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Anesthesia Nursing Column-Literature Reading Xing Xueyan recommends the literature today: "The Influence of Parental Anxiety on Children's Behavior Changes After General Anesthesia" Source: Journal of Clinical Anesthesiology, Volume 36, Issue 1, January 2020 Objective To explore the effects of parental anxiety before surgery The influence of behavior changes after general anesthesia in children
.
Methods A total of 60 children undergoing elective ENT surgery were selected, including 41 males and 19 females, aged 2-8 years, ASAI or grade II, operation time <60 minutes, and general anesthesia
.
The parental anxiety scores were evaluated before the operation and on the operation day.
The parents of the children were divided into an anxiety group (group A) and an anxiety-free group (group B), and the children were included in the corresponding group of their parents
.
The waiting area and the anxiety score during induction, the operation time, the recovery time, the agitation score in the recovery period after extubation, and the incidence of agitation during the recovery period were recorded
.
The postoperative behavior questionnaire was used to conduct preoperative questionnaire surveys and postoperative telephone follow-ups 1 day before surgery, 3 days, 1 week, 2 weeks, and 1 month after surgery to record the occurrence of postoperative behavior changes in children
.
Results The waiting area anxiety score and the incidence of restlessness in group A were significantly higher than those in group B (P<0.
01).
The parents' anxiety score and the waiting area anxiety score and the recovery agitation score of children in group A showed a moderate correlation (r = 0.
487, P <0.
01 and r = 0.
574, P <0.
01)
.
The incidence of behavioral changes in group A was significantly higher than that in group B at 3 days, 1 week, and 2 weeks after operation (P <0.
05)
.
Conclusion Parental anxiety before surgery can significantly increase the postoperative behavioral changes of children undergoing ENT surgery
.
In this study, we understand that the probability of preoperative anxiety in children is as high as 60%.
Behavioral changes after the operation will endanger the health of the children, leading to nightmares, night terrors, enuresis, eating disorders, and aggressive behavior changes.
Severe psychological problems such as anxiety, sensitivity to the external environment and suspiciousness; and even regression of growth and development, which seriously affects the prognosis and physical and mental growth of children
.
Studies have shown that the incidence of adverse behaviors in children undergoing tonsillectomy with sevoflurane anesthesia is as high as 80% one day after surgery, and as high as 43% after 6 months
.
The incidence of postoperative behavior changes is related to many factors, including the age of the child, the number of operations, the type of operation, and perioperative anxiety
.
It has been confirmed that preoperative anxiety is closely related to postoperative behavior changes
.
The higher the preoperative anxiety, the more likely postoperative behavior changes will occur .
The mental state of parents before the operation has an important influence on the children
.
In searching for whether anesthesia care model can reduce these negative results, we found that in 2021, the People's Liberation Army Nursing Journal published "The effect of family-centered anesthesia care model on the effect of general anesthesia in children".
In this article, it is mentioned that Family centered care (FCC) promotes the recovery of children through the cooperation of children, family members and professionals.
It respects the strength, culture, tradition and expertise of each individual in the cooperative relationship and is to improve nursing services.
Quality standards of practice
.
Scholars such as Luehmann also introduced family-centered care into the induction of anesthesia in children, which significantly reduced the negative emotions of the children and their families, and improved the degree of cooperation among the children
.
In the outcome indicators, we saw that the children’s family members participated in the anesthesia process exercise, accompanied the children in anesthesia induction and resuscitation, the children's anxiety during the perioperative period was significantly reduced, the vital signs during the anesthesia induction and anesthesia maintenance phases were stable, and postoperative agitation and severe agitation The incidence rates were lower than those in the control group (all P <0.
05).
It shows that the implementation of family-centered care and the emphasis on the cooperation between the main caregivers of the children and the medical staff can improve the compliance of the children with anesthesia diagnosis and treatment and significantly improve the children.
The anesthesia effect, together to promote the health of children
.
However, this article does not describe the anxiety of parents much, mainly because the "expectation value" of the patient's parents is the main research indicator
.
For "family centered care (FCC)", we suggest that "care recipients" with "family" as the unit can be used as a direction for anesthesia care to promote "family recovery
.
