以质量求发展,以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (6): 32-37.doi: 10.16460/j.issn1008-9969.2019.06.032

Previous Articles     Next Articles

Meta-analysis of Effects of Parent Present Anesthesia Induction on Children with General Anesthesia

LIANG Xin1,2, GAO Zu-mei1, ZHANG Hai-yuan2, HAI Rong2, DENG Wen-fang2   

  1. 1. The First Affiliated Hospital of Yangtze University, Jingzhou 434023, China;
    2. Health Science Center, Yangtze University, Jingzhou 434000, China
  • Received:2018-07-03 Published:2020-07-13

Abstract: Objective To evaluate the effect of parent present anesthesia induction on children with general anesthesia. Methods We searched Cochrane library, PubMed, EMbase, Sciencedirect, SpringerLink, CBM, CNKI ,Wanfang and VIP data to collect literatures and the references of related reviews from the inception to June 2018. Randomized controlled trials (RCTs) on effects of general anesthesia with or without parent presence on children undergoing general anesthesia were analyzed by using RevMan 5.3 software. Results Sixteen Chinese and English literatures were included, and the sample size included in the studies was 1,430. Meta-analysis showed that the induction of anesthesia with the presence of family members could reduce preoperative anxiety of parents [SMD=-0.37, 95%CI(-0.55, -0.19), P<0.01], and the incidence of agitation in children during induction and recovery [RR=0.67, 95%CI(0.53, 0.88), P<0.05], and relieve the pain of children during recovery [SMD=-0.38, 95%CI(-0.66,-0.09), P<0.05]. Conclusion Available evidence indicates that parent presence anesthesia has a positive effect on children and it is recommended that the hospital promote parent present anesthesia in light of actual situation.

Key words: children, surgery, anesthesia induction, parent present, Meta-analysis

CLC Number: 

