视频分散法改善学龄前手术患儿麻醉诱导配合度的循证实践

Evidence-based practice of video-assisted distraction during anesthesia induction in preschool children

目的 探讨基于循证的视频分散法干预对学龄前手术患儿麻醉诱导配合度的改善效果。方法 对学龄前手术患儿麻醉诱导配合度非药物改善策略中视频分散法相关主题进行系统检索和质量评价,结合临床情景和专业判断进行证据质量评价,确定将视频分散法用于手术患儿麻醉诱导临床循证实践。基于视频分散法循证结果制订干预策略,选取择期手术患儿82例,随机分为观察组(42例)和对照组(40例),对照组给予常规术前护理,观察组在对照组基础上实施基于循证的视频分散法临床实践方案,比较两组术前焦虑水平和麻醉诱导配合度。结果 干预后,观察组焦虑评分、诱导期合作度评分显著低于对照组(P<0.05,P<0.01)。结论 基于循证相关证据制订的视频分散法临床实践方案,可有效提高学龄前手术患儿麻醉诱导配合度,改善术前焦虑情况,推进了医院优质护理服务规范及流程。

Objective To explore the effect of evidence-based video-assisted distraction during anesthesia induction on cooperation level of preschool children. Methods We systematically retrieved publications on video-assisted distraction during anesthesia induction and appraised the quality of the publications. Then we assessed the quality of extracted evidence with considerations of clinical scenarios and professional judgment, before we decided to put video-assisted distraction into anesthesia induction practice. Afterwards we selected 82 pre-school children who were to receive an elective surgery and randomized the children into 2 groups. The control group(n=40) received routine preoperative care, while the intervention group(n=42) was additionally subjected to an evidence-based video-assisted distraction program. Children′s preoperative anxiety levels and cooperation levels during anesthesia induction were compared between the two groups. Results After intervention, preoperative anxiety scores and cooperation scores during anesthesia induction in the intervention group were significantly lower than those in the control group(P<0.05,P<0.01). Conclusion The evidence-based video-assisted distraction program can improve cooperation level during anesthesia induction in pre-school children, lessen their anxiety levels, and promote the standard and process of quality nursing service in hospital.