基础医学与临床 ›› 2015, Vol. 35 ›› Issue (6): 825-829.

• 研究论文 • 上一篇    下一篇

影响小儿全麻诱导期依从性的因素

崔旭蕾1,朱波1,赵晶2,魏静1,黄宇光3   

  1. 1. 中国医学科学院 北京协和医院
    2. 中国医学科学院 北京协和医学院 北京协和医院 麻醉科
    3. 北京协和医院
  • 收稿日期:2015-03-30 修回日期:2015-04-15 出版日期:2015-06-05 发布日期:2015-05-27
  • 通讯作者: 黄宇光 E-mail:garybeijing@163.com

Factors influence induction compliance of children undergoing general anaesthesia

  • Received:2015-03-30 Revised:2015-04-15 Online:2015-06-05 Published:2015-05-27

摘要: 目的 探讨与小儿吸入麻醉诱导期依从性相关的因素。方法 纳入拟行择期手术的2~12岁患儿共102例。父母陪同患儿在术前等候区等候时,利用改良的耶鲁术前焦虑评分表(m-YPAS)对患儿焦虑程度进行评分。父母不陪同患儿进行麻醉诱导。所有患儿均接受O2-NO2-七氟烷面罩诱导麻醉,期间利用诱导期依从性量表 (ICC)评估患儿依从性。陪同父母利用状态-特质焦虑量表(STAI)分别于术前1日和术前等候区等待时对自身特质焦虑和状态焦虑程度进行自评。结果 患儿ICC评分与患儿年龄呈明显负相关(p<0.01),与术前等候区患儿m-YPAS评分以及父母STAI-T评分均呈明显正相关(p< 0.01,p<0.05)。患儿m-YPAS评分与年龄呈明显负相关(p<0.01),与父母STAI-T及STAI-S评分呈明显正相关(p<0.01,p<0.05)。结论 在父母不陪同患儿进行麻醉诱导的情况下,患儿年龄越小、术前焦虑程度越高以及父母特质焦虑程度越高,其全麻诱导期依从性越差;父母术前等候区状态焦虑程度不影响患儿诱导期依从性。

关键词: 术前焦虑, 小儿, 麻醉诱导, 年龄

Abstract: Objective: To investigate factors that correlates with child’s compliance during general anaesthesia induction. Method: One hundred and two children (2-12 years of age) undergoing selected surgery were recruited in the current study. Preoperative anxiety of children was assessed in the holding area immediately prior to the surgery using a modified Yale preoperative anxiety scale (m-YPAS). Parent did not company the child during induction. Anaesthesia was induced in all children with an O2/N2O/sevoflurane mask technique. Compliance with anaesthesia induction was assessed using an induction compliance check list (ICC). The trait and state anxiety of the parent who accompanied the child were assessed using a state trait anxiety inventory (STAI) questionnaire on the day before surgery and in the holding area respectively. Results: Children’s ICC score negatively correlated with their age (p<0.01), and positively correlated with their m-YPAS score (p<0.01) and their parents’ STAI-T score (p<0.05). Children’s m-YPAS score also negatively correlated with their age (p<0.01), and positively correlated with their parents STAI-T score (p<0.01) and STAI-S score (p<0.05) . Conclusions: For children whose parents do not company them during induction, younger age, higher preoperative anxiety level and higher parents’ trait anxiety level are predictors of their poor induction compliance. Parents’ preoperative state anxiety level dose not influence children’s induction compliance in this study.

Key words: preoperative anxiety, children, anaesthesia induction, age

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