卡通视频辅助的术前访视对学龄前患儿术后不适应性行为的影响

doi:10.3760/cma.j.issn.0254-1416.2017.01.006

科研成果详情

题名	卡通视频辅助的术前访视对学龄前患儿术后不适应性行为的影响
其他题名	Effect of cartoon video-assisted preoperative interview on postoperative maladaptive behaviors of preschool pediatric patients
作者	金约西; 姜婉娜; 吴温馨; 叶文炼; 姜爱芬
发表日期	2017-01-20
发表期刊	中华麻醉学杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	手术前护理儿童学龄前手术后并发症
其他关键词	Preoperative care ; Child preschool ; Postoperative complications
摘要	目的探讨卡通视频辅助的术前访视对学龄前患儿术后不适应性行为的影响。方法选择择期行斜视矫正术患儿100例,年龄3~6岁,体重12~28 kg,ASA分级Ⅰ或Ⅱ级,采用随机数学表法分为2组(n=50):卡通视频辅助的术前访视组(Ⅰ组)和常规术前访视组(Ⅱ组)。Ⅰ组访视时麻醉医生陪同患儿及其家属一起观看专门制作的介绍围术期流程的卡通视频,并解答患儿及其家属提出的问题。术中气管插管完成后,Ⅰ组经10 min静脉输注右美托咪定0.3μg/kg,Ⅱ组经10 min静脉输注右美托咪定0.6μg/kg。吸入3%~4%七氟醚维持麻醉。记录PACU期间躁动发生情况和程度,记录苏醒时间、PACU停留时间。术后1周进行行为量表评分,记录行为改变的发生情况。结果与Ⅱ组比较,Ⅰ组苏醒期躁动发生率降低,程度减轻,苏醒时间和PACU停留时间缩短,术后行为改变发生率(4%)降低(P<0.05)。结论卡通视频辅助的术前访视可有效降低学龄前患儿术后不适应性行为的发生几率。
其他摘要	Objective To investigate the effect of cartoon video-assisted preoperative interview on the postoperative maladaptive behaviors of preschool pediatric patients. Methods One hundred preschool pediatric patients, aged 3-6 yr, weighing 12-28 kg, of American Society of Anesthesiologists physical status I or Ⅱ,scheduled for elective strabismus surgery, were divided into 2 groups (n = 50 each) using a random number table: cartoon video-assisted preoperative interview group (group I) and routine preoperative interview group (group Ⅱ). In group I,accompanied by the anesthesiologist, children and their parents watched the cartoon video designed for the perioperative process,and the anesthesiologist answered the questions that their parents had. After completion of tracheal intubation, dexmedetomidine 0.3 and 0.6 μg/kg were infused intravenously over 10 min in group I and group Ⅱ,respectively. Three percent-4% sevoflurane was inhaled to maintain anesthesia. The development and degree of agitation during stay in the post-anesthesia care unit (PACU) were recorded. The emergence time and length of PACU stay were also recorded. Postoperative maladaptive behaviors were assessed with the Post-Hospital Behavior Questionnaire at 1 week after surgery, and the occurrence of behavioral changes was recorded. Results Compared with group Ⅱ,the incidence of emergence agitation was significantly decreased,the degree of emergence agitation was reduced,the emergence time and length of PACU stay were shortened,and the incidence of behavioral changes (4%) was decreased after surgery in group I (P<0.05). Conclusion Cartoon video-assisted preoperative interview can effectively decrease the development of postoperative maladaptive behaviors of the preschool pediatric patients.
资助项目	温州市科技计划项目（Y20160384）~~
ISSN	0254-1416
卷号	37 期号:01 页码:30-33
DOI	10.3760/cma.j.issn.0254-1416.2017.01.006
页数	4
收录类别	CNKI ; 万方 ; 维普 ; 北大核心 ; ISTIC ; CSCD ; PKU
学科领域	医药、卫生
URL	查看原文
CSCD记录号	CSCD:5924214
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/40842
专题	眼视光学院（生物医学工程学院）、附属眼视光医院_麻醉科
作者单位	温州医科大学附属眼视光医院麻醉科
第一作者单位	眼视光学院（生物医学工程学院）、附属眼视光医院_麻醉科
第一作者的第一单位	眼视光学院（生物医学工程学院）、附属眼视光医院_麻醉科
推荐引用方式 GB/T 7714	金约西,姜婉娜,吴温馨,等. 卡通视频辅助的术前访视对学龄前患儿术后不适应性行为的影响[J]. 中华麻醉学杂志,2017,37(01):30-33.
APA	金约西, 姜婉娜, 吴温馨, 叶文炼, & 姜爱芬. (2017). 卡通视频辅助的术前访视对学龄前患儿术后不适应性行为的影响. 中华麻醉学杂志, 37(01), 30-33.
MLA	金约西,et al."卡通视频辅助的术前访视对学龄前患儿术后不适应性行为的影响".中华麻醉学杂志 37.01(2017):30-33.