided into control group and intervention group. The control group (n=113) was given conventional nursing, while the intervention group (n=98) was given parental accompanying on the basis of conventional nursing. Riker sedation-agitation index, pain index of Face-Legs-Activity-Cry-Consolability (FLACC) scale and Steward awakening index were compared between two groups.
      Results  There were no significant differences in the basic clinical information and demographic data between the two groups (P>0.05). There were significant differences in Riker sedation-agitation index in the aspects of time effect, between-group effect and their interaction effect (P < 0.05). There was significant difference in score of FLACC pain index in the aspect of time effect (P < 0.05). Compared with the control group, the total score of awakening degree and the score of airway smoothness in the intervention group were significantly higher (P < 0.05).
      Conclusion  Compared with the conventional postoperative nursing, parental accompanying for children in convalescence after general anesthesia surgery can't alleviate the postoperative pain, but can effectively reduce the postoperative restlessness and improve the awakening degree of children.

     

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