Influence of Entertaining Anesthesia Induction Combined with Sensory Simulation Nursing on Anesthesia Cooperation of Preschool Children Undergoing Herniorrhaphy

LIU Miaoshuang

doi:10.14033/j.cnki.cfmr.2023.34.020

Abstract：Objective:To explore the influence of entertaining anesthesia induction combined with sensory simulation nursing on anesthesia cooperation of preschool children undergoing herniorrhaphy.Method:A total of 89 preschool children undergoing herniorrhaphy admitted in Children's Hospital of Fudan University at Xiamen from March 2019 to March 2021 were selected as the study objects.They were randomly divided into two groups,the control group of 44 cases and observation group of 45 cases.The control group received routine nursing based on sensory simulation before anesthesia induction,and the observation group received entertaining anesthesia induction combined with sensory simulation nursing.The modified Yale perioperative anxiety scale(Cm-YPAS)scores,heart rate(HR)and mean arterial pressure(MAP)of the two groups were compared at 1 d preoperative visit(T1),15 min preoperative wait(T2)and induction of anesthesia(T3),cooperative scale of anesthesia induction(ICC)score at T3,postoperative recovery time and postoperative complications were compared between the two groups.Result:There was no statistical significance in Cm-YPAS score of T1 between the two groups(P>0.05),while the Cm-YPAS scores of T2 and T3 in the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The ICC score of T3 in the observation group was(1.87±0.58)points,the ICC score of the control group was(3.25±1.05)points,and the ICC score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.001).There were no significant differences in HR and MAP of T1 between the two groups(P>0.05).T2,HR in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05),while MAP comparison had no statistically significant difference between the two groups(P>0.05).T3,HR and MAP in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in resuscitation time and intestinal exhaust time between the two groups(P>0.05),and the hospitalization time of the observation group was shorter than that of the control group,the difference was statistically significant(P<0.05).The satisfaction score of family members in the observation group was(90.37±2.78)points,higher than that in the control group(87.29±3.17)points,and the difference was statistically significant(P<0.001).The incidence of postoperative complications in the observation group was 6.67%,lower than 11.36%in the control group,but the difference was not statistically significant(P>0.05).Conclusion:Entertaining anesthesia induction combined with sensory simulation nursing can help improve the degree of anesthesia cooperation of children,relieve preoperative anxiety,stabilize heart rate and blood pressure,and promote postoperative recovery,shorten hospital stay and improve family satisfaction.