全身麻醉患儿围术期家庭式管理模式构建

Development of Family Management Mode for Children under General Anesthesia during Perioperative Period

依照课题研究型品管圈活动步骤,针对全身麻醉患儿围术期家庭式管理开展品管圈活动。从术前、术中、术后挖掘全身麻醉患儿围术期管理现状水平和攻坚点,多方拟定方策并反复循证,结合现实需求,形成三大方策群组予以实施。通过方策实施,减少了患儿苏醒期躁动等麻醉并发症发生,降低了患儿分离恐惧评分,提高了家属全麻知识知晓率,使患儿和家庭获益,效果显著。

According to the research quality control circle activity steps,the quality control circle activities were carried out on family management for children under general anesthesia during the perioperative period.From the preoperative,intraoperative and postoperative excavation of children with general anesthesia perioperative management status and key points,multi-formulation and repeated evidence-based strategies,combined with the actual needs,three groups of strategies were developed for implementation.Through the implementation of the strategies,the incidence of anesthesia complications such as agitation during the awakening period of children was reduced,the separation fear score of children was reduced,and the awareness rate of family members on general anesthesia knowledge was improved,benefiting children and their families.The effect was significant.