"
Participation in anesthesia care should not only improve perioperative turnover, safety and quality, etc.
, but also actively intervene in nursing care as part of the active investment in clinical practice
.
.
Methods A total of 60 children undergoing elective ENT surgery were selected, including 41 males and 19 females, aged 2-8 years, ASAI or grade II, operation time <60 minutes, and general anesthesia
.
The parental anxiety scores were evaluated before the operation and on the operation day.
The parents of the children were divided into an anxiety group (group A) and an anxiety-free group (group B), and the children were included in the corresponding group of their parents
.
The waiting area and the anxiety score during induction, the operation time, the recovery time, the agitation score in the recovery period after extubation, and the incidence of agitation during the recovery period were recorded
.
The postoperative behavior questionnaire was used to conduct preoperative questionnaire surveys and postoperative telephone follow-ups 1 day before surgery, 3 days, 1 week, 2 weeks, and 1 month after surgery to record the occurrence of postoperative behavior changes in children
.
Results The waiting area anxiety score and the incidence of restlessness in group A were significantly higher than those in group B (P<0.
01).
The parents' anxiety score and the waiting area anxiety score and the recovery agitation score of children in group A showed a moderate correlation (r = 0.
487, P <0.
01 and r = 0.
574, P <0.
01)
.
The incidence of behavioral changes in group A was significantly higher than that in group B at 3 days, 1 week, and 2 weeks after operation (P <0.
05)
.
Conclusion Parental anxiety before surgery can significantly increase the postoperative behavioral changes of children undergoing ENT surgery
.
In this study, we understand that the probability of preoperative anxiety in children is as high as 60%.
Behavioral changes after the operation will endanger the health of the children, leading to nightmares, night terrors, enuresis, eating disorders, and aggressive behavior changes.
Severe psychological problems such as anxiety, sensitivity to the external environment and suspiciousness; and even regression of growth and development, which seriously affects the prognosis and physical and mental growth of children
.
Studies have shown that the incidence of adverse behaviors in children undergoing tonsillectomy with sevoflurane anesthesia is as high as 80% one day after surgery, and as high as 43% after 6 months
.
The incidence of postoperative behavior changes is related to many factors, including the age of the child, the number of operations, the type of operation, and perioperative anxiety
.
It has been confirmed that preoperative anxiety is closely related to postoperative behavior changes
.
The higher the preoperative anxiety, the more likely postoperative behavior changes will occur .
The mental state of parents before the operation has an important influence on the children
.
In searching for whether anesthesia care model can reduce these negative results, we found that in 2021, the People's Liberation Army Nursing Journal published "The effect of family-centered anesthesia care model on the effect of general anesthesia in children".
In this article, it is mentioned that Family centered care (FCC) promotes the recovery of children through the cooperation of children, family members and professionals.
It respects the strength, culture, tradition and expertise of each individual in the cooperative relationship and is to improve nursing services.
Quality standards of practice
.
Scholars such as Luehmann also introduced family-centered care into the induction of anesthesia in children, which significantly reduced the negative emotions of the children and their families, and improved the degree of cooperation among the children
.
In the outcome indicators, we saw that the children’s family members participated in the anesthesia process exercise, accompanied the children in anesthesia induction and resuscitation, the children's anxiety during the perioperative period was significantly reduced, the vital signs during the anesthesia induction and anesthesia maintenance phases were stable, and postoperative agitation and severe agitation The incidence rates were lower than those in the control group (all P <0.
05).
It shows that the implementation of family-centered care and the emphasis on the cooperation between the main caregivers of the children and the medical staff can improve the compliance of the children with anesthesia diagnosis and treatment and significantly improve the children.
The anesthesia effect, together to promote the health of children
.
However, this article does not describe the anxiety of parents much, mainly because the "expectation value" of the patient's parents is the main research indicator
.
For "family centered care (FCC)", we suggest that "care recipients" with "family" as the unit can be used as a direction for anesthesia care to promote "family recovery
.
"
Participation in anesthesia care should not only improve perioperative turnover, safety and quality, etc.
, but also actively intervene in nursing care as part of the active investment in clinical practice
.
