多元化环境干预对学龄前阻塞性睡眠呼吸暂停综合征患儿术前焦虑及麻醉诱导依从性的影响

doi:10.16460/j.issn1008-9969.2023.20.068

摘要/Abstract

摘要： 目的探讨多元化环境干预对学龄前阻塞性睡眠呼吸暂停综合征患儿术前焦虑及麻醉诱导依从性的应用效果。方法取在我院手术室儿童等候区环境优化前后就诊的学龄前阻塞性睡眠呼吸暂停综合征患儿89例,按就诊时间分组,2021年9月—2022年5月的47例设为对照组（即环境优化前）,2022年6月—2023年2月的42例设为观察组（即环境优化后）。观察比较2组患儿术前焦虑、麻醉诱导依从性、血压及心率。结果术前1 d访视日（T0）2组患儿焦虑水平比较差异无统计学意义（P>0.05）,观察组患儿在手术等待期(T1)和麻醉诱导前(T2)的焦虑水平低于对照组（P<0.05）;观察组患儿麻醉诱导依从性高于对照组（P<0.05）;术前1 d访视日（T0）2组患儿血压和心率比较差异无统计学意义（P>0.05）,麻醉诱导前（T2）观察组患儿血压和心率控制效果优于对照组（P<0.05）。结论多元化环境干预能降低学龄前阻塞性睡眠呼吸暂停综合征患儿术前焦虑水平,可提高其麻醉诱导依从性,稳定患儿血压及心率。

关键词: 多元化环境干预, 阻塞性睡眠呼吸暂停综合征, 学龄前, 患儿, 焦虑, 麻醉诱导依从性

Abstract: Objective To explore the application effect of diversified environmental interventions on preoperative anxiety and anesthesia induction compliance in preschool children with obstructive sleep apnea syndrome (OSAS). Method Eighty-nine children with OSAS were selected and grouped into two groups according to their visit time. Forty-seven patients in waiting area before environmental optimization from September 2021 to May 2022 were assigned to control group, and forty-two after environmental optimization from June 2022 to February 2023 were assigned to observation group. Preoperative anxiety, anesthesia-induced compliance, blood pressure, and heart rate of the two groups of preschool children were observed and compared. Results There was no statistical significance in anxiety between the two groups on the first day of visit (T0) before surgery (P>0.05). Anxiety in the observation group during the waiting period for surgery (T1) and before anesthesia induction (T2) was less severe than that in the control group (P<0.05). The compliance of anesthesia induction in the observation group was higher than that in the control group (P<0.05). There was no statistical significance in blood pressure and heart rate between the two groups on T0 (P>0.05), while the observation group had better control of blood pressure and heart rate than the control group before anesthesia induction (T2) (P<0.05). Conclusion Diversified environmental interventions can reduce preoperative anxiety, improve their compliance with anesthesia induction, and stabilize their blood pressure and heart rate in preschool children with OSAS.

Key words: diversified environmental intervention, obstructive sleep apnea syndrome, preschool age, sick children, anxiety, anesthesia-induced compliance

中图分类号:

R473.72

蒋新艳, 孟海兵, 邓飞娜, 蒋玉婷, 章晓玲. 多元化环境干预对学龄前阻塞性睡眠呼吸暂停综合征患儿术前焦虑及麻醉诱导依从性的影响[J]. 护理学报, 2023, 30(20): 68-71.

JIANG Xin-yan, Meng Hai-bing, DENG fei-na, JIANG yu-ting, ZHANG xiao-ling. Effect of diversified environmental intervention on preoperative anxiety and anesthesia-induced compliance in preschool children with obstructive sleep apnea syndrome[J]. Journal of Nursing, 2023, 30(20): 68-71.

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