Effect of preoperative play intervention during induction of anesthesia in children
10.3760/cma.j.issn.1672-7088.2019.23.007
- VernacularTitle: 术前游戏干预在患儿麻醉诱导期间的应用效果观察
- Author:
Hua LI
1
;
Ruifang DING
;
Yeqing LU
;
Ping LI
Author Information
1. Department of Anesthesia, Changhai Hospital Affiliated to Naval Medical University, Shanghai 200433, China
- Publication Type:Clinical Trail
- Keywords:
Play intervention;
Anxiety;
Compliance;
Surgical care
- From:
Chinese Journal of Practical Nursing
2019;35(23):1793-1797
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of preoperative play intervention during anesthesia induction in children.
Methods:Totally 120 children who met the inclusion criteria undergoing elective surgery divided into control group (n=60) and study group (n=60) by random number table. The study group admitted to the anesthesia induction room, and performed therapeutic play nursing intervention on the children for 60 minutes before the operation. The children in the control group were admitted to the general preoperative waiting room for 60 minutes before the operation, and they were subjected to routine nursing intervention. The children′s anxiety was assessed using modified Yale Perioperative Anxiety Scale (mYPAS) when the children entered the operating room before the intervention and during anesthesia induction; the children′s compliance with anesthesia induction was assessed using the Induction Compliance Checklist (ICC) . Pediatric Anesthesia Emergence Delirium Scale (PAED) score was used to observe emergence agitation. The vital signs of the two groups were observed before and after intervention.
Results:There was no significant difference in the mYPAS score between the study group (32.23±4.71) points and the control group (31.58±3.72) points (P>0.05). The mYPAS score (31.92±4.03) points was lower in the study group than in the control group (59.76±5.14) points (t=-33.016, P<0.01). The ICC score of the study group (1.55±0.76) points was lower than the control group (3.04±0.62) points. The PAED score of the study group (4.76±0.92) points was lower than the control group (7.52±1.36) points (t=11.767, -13.020, P<0.05). The systolic blood pressure (96.25±3.06) mmHg (1 mmHg=0.133 kPa), diastolic blood pressure (59.39±2.77) mmHg, heart rate (118.37±15.26) times/min, and respiratory (29.75±3.17) times/min in the study group were lower than the control group (103.46±3.21) mmHg, (62.72±2.94) mmHg, (124.58±16.41) times/min, (34.81±2.96) times/min (t=12.593, 6.385, 2.146, 9.037, P<0.05) .
Conclusion:Preoperative play intervention for children before anesthesia induction can reduce the anxiety and fear level of children, and the children′s compliance of anesthesia is improved, and reduce the incidence of agitation during recovery.
