双亲陪伴下的兴趣诱导护理对患儿术后焦虑缓解及认知功能恢复的效果

The effects of interest induction nursing with parental companionship on postoperative anxiety relief and cognitive function recovery in pediatric patients

目的 观察双亲陪伴下的兴趣诱导护理对患儿扁桃体摘除术后焦虑缓解及认知功能恢复的效果。方法 将宿州市第一人民医院麻醉科2021年4月至2023年2月收治的100例采用艾司氯胺酮复合丙泊酚麻醉方案行扁桃体全麻摘除术的患儿依据住院时间的先后顺序分为对照组(n=50)及观察组(n=50)。其中,对照组给予常规护理,观察组则接受常规护理+兴趣诱导护理。比较2组患儿苏醒时(T0)、苏醒后3 h(T1)、苏醒后6 h(T2)、苏醒后12 h(T3)、苏醒后24 h(T4)5个不同时间点的焦虑(Cm-YPAS评分)缓解及认知功能(BSID-Ⅲ评分)恢复情况。结果 2组患儿T0时Cm-YPAS评分差异不明显(P>0.05),T1至T4均呈逐渐下降趋势,但观察组T1至T3下降幅度更大,组间差异有统计学意义(P<0.05),T4时观察组评分虽略低于对照组,但组间比较无显著差异(P>0.05);2组患儿T0时BSID-Ⅲ评分差异不显著(P>0.05),T1至T4时评分则均上升,但观察组T1至T3上升速度更快,组间差异明显(P<0.05),T4时观察组评分虽高于对照组,但组间差异无统计学意义(P>0.05)。结论 双亲陪伴下的兴趣诱导护理对患儿术后的焦虑缓解及认知功能的恢复效果优于常规护理,建议临床推广。

Objective To observe the effects of interest induction nursing with parental companionship on anxiety relief and cognitive function recovery in children after tonsillectomy.Method A total of 100 pediatric patients who underwent tonsillectomy under general anesthesia using the combination of ketamine and propofol anesthesia regimen at the Anesthesia Department of Suzhou First People s Hospital from April 2021 to February 2023 were divided into a control group(n=50)and an observation group(n=50)based on the order of hospitalization time.The control group received routine care from the anesthesia department of the hospital,while the observation group received routine care+interest induction care.The anxiety(Cm-YPAS score)relief and cognitive function(BSID-III score)recovery of the 2 groups of children were compared at 5 different time points:awakening(T 0),3 hours(T 1),6 hours(T 2),12 hours(T 3),and 24 hours(T 4).Results(1)There was no significant difference in Cm-YPAS scores between the 2 groups of children at T 0(P>0.05),and both groups showed a gradual downward trend from T 1 to T 4.However,the observation group showed a greater decrease from T 1 to T 3,with significant differences between the 2 groups(P<0.05).The score of the observation group slightly lower than that of the control group at T4,but there was no significant difference between the 2 groups(P>0.05);At T 0,there was no significant difference in the BSID-III scores between the two groups of children(P>0.05).From T 1 to T 4,the scores of the two groups increased,but the observation group had a faster rate of increase,with significant differences between groups(P<0.05).Although the observation group had a higher score than the control group at T 4,there was no statistically significant difference between the 2 groups(P>0.05).Conclusion Interest induction nursing with parental companionship is beneficial for postoperative anxiety relief and cognitive function recovery in pediatric patients than routine nursing.It is recommended to promote clinical practice.