| ObjectiveTo explore the effects of family centered interactive preoperative visit on children with inguinal hernia surgery,such as the anxiety scores before operation,the cooperation scores of anesthesia induction period and the preoperative anxiety scores of children's parents.To investigate the satisfaction to the preoperative interview of the parents whose children undergoing surgery,with the purpose of providing a reference for the further in-depth preoperative visit for children.MethodThe study used a purposive sampling method,from December 2015 to March 2016,48 children with inguinal surgery and their 48 parents who met the inclusion criteria were selected from the pediatric surgery ward I and the pediatric surgery ward II Individually.The respondents of the pediatric surgery ward II were selected as the control group by drawing lots.The respondents of the pediatric surgery ward I were selected as the experimental group by drawing lots.The respondents of the control group were treated with the routine preoperative visit method.The respondents of experimental group were treated with the family centered interactive preoperative interview on the basis of routine preoperative visit.The anxiety scores of children with inguinal hernia were evaluated by modified Yale Preoperative Anxiety Scale(m YPAS)at the time of three points: before the pre-operative interview,waiting outside the operating room and after entering the operating room.The Induction Compliance Checklist(ICC)was used to evaluate the coordination level during the induction period of anesthesia.The children's mean arterial pressure(MAP)and heart rate(HR)were recorded at these 3 time-points.State anxiety scale(S-AI)was used to assess the level of parents' anxiety at the three stages before the pre-operative interview,waiting in the operating room and the children entering the operation room.The satisfaction questionnaire was used to investigate the satisfaction scores of parents whose children undergoing indirect inguinal hernia surgery on the second day after operation.SPSS21.0 software was used to analyze the data collected during the research.Result1.48 cases of the children undergoing inguinal hernia surgery and their parents in the control group and 48 cases of the experimental group participated in this study.2.The baseline data,the anxiety degree,the mean arterial pressure,the heart rate before preoperative interview of the children undergoing inguinal hernia surgery in the two groups were not statistically significant(P > 0.05).The baseline data and the anxiety degree before preoperative interview of the parents in the two groups were not statistically significant(P > 0.05).3.The anxiety score of the experimental group children before the preoperative visit,preoperative waiting period,entering the operation room was 37.85±6.36 points,39.75±6.55 points,46.73±6.57 points respectively;The anxiety score of the control group children before the preoperative visit,preoperative waiting period,entering the operation room was 36.77±6.42 points,43.17±7.95 points,63.31±7.49 points respectively.The results of repetitive measure analysis of variance showed that the anxiety scores of the children from the two groups before preoperative visit,the time of waiting outside the operating room and the time entering the operating room was statistically significant(P<0.01);the interaction effect between time and group on anxiety score was statistically significant(P<0.01).This indicated that the effect of time factor varied with the group.Single factor-repeated measures showed: The change of anxiety score of the experimental group at 3 time points was statistically significant(P < 0.01).The change of anxiety score of the control group at 3 time points was statistically significant(P < 0.01).Multivariate analysis of variance showed there was no significant difference between the experimental group and the control group in preoperative anxiety scores(P>0.05),the anxiety scores of the experimental group were less than those in the control group.The anxiety scores in the experimental group were lower than those in the control group(P < 0.05)at the the time of waiting outside the operating room and after entering the operation room.4.The mean arterial pressure of the experimental group children before the preoperative visit,preoperative waiting period,entering the operation room was 75.17±4.60 mm Hg,82.65±3.78 mm Hg,84.71± 6.57 mm Hg;The heart rate was 94.94±4.71 beats/min?95.56±6.15 beats/min?97.50±4.28 beats/min respectively.The mean arterial pressure of the control group children before the preoperative visit,preoperative waiting period,entering the operation room was 76.56±5.27 mm Hg,88.56±4.70 mm Hg,89.23±6.77 mm Hg respectively.The heart rate was 93.06±4.97 beats/min,98.94±8.09 beats/min,103.63±5.27 beats/min.The results of repetitive measure analysis of variance showed that the mean arterial pressure and the heart rate of children from the two groups before preoperative visit?the time waiting outside the operating room and entering the operating room were statistically significant(P<0.01).The interaction effect between time and group on the mean arterial pressure and the heart rate was statistically significant(P<0.01).This indicated that the effect of time factor varies with the group.Single factor-repeated measures showed: There was no significant difference among the changes of heart rate at 3 time points in the experimental group(P>0.05),The change of the mean arterial pressure in the experimental group at 3 time points was statistically significant(P< 0.01).The change of anxiety score of the control group at 3 time points was statistically significant(P<0.01),Multivariate analysis of variance showed there was no significant difference between the experimental group and the control group in the mean arterial pressure and the heart rate(P>0.05),The mean arterial pressure and the heart rate in the experimental group were lower than those in the control group(P< 0.05)at the the time of waiting outside the operating room and after entering the operation room.5.Compared with the control group,the score of induction compliance Checklist(ICC)was lower than that of the control group[(1.75±1.25)points vs(4.31±1.22)points],and the difference was statistically significant(P<0.01).6.The anxiety scores of the experimental group parents before the preoperative visit,preoperative waiting period,entering the operation room were 40.58±5.74 points,44.67±7.01 points,48.13±6.27 points respectively.The anxiety scores of the control group parents before the preoperative visit,preoperative waiting period,entering the operation room were 41.50±5.91 points,47.38±6.16 points,66.42±6.20 points respectively.The results of repetitive measure analysis of variance showed that the anxiety degree of the two groups' parents before preoperative visit,the time of waiting outside the operating room and entering the operating room was statistically significant(P<0.01).The interaction effect between time and group on anxiety score was statistically significant(P<0.01).This indicated that the effect of time factor varies with the experimental group.Single factor repeated measures showed: The change of anxiety score of the experimental group at 3 time points was statistically significant(P< 0.01).The change of anxiety score of the control group at 3 time points was statistically significant(P <0.01).Multivariate analysis of variance showed there was no significant difference between the experimental group and the control group in preoperative anxiety scores(P>0.05),and the anxiety degree of the experimental group was less than that in the control group.The anxiety degree in the experimental group was lower than that in the control group(P<0.01)at the the time of waiting outside the operating room and after entering the operation room.7.The parents' satisfaction scores of inguinal hernia surgery children in the experimental group were significantly higher than those in the control group[(18.08±1.65)points vs(15.88±2.31)points],the difference was statistically significant(P<0.01).Conclusion1.The family centered interactive preoperative visit pattern can reduce the blood pressure and heart rate of patients undergoing inguinal hernia surgery before and during the induction period of anesthesia,maintain the vital signs of children,and improve the safety of anesthesia and operation.2.The family centered interactive preoperative visit pattern can reduce the preoperative anxiety of children undergoing inguinal hernia surgery and their parents significantly and reduce the negative impact of surgery on children and parents.3.The family centered interactive preoperative visit can improve the cooperation degree of anesthesia induction period of operation in children;reduce the uncooperative behavior and increase the success rate of anesthesia.4.The family centered interactive preoperative visit can close the relationship between nurses and surgical patients in the operating room;the satisfaction degree of parents to the operating room can be obviously raised. |
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