The influence of family members' participation in operating room nursing in children's hospitals on preoperative anxiety of children
儿童医院手术室护理中家属参与对患儿术前焦虑的影响

摘要

目的 深入探究儿童医院手术室护理中家属参与对患儿术前焦虑的影响，为优化儿科手术护理流程、减轻患儿术前心理负担提供科学依据。方法 于2024年1月至2024年12月期间，在我院按照严格的纳入与排除标准，精心选取120例需进行手术治疗的患儿作为研究对象，采用专业随机分组方式将其均分为对照组和实验组，每组各60例。对照组实施常规手术室护理；实验组在常规护理基础上，开展家属参与式护理。结果 实验组患儿m-YPAS评分均值为（26.3±4.8）分，显著低于对照组的（40.1±5.5）分（P<0.05）；实验组术前平均心率为（92.6±7.5）次/分、平均收缩压为（90.2±6.8）mmHg，均低于对照组的（110.3±8.7）次/分、（103.5±7.6）mmHg（P<0.05）；实验组焦虑行为发生率为16.7%，明显低于对照组的53.3%（P<0.05）。结论 在儿童医院手术室护理中引入家属参与机制，能有效降低患儿术前焦虑水平，改善生理应激反应，减少抗拒等不良行为，对保障手术顺利开展及患儿身心健康具有积极作用，值得在临床实践中推广。

Abstract

Objective To deeply explore the influence of family members' participation in operating room nursing in children's hospitals on preoperative anxiety of children, and to provide a scientific basis for optimizing the pediatric surgical nursing process and reducing the preoperative psychological burden of children.
Methods From January 2024 to December 2024, in our hospital, 120 children requiring surgical treatment were carefully selected as the research subjects in accordance with strict inclusion and exclusion criteria. They were evenly divided into the control group and the experimental group by professional random grouping, with 60 cases in each group. The control group received routine operating room care; The experimental group carried out family-participatory care on the basis of conventional care.
Results The average m-YPAS score of the children in the experimental group was (26.3±4.8) points, which was significantly lower than that of the control group [(40.1±5.5) points] (P<0.05); The average preoperative heart rate of the experimental group was (92.6±7.5) beats/min and the average systolic blood pressure was (90.2±6.8) mmHg, both of which were lower than those of the control group [(110.3±8.7) beats/min and (103.5±7.6) mmHg] (P<0.05); The incidence of anxiety behaviors in the experimental group was 16.7%, significantly lower than 53.3% in the control group (P<0.05).
Conclusion   Introducing the family member participation mechanism in the operating room nursing of children's hospitals can effectively reduce the preoperative anxiety level of children, improve the physiological stress response, and reduce adverse behaviors such as resistance. It has a positive effect on ensuring the smooth progress of the surgery and the physical and mental health of children, and is worthy of promotion in clinical practice.