Volume 20 Issue 12
Dec.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(12): 2156-2159
WU Xin-yan, HAN Ding, WANG Yu, CHEN Mei-li, YANG Xue-jing, PAN Shou-dong. Effects of comfort nursing on preoperative anxiety and postoperative early outcomes in children undergoing day surgery[J]. Chinese Journal of General Practice, 2022, 20(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.002792
Citation: WU Xin-yan, HAN Ding, WANG Yu, CHEN Mei-li, YANG Xue-jing, PAN Shou-dong. Effects of comfort nursing on preoperative anxiety and postoperative early outcomes in children undergoing day surgery[J]. Chinese Journal of General Practice, 2022, 20(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.002792
shu

Effects of comfort nursing on preoperative anxiety and postoperative early outcomes in children undergoing day surgery

doi: 10.16766/j.cnki.issn.1674-4152.002792
  • 1.

    Department of Anesthesia, Children ' s Hospital Affiliated to Capital Institute of Pediatrics, Beijing 100020, China

Funds:

 Z181100001718096

 QN-2020-05

  • Received Date: 2022-03-11
    Available Online: 2023-02-07
    Abstract
  •   Objective  To explore the effects of comfort nursing on preoperative anxiety and postoperative early outcomes in children having day surgery.  Methods  A total of 451 children aged 1-14 years old and undergoing day surgery at Children ' s Hospital Affiliated to Capital Institute of Pediatrics from January 2020 to December 2020 were enrolled, and they were randomly divided into the control (n=227) and observation (n=224) groups based on the random number table method. The control group was subjected to standard nursing. The observation group received comfort nursing. The preoperative anxiety level of children was assessed with modified Yale preoperative anxiety scale (mYPAS). The post-anaesthesia emergence agitation score was determined, and the rate of post-anesthesia emergence delirium (those with a score > 12 points) was calculated. Three days after surgery, a telephone follow-up was conducted to investigate the incidence of negative behaviour change in the children with post-hospitalisation behaviour questionnaire and to investigate the satisfaction grade of parents with medical care services.  Results  Compared with the control group, the mYPAS score [5.0 (5.0, 7.0) points versus 10.0 (8.0, 15.0) points], incidence of agitation during recovery [23 (10.3%) versus 101 (44.5%)] and incidence of postoperative adverse behaviour change [5 (2.2%) versus 40 (17.6%)] significantly decreased (all P < 0.05) in the observation group, and the satisfaction grade of parents was better (P < 0.05).  Conclusion  Comfort nursing is effective in relieving preoperative anxiety and reducing the incidence of anaesthesia emergence agitation and negative postoperative behaviour changes in children undergoing day surgery, and should be popularised in children ' s day surgery centres.

     

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