Objective In order to explore the safety , feasibility of early enteral nutrition for children of 1～36 months old undergoing nongastrointestinal postoperative received general anaesthesia. Methods 93 children of 1 ～ 36 months old received operation were divided into the experimental group (52 cases)and control group(41 cases), A kind of postopertion early enteral nutrion of diet method was conducted in the experimental group,while the traditional enteral nutrion of diet method was used in the control group. The time of drinking and eating, the postoperative discomfortable condition of children and patriarchal anxiety were compared between the groups. Results There were no significant differences about the postoperative vomiting and mis-inhalation between the two groups , the time of drinking and eating in experimental group [ (44.45 ± 27. 57 ),(57.75 ± 31.69 ) min ] was shorter than that of control group [ (218.12 ± 25.83), (225.00 ± 24.89) min ],the postoperative discomfortable condition of children and patriarchal anxiety in control group were significantlysevere than those in experiment group, P < 0. 01. Conclusions The early enteral nutrion of diet method forchildren is safty and feasibility , which can improve the comfort of children , but not increase the postoperativevomiting and mis-inhalation.

Objective Application of fast track surgery to study the safety and feasibility of early drinking and eating of infants and children after non-gastrointestinal surgery under general anesthesia.Methods Totals of 240 cases of children with orthopedic surgery were randomly assigned into experimental group and control group.In experimental group,consciousness of sober and clear implementation of postoperative anesthesia of children were received early dietary guidance.While in control group,children were albert 4 hours and then received diet.Respectively,2 hours after operation and 1h after eating,the hunger,thirst,nausea,vomiting,cough,pain of children were assessed and compared.Results There was no significant difference in the time of consciousness of sober and the time of clear implementation of postoperative anesthesia of two groups (P ＞0.05).There were 90.0％ children had drinking and 77.5％ children had eating in 2 hours after operation in the experimental group.The incidence of the sense of thirst and hunger in the postoperative 2 hours of experimental group respectively were 10.8％ and 22.5％ significantly lower than 95.0％ and 99.2％ of control group ( x2 =66.5,47.0,respectively;P ＜ 0.01 ).The post-operation pain score of experimental group in 2 hours was (4.73 ±0.13 ),and that of control group was (4.73 ±0.13),and the difference was statistically significant ( t =1.86,P ＜ 0.05 ).No significant difference was found in the incidence of cough,nausea and vomiting in the 2 hours after operation and 1 hour after eating between two groups (P ＞0.05).Conclusions The regular of paediatric orthopaedic surgery under general anesthesia after surgery in children with 4 hours eating need to amend.It is feasibility to develope early drinking and eating for postoperation children under general anesthesia on the basis of assessing sober and clear of the children.

Objective To discuss the effect of Kano model on improving satisfaction of nursing service in outpatient and emergency department of pediatrics.Methods Questionnaires about Kano model on the needs of nursing service in outpatient and emergency department were designed,and the attributes of needs were determined.Children' s needs were included in the nursing service process.And the satisfaction of nursing was investigated and compared before and after by a third party.Results There were ten must-be items (M),nine one-dimensional items (O) and six attractive itmes (A) in Kano model analysis of nursing service.After improving nursing process,the satisfaction rate increased from 78.23％ to 86.30％,with statistically significant difference (x2 =6.536,P ＜ 0.05).Conclusions Kano model can exactly screen the quality attributes of children's and parents' needs of nursing service,and significantly improve satisfaction in outpatient and emergency department of pediatrics.