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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (4): 67-71.doi: 10.16460/j.issn1008-9969.2020.04.067

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Effect of Parental Presence during Induction of Anesthesia on Preoperative Anxiety and Compliance of Anesthesia Induction in Preschool Children

KUANG Wan, YANG Yan-dan, GUO Yue, ZHAO Ti-yu   

  1. Operating Room, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China
  • Received:2019-09-06 Online:2020-02-25 Published:2020-07-14

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Abstract: Objective To explore the effect of parent presence at the induction of anesthesia (PPIA) on relieving preoperative anxiety and improving compliance of anesthesia induction in preschool children. Methods A total of 101 children who underwent surgical treatment in a tertiary grade A hospital in Wuhan were selected by historical control design, including 50 patients in the companion group and 51 patients in the control group. The companion group adopted PPIA, in which parents were educated with preoperative anesthesia-induced companionship and family-participation. Participants in the control group were comforted by medical staff. Analysis of covariance was used to compare the anxiety at 10 minutes before the operation (T1) and during anesthesia induction (T2) and cooperation for anesthesia induction (T2) between the two groups. Results The baseline characteristics of the two groups were comparable except for the operating sequence. At T1, the anxiety of both groups increased significantly. There was no statistical difference between the two groups before and after the adjustment（P>0.05）. At T2, the anxiety of the two groups increased and the adjusted difference between the two groups was 11.03 (95% confidence interval: 2.06, 20.00) with statistical significance (P=0.02). Level of cooperation for anesthesia induction was 1.04 in companion group and 2.09 in the control group and the adjusted difference was 0.96 (95% confidence interval: 0.12, 1.78, P=0.03). Conclusion PPIA is effective for reducing preoperative anxiety and improving the level of cooperation in anesthesia induction in preschool children. The present study provides basis to construct a standardized PPIA program.

Key words: parent presence at the induction of anesthesia, induction of anesthesia, preschool children, preoperative anxiety

CLC Number: 

  • R473.72
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