护理学报 ›› 2019, Vol. 26 ›› Issue (6): 32-37.doi: 10.16460/j.issn1008-9969.2019.06.032
父母陪伴下麻醉诱导对患儿围术期影响的Meta分析
梁欣1,2, 高祖梅1, 张海元2, 海容2, 邓文芳2
- 1.长江大学附属第一医院,湖北 荆州 434023;
2.长江大学医学部,湖北 荆州 434000
Meta-analysis of Effects of Parent Present Anesthesia Induction on Children with General Anesthesia
LIANG Xin1,2, GAO Zu-mei1, ZHANG Hai-yuan2, HAI Rong2, DENG Wen-fang2
- 1. The First Affiliated Hospital of Yangtze University, Jingzhou 434023, China;
2. Health Science Center, Yangtze University, Jingzhou 434000, China
摘要： 目的 评价父母陪护下麻醉诱导对患儿围术期的影响。方法 检索Cochrane library 、PubMed、EMbase、Sciencedirect、SpringerLink、中国生物医学、中国知网、万方、维普数据库,并追溯纳入文献和相关综述的参考文献,收集由建库至 2018 年 6月患儿全麻手术中,父母陪伴和无父母陪伴麻醉诱导对患儿围手术期干预效果的随机对照试验,利用RevMan 5.3软件进行统计处理。结果 纳入中英文文献16篇,研究的样本量为1 430例。Meta分析结果显示：家属陪伴麻醉诱导能降低父母术前焦虑水平[SMD=-0.37, 95%CI（-0.55, -0.19）,P<0.01]、降低麻醉诱导期及苏醒期患儿躁动的发生率[RR=0.67, 95%CI（0.53,0.88）, P<0.05]、减轻苏醒期患儿疼痛感[SMD=-0.38, 95%CI（-0.66,-0.09）,P<0.05]。结论 现有证据表明父母陪护下麻醉诱导对患儿手术干预效果有促进作用,因此建议医院结合实际情况进行推广。
中图分类号:
- R472.3
| [1] Ozdogan H K, Cetinalp S, Kuran G, et al.The Effects of Maternal Presence during Anesthesia Induction on Salivary Cortisol Levels in Children undergoing Tonsillectomy and/or Adenoidectomy[J]. J Clin Anesth, 2017, 5(39):64-66. DOI: 10.1016/j.jclinane.2017.03.001. [2] Dionigi A, Gremigni P.A Combined Intervention of Art Therapy and Clown Visits to Reduce Reoperative Anxiety in Children[J]. J Clin Nurs, 2017, 26(5-6):632-640. DOI:10.1111/jocn.13578. [3] 马玉娟,寇建明,郭惠丽,等.父母陪护下行小儿麻醉诱导的效果研究[J]. 中华护理杂志, 2009, 44(9):845-847. DOI:10.3761/j.issn.0254-1769.2009.09.031. [4] Odegard K C, Modest S A, Laussen P C.A Survey of Parental Satisfaction during Parent Present Induction of Anaesthesia for Children Undergoing Cardiovascular Surgery[J]. Paediatr Anaesth, 2002, 12(3):261-266. [5] Kruger P, Rosen D.Parental Presence at Induction of Anesthesia is Feasible with Minimal Preparation and Resources[J]. Can J Anaesth,2016,63(10):1207-1208.DOI:10.1007/s12630-016-0707-x. [6] Rasti-Emad-Abadi R, Naboureh A, Nasiri M, et al. The Effects of Preanesthetic Parental Presence on Preoperative Anxiety of Children and their Parents: A Randomized Clinical Trial Study in Iran[J]. Iran J Nurs Midwifery Res, 2017, 22(1):72-77. DOI:10.4103/ijnmr.IJNMR_178_14. [7] Erhaze E K, Dowling M, Devane D.Parental Presence at Anaesthesia Induction: A Systematic Review[J]. Int J Nurs Pract, 2016, 22(4):397-407. DOI:10.1111/ijn.12449. [8] Higgins J P, Green S. Cochrance Handbook for Systematic Reviews of Intervention Version 5.1.0[EB/OL].[2016-05-10].http://handbook.cochrane.org. [9] Sadeghi A, Khaleghnejad Tabari A, Mahdavi A, et al.Impact of Parental Presence during Induction of Anesthesia on Anxiety Level among Pediatric Patients and Their Parents: A Randomized Clinical Trial[J].Neuropsychiatr Dis Treat, 2017, 7(12):3237-3241. DOI:10.2147/NDT.S119208. [10] Bailey K M, Bird S J, McGrath P J, et al. Preparing Parents to Be Present for Their Child's Anesthesia Induction[J]. Anesth Analg, 2015, 