  • R472.3
[1] Ozdogan H K, Cetinalp S, Kuran G, et al.The Effects of Maternal Presence during Anesthesia Induction on Salivary Cortisol Levels in Children undergoing Tonsillectomy and/or Adenoidectomy[J]. J Clin Anesth, 2017, 5(39):64-66. DOI: 10.1016/j.jclinane.2017.03.001.
[2] Dionigi A, Gremigni P.A Combined Intervention of Art Therapy and Clown Visits to Reduce Reoperative Anxiety in Children[J]. J Clin Nurs, 2017, 26(5-6):632-640. DOI:10.1111/jocn.13578.
[3] 马玉娟,寇建明,郭惠丽,等.父母陪护下行小儿麻醉诱导的效果研究[J]. 中华护理杂志, 2009, 44(9):845-847. DOI:10.3761/j.issn.0254-1769.2009.09.031.
[4] Odegard K C, Modest S A, Laussen P C.A Survey of Parental Satisfaction during Parent Present Induction of Anaesthesia for Children Undergoing Cardiovascular Surgery[J]. Paediatr Anaesth, 2002, 12(3):261-266.
[5] Kruger P, Rosen D.Parental Presence at Induction of Anesthesia is Feasible with Minimal Preparation and Resources[J]. Can J Anaesth,2016,63(10):1207-1208.DOI:10.1007/s12630-016-0707-x.
[6] Rasti-Emad-Abadi R, Naboureh A, Nasiri M, et al. The Effects of Preanesthetic Parental Presence on Preoperative Anxiety of Children and their Parents: A Randomized Clinical Trial Study in Iran[J]. Iran J Nurs Midwifery Res, 2017, 22(1):72-77. DOI:10.4103/ijnmr.IJNMR_178_14.
[7] Erhaze E K, Dowling M, Devane D.Parental Presence at Anaesthesia Induction: A Systematic Review[J]. Int J Nurs Pract, 2016, 22(4):397-407. DOI:10.1111/ijn.12449.
[8] Higgins J P, Green S. Cochrance Handbook for Systematic Reviews of Intervention Version 5.1.0[EB/OL].[2016-05-10].http://handbook.cochrane.org.
[9] Sadeghi A, Khaleghnejad Tabari A, Mahdavi A, et al.Impact of Parental Presence during Induction of Anesthesia on Anxiety Level among Pediatric Patients and Their Parents: A Randomized Clinical Trial[J].Neuropsychiatr Dis Treat, 2017, 7(12):3237-3241. DOI:10.2147/NDT.S119208.
[10] Bailey K M, Bird S J, McGrath P J, et al. Preparing Parents to Be Present for Their Child's Anesthesia Induction[J]. Anesth Analg, 2015, 121(4):1001-1010.DOI:10.1213/ANE.0000000000000900.
[11] Kain Z N, Caldwell-Andrews A A, Mayes L C, et al. Family-centered Preparation for Surgery Improves Perioperative Outcomes in Children[J]. Anesthesiology, 2007, 106(10): 65-74.
[12] Arai Y C, Ito H, Kandatsu N, et al.Parental Presence during Induction Enhances the Effect of Oral Midazolam on Emergence Behavior of Children Undergoing General Anesthesia[J]. Acta Anaesthesiol Scand, 2007, 51(7):858-861. DOI:10.1111/j.1399-6576.2007.01339.x.
[13] Wright K D, Stewart S H, Finley G A.When are Parents Helpful? A Randomized Clinical Trial of the Efficacy of Parental Presence for Pediatric Anesthesia[J]. Can J Anaesth, 2010, 57(8):751-758. DOI:10.1007/s12630-010-9333-1.
[14] Li H C, Lopez V, Lee T L.Psychoeducational Preparation of Children for Surgery: The Importance of Parental Involvement[J]. Patient Educ Couns, 2007,65(1):34-41. DOI:10.1016/j.pec.2006.04.009.
[15] Zand F, Allahyary E, Hamidi A R.Postoperative Agitation in Preschool Children following Emergence from Sevoflurane or Halothane Anesthesia: A Randomized Study on the Forestalling Effect of Midazolam Premedication Versus Parental Presence at Induction of Anesthesia[J]. Acta Anaesthesiol Taiwan, 2011, 49(3):96-99. DOI:10.1016/j.aat.2011.09.001.
[16] Spafford P A, von Baeyer C L, Hicks C L. Expected and Reported Pain in Children undergoing Ear Piercing: A Randomized Trial of Preparation by Parents[J]. Behav Res Ther, 2002, 40(3):253-266.
[17] Kain Z N, Mayes L C, Wang S M, et al.Parental Presence during Induction Anesthesia Versus Sedative Premedication: Which Intervention is More Effective?[J]. Anesthesiology, 1998, 10(89):1147-1156.
[18] Kain Z N, Mayes L C, Caramico L A, et al.Parental Presence during Induction of Anesthesia: A Randomized Controlled Trial[J]. Anesthesiology, 1996, 84(5):1060-1067.
[19] 黄维健. 以家庭为中心的互动式术前访视在腹股沟疝手术患儿访视中的应用[D]. 青岛:青岛大学,2017.
[20] 汪林芳,江小燕,张雪梅,等. 鞘状突未闭患儿在父母陪伴下行麻醉手术的效果评价[J].中国临床医师杂志(电子版), 2017,11(6):1049-1051. DOI:10.3877/cma.j.issn.1674-0785.2017.06.03.
[21] 娄金风. 咪达唑仑与父母陪护对小儿全凭静脉麻醉后苏醒期躁动的影响[D]. 吉林:吉林大学,2012.
[22] 张改英. 陪护下麻醉诱导对围术期患儿心理干预的影响[J].齐鲁护理杂志, 2012,18(26):8-10. DOI:10.3969/j issn. 1006-7256. 2012. 26.005.
