以质量求发展，以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (6): 32-37.doi: 10.16460/j.issn1008-9969.2019.06.032

Previous Articles     Next Articles

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. 1. The First Affiliated Hospital of Yangtze University, Jingzhou 434023, China;
    2. Health Science Center, Yangtze University, Jingzhou 434000, China
  • Received:2018-07-03 Published:2020-07-13

PDF (PC)

111

Like

Abstract: Objective To evaluate the effect of parent present anesthesia induction on children with general anesthesia. Methods We searched Cochrane library, PubMed, EMbase, Sciencedirect, SpringerLink, CBM, CNKI ,Wanfang and VIP data to collect literatures and the references of related reviews from the inception to June 2018. Randomized controlled trials (RCTs) on effects of general anesthesia with or without parent presence on children undergoing general anesthesia were analyzed by using RevMan 5.3 software. Results Sixteen Chinese and English literatures were included, and the sample size included in the studies was 1,430. Meta-analysis showed that the induction of anesthesia with the presence of family members could reduce preoperative anxiety of parents [SMD=-0.37, 95%CI(-0.55, -0.19), P<0.01], and the incidence of agitation in children during induction and recovery [RR=0.67, 95%CI(0.53, 0.88), P<0.05], and relieve the pain of children during recovery [SMD=-0.38, 95%CI(-0.66,-0.09), P<0.05]. Conclusion Available evidence indicates that parent presence anesthesia has a positive effect on children and it is recommended that the hospital promote parent present anesthesia in light of actual situation.

Key words: children, surgery, anesthesia induction, parent present, Meta-analysis

CLC Number: 

  • 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.
[1] XIE Xiao-min, LIANG Ya-hong, FENG Bei, WEI Dan, JIANG Xun. Current Status of Dietary Behavior of Preschool Children and Its Influence Factors: A 240-case Study [J]. Journal of Nursing, 2020, 27(9): 33-37.
[2] LV Yun-xia, FENG Shao-juan, LI Dan-feng, WU Xuan-lin, CHEN Yan-qiu, CHEN Liu-mei, LIU Jie, HUANG Jie-ying, LIU Zheng-wei. Best Evidence Summary for Post-tonsillectomy Pain Management in Children [J]. Journal of Nursing, 2020, 27(7): 38-43.
[3] KUANG Wan, YANG Yan-dan, GUO Yue, ZHAO Ti-yu. Effect of Parental Presence during Induction of Anesthesia on Preoperative Anxiety and Compliance of Anesthesia Induction in Preschool Children [J]. Journal of Nursing, 2020, 27(4): 67-71.
[4] GUO Ya-ping, GUO Shu-li, LI Min, HOU Hai-yan. Effect of Action Research on Nursing Skill of Intestinal Stoma in Surgical Nurses [J]. Journal of Nursing, 2020, 27(12): 6-9.
[5] LIU Min, LIU An-nuo, WU De-quan, GAO Yu, CHEN Guo-hong, ZHU Gui-yue, ZHANG Meng, MA Wen, DING Cui-lu. Effect of Exercise on Walking Function of Elderly Type 2 Diabetic Patients：A Meta-analysis [J]. Journal of Nursing, 2020, 27(11): 40-45.
[6] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia [J]. Journal of Nursing, 2020, 27(11): 46-51.
[7] YANG Ji-ping, SHI Ze-ya, ZHOU Yi-feng, CHEN Cheng, YIN Shu-hui, YUAN Hao. Evidence Summary of Preoperative Evaluation and Management of Older Patients with Frailty [J]. Journal of Nursing, 2019, 26(7): 34-39.
[8] HUANG Pei-pei, SHI Ping, MI Yuan-yuan, ZHANG Qiong, WU Bai-nv, YANG Xi-qun, BAO Ying-xue, CHEN Xiao-min. Evidence-based Nursing of Inadvertent Intraoperative Hypothermia for Patients with Liver Tumor [J]. Journal of Nursing, 2019, 26(5): 30-34.
[9] WANG Fei-jie, ZHAO Tian-yun, WANG Lu, CHU Yin-ping, WANG Zhi-xia. Development and Application of Mobile-based Health Education Platform for Children after Hypospadias Repair [J]. Journal of Nursing, 2019, 26(4): 58-61.
[10] WANG Ya-ting, PENG Xiao-hong, DONG Zheng-hui. Influence Factors of Stress Injury of Adult Patients after Cardiac Surgery in ICU [J]. Journal of Nursing, 2019, 26(3): 1-4.
[11] LIU Mei-ling, GONG Gui-fang, XIAO Yu-mei, FAN Jia-ying, LI Yu, CHUN Xiao, LIN Yan. Evidence-based Nursing of Accelerated Rehabilitation for Patients Undergoing Gynecological Laparoscopic Surgery in Day-care Unit [J]. Journal of Nursing, 2019, 26(15): 31-35.
[12] DENG Bo, JIANG Bo, CHEN Jing-wen, LI Xian-rong. Efficacy and Safety of Autologous Platelet-Rich Fibrin in Treatment of Chronic Wounds：A Meta-analysis [J]. Journal of Nursing, 2019, 26(13): 6-11.
[13] CHEN Yuan-yuan, DAI Hui-ying, ZHANG Wei. Effect of Conductive Education on Children with Autism Spectrum Disorder [J]. Journal of Nursing, 2019, 26(13): 66-68.
[14] HE Yu-hua, YANG Jie, JIANG Li-li. Effects of Pain Management Behavior Intervention Based on Theory of Planned Behavior for Surgical Nurses [J]. Journal of Nursing, 2018, 25(23): 5-9.
[15] LI Jie-li, WANG Bei. Design and Application of 3D Reconstruction-based Skin Preparation Map [J]. Journal of Nursing, 2018, 25(23): 47-50.
Viewed
Full text


Abstract

Cited
  Shared   
[1] ZHAO Di, ZHAO Meng-Lu, WANG Na, FU Ming-Jing, LIANG Feng, ZHANG Wei, WANG Ai-Min. Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors[J]. Journal of Nursing, 2020, 27(11): 6 -10 .
[2] . [J]. Journal of Nursing, 2020, 27(11): 11 -15 .
[3] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke[J]. Journal of Nursing, 2020, 27(11): 16 -20 .
[4] . [J]. Journal of Nursing, 2020, 27(11): 21 -25 .
[5] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis[J]. Journal of Nursing, 2020, 27(11): 33 -39 .
[6] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia[J]. Journal of Nursing, 2020, 27(11): 46 -51 .
[7] . [J]. Journal of Nursing, 2020, 27(11): 52 -56 .
[8] . [J]. Journal of Nursing, 2020, 27(11): 66 -70 .
[9] LI Xi-zhen, CAO Mei-chang, DENG Ju-ying, ZENG Man-ping, OU Li-fang. Effect of Narrative Therapy on Fear of Cancer Recurrence and Level of Hope in Patients with Nasopharyngeal Carcinoma[J]. Journal of Nursing, 2020, 27(11): 71 -74 .
[10] . [J]. Journal of Nursing, 2020, 27(11): 75 -78 .