121(4):1001-1010.DOI:10.1213/ANE.0000000000000900. [11] Kain Z N, Caldwell-Andrews A A, Mayes L C, et al. Family-centered Preparation for Surgery Improves Perioperative Outcomes in Children[J]. Anesthesiology, 2007, 106(10): 65-74. [12] Arai Y C, Ito H, Kandatsu N, et al.Parental Presence during Induction Enhances the Effect of Oral Midazolam on Emergence Behavior of Children Undergoing General Anesthesia[J]. Acta Anaesthesiol Scand, 2007, 51(7):858-861. DOI:10.1111/j.1399-6576.2007.01339.x. [13] Wright K D, Stewart S H, Finley G A.When are Parents Helpful? A Randomized Clinical Trial of the Efficacy of Parental Presence for Pediatric Anesthesia[J]. Can J Anaesth, 2010, 57(8):751-758. DOI:10.1007/s12630-010-9333-1. [14] Li H C, Lopez V, Lee T L.Psychoeducational Preparation of Children for Surgery: The Importance of Parental Involvement[J]. Patient Educ Couns, 2007,65(1):34-41. DOI:10.1016/j.pec.2006.04.009. [15] Zand F, Allahyary E, Hamidi A R.Postoperative Agitation in Preschool Children following Emergence from Sevoflurane or Halothane Anesthesia: A Randomized Study on the Forestalling Effect of Midazolam Premedication Versus Parental Presence at Induction of Anesthesia[J]. Acta Anaesthesiol Taiwan, 2011, 49(3):96-99. DOI:10.1016/j.aat.2011.09.001. [16] Spafford P A, von Baeyer C L, Hicks C L. Expected and Reported Pain in Children undergoing Ear Piercing: A Randomized Trial of Preparation by Parents[J]. Behav Res Ther, 2002, 40(3):253-266. [17] Kain Z N, Mayes L C, Wang S M, et al.Parental Presence during Induction Anesthesia Versus Sedative Premedication: Which Intervention is More Effective?[J]. Anesthesiology, 1998, 10(89):1147-1156. [18] Kain Z N, Mayes L C, Caramico L A, et al.Parental Presence during Induction of Anesthesia: A Randomized Controlled Trial[J]. Anesthesiology, 1996, 84(5):1060-1067. [19] 黄维健. 以家庭为中心的互动式术前访视在腹股沟疝手术患儿访视中的应用[D]. 青岛:青岛大学,2017. [20] 汪林芳,江小燕,张雪梅,等. 鞘状突未闭患儿在父母陪伴下行麻醉手术的效果评价[J].中国临床医师杂志(电子版), 2017,11(6):1049-1051. DOI:10.3877/cma.j.issn.1674-0785.2017.06.03. [21] 娄金风. 咪达唑仑与父母陪护对小儿全凭静脉麻醉后苏醒期躁动的影响[D]. 吉林:吉林大学,2012. [22] 张改英. 陪护下麻醉诱导对围术期患儿心理干预的影响[J].齐鲁护理杂志, 2012,18(26):8-10. DOI:10.3969/j issn. 1006-7256. 2012. 26.005. [23] 许强,武庆平.父母陪伴对患儿七氟醚麻醉诱导时焦虑状态的影响[J].中华麻醉学杂志,2011, 31(6):674-676. DOI:10. 3760/cma. j. issn. 0254-1416 2011. 06. 007. [24] 代娓,李艳娇,史铁英. 治疗性游戏对儿童围手术期影响的研究[J]. 护理学报, 2016,23(6):59-60.DOI:10.16460/j.issn1008-9969.2016.06.059. [25] 刘松涛,曹兴华,侯守琳,等.父母陪伴舒适麻醉技术对患儿麻醉诱导依从性的影响[J].重庆医学,2017,46(27):3776-3778. DOI:10.3969/j issn. 1671-8348. 2017. 27. 010. [26] Kassai B, Rabilloud M, Dantony E, et al.Introduction of a Paediatric Anaesthesia Comic Information Leaflet Reduced Preoperative Anxiety in Children[J]. Br J Anaesth, 2016, 117(1):95-102. DOI:10.1093/bja/aew154. [27] Vejzovic V, Bramhagen A C, Idvall E, et al.Parents' Experiences When Their Child Is Undergoing an Elective Colonoscopy[J]. J Spec Pediatr Nurs, 2015, 20(2):123-130. DOI:10.1111/jspn.12109. |
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