[23] 许强,武庆平.父母陪伴对患儿七氟醚麻醉诱导时焦虑状态的影响[J].中华麻醉学杂志,2011, 31(6):674-676. DOI:10. 3760/cma. j. issn. 0254-1416 2011. 06. 007.
[24] 代娓,李艳娇,史铁英. 治疗性游戏对儿童围手术期影响的研究[J]. 护理学报, 2016,23(6):59-60.DOI:10.16460/j.issn1008-9969.2016.06.059.
[25] 刘松涛,曹兴华,侯守琳,等.父母陪伴舒适麻醉技术对患儿麻醉诱导依从性的影响[J].重庆医学,2017,46(27):3776-3778. DOI:10.3969/j issn. 1671-8348. 2017. 27. 010.
[26] Kassai B, Rabilloud M, Dantony E, et al.Introduction of a Paediatric Anaesthesia Comic Information Leaflet Reduced Preoperative Anxiety in Children[J]. Br J Anaesth, 2016, 117(1):95-102. DOI:10.1093/bja/aew154.
[27] Vejzovic V, Bramhagen A C, Idvall E, et al.Parents' Experiences When Their Child Is Undergoing an Elective Colonoscopy[J]. J Spec Pediatr Nurs, 2015, 20(2):123-130. DOI:10.1111/jspn.12109.
[1] GONG Zu-hua, SUN Li, TAN Xuan, ZHANG Yue, SHI Dan, CHENG Juan-juan. Effect of basic sign collection-comparison-recognition model for occult change after hepatobiliary surgery [J]. Journal of Nursing, 2025, 32(4): 74-78.
[2] WEI Li, ZHAO Xing-ying, LIU Jia, HE Yu-xuan, CHEN Xiao-mei, YANG Xue, XIAN Ji-shu, YANG Yan-ni. Care burden of family caregivers of severe inpatients in neurosurgery department and its influencing factors [J]. Journal of Nursing, 2025, 32(2): 1-6.
[3] BI Ya-xin, DUAN Ye, HE Li-jun, XU Miao, GONG Rong-hua. Best evidence summary for prevention and management of osteoporosis after metabolic, bariatric surgery [J]. Journal of Nursing, 2025, 32(1): 44-49.
[4] CHEN Si-qi, LIU Ning, HOU Xiao-min, LU Shu-ying. Best evidence summary for perioperative nursing management of enhanced recovery after surgery in robotic surgery for gastric cancer [J]. Journal of Nursing, 2024, 31(8): 31-36.
[5] XU Xiao-dong, LIU Shun-mei, ZHAO Xuan, DING Xiu-na. Construction of core competency evaluation index for nurses of apical microsurgery [J]. Journal of Nursing, 2024, 31(8): 69-73.
[6] YAO Wan-qing, YANG Li-zhuang, CHEN Dan-dan, ZHANG Wan-qiu, LU Wei, GUAN Cui-hong, LI Hai. Efficacy of different non-drug interventions on cancer-related fatigue in breast cancer patients: a network Meta-analysis [J]. Journal of Nursing, 2024, 31(24): 37-43.
[7] ZHOU Chun-xiang, RAO Yuan, CUI Meng-jiao, SHANG Zhi-ying, ZHANG Tian-lan, QIU Xi-chenhui, QIN Yan-ping. Application effect of sensor technology-based intelligent devices in gait rehabilitation of stroke patients: a Meta-analysis [J]. Journal of Nursing, 2024, 31(24): 44-50.
[8] GUAN Ya-ping, ZHENG Wei-liang, SUN Li-jun, CHEN Yuan, DING Jie-ying, XU Jia-jia. Construction of four-level nurse-led early mobilization program for patients after open heart surgery [J]. Journal of Nursing, 2024, 31(22): 67-72.
[9] GUAN Yan, CHEN Chen, SU Yun-yan, JIN Hua, XIE Xiao-li, HU Yue-xiu, WANG Zhe-yun. Construction of training program for cardiac surgery nurse specialists based on Taylor model [J]. Journal of Nursing, 2024, 31(18): 67-72.
[10] DAI Qi, LI Fang, ZHU Yuan, ZHANG Xiao-tong. Intelligent care need of patients undergoing lung cancer surgery based on KANO model [J]. Journal of Nursing, 2024, 31(17): 57-60.
[11] YU Feng-xia, YU Yuan. Expert consensus on surgical nursing in enhanced recovery after surgery for esophageal cancer during perioperative period [J]. Journal of Nursing, 2024, 31(17): 61-65.
[12] YANG Jian, ZHANG Ying, CHEN Xiao-yan, FENG Bi-long, HE Xue-yu. Doctor-nurse-patient accelerated rehabilitation clinical nursing pathway in patients with thoracoscopic resection of lung cancer [J]. Journal of Nursing, 2024, 31(13): 73-78.
[13] QIAN Da-di, ZHOU Hong-zhen, WANG Hong-xiao, DENG Shui-juan, LONG Hao. Experience of undergoing gamma knife radiosurgery in patients with intracranial tumor: a qualitative research [J]. Journal of Nursing, 2024, 31(11): 6-11.
[14] ZHANG Jing, HUANG Jia-ying, SHI Lei, LIANG Li-chan, MENG Jiang-nan, YE Hong-yu, WANG Wei-jie. Development trajectory of fear of progression and its influencing factors in parents of children with leukemia [J]. Journal of Nursing, 2024, 31(11): 12-17.
[15] JI Yuan-yuan, WANG Jun, YU Jie, ZHANG Na-qin, OU Meng-xian. Construction of post competency-based standardized training index system for new neurosurgery nurses [J]. Journal of Nursing, 2024, 31(1): 27-30.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!