关键词: 麻醉诱导配合度, 非药物干预, 证据总结, 围手术期护理, 儿科护理学

Abstract:

Objective To search,evaluate,and summarize the best evidence of non-pharmacological interventions to improve cooperation during anesthesia induction in children undergoing surgery,providing evidence-based evidence for clinical practice. Methods According to the “6S” evidence resource pyramid model,the domestic and foreign guide networks and databases including UpToDate,Cochrane Library,PubMed and Yimai Tong Guide were systematically searched. All the evidence of non-pharmacological interventions to improve anesthesia induction coordination in children undergoing surgery was involved,including guidelines,systematic reviews,evidence summaries,and expert consensuses. The retrieval time limit was from the establishment of the database to October 1,2021. Researchers conducted independent quality evaluation of the literature according to the relevant literature quality evaluation criteria,and they standardized data extraction of the final included literature based on professional judgment. Results Totally 15 pieces of the literature were included,including 7 clinical practice guidelines,7 systematic reviews and 1 expert consensus. Finally,20 pieces of best evidence about preoperative education,operating room environment setting,distraction technology,social intervention and the use of breathing masks were summarized. Conclusion The study summarizes the best evidence of non-pharmacological interventions to improve the anesthesia induction cooperation in children with surgery. Non-pharmacological interventions have high safety and operability for nurses,and clinical medical staff can combine the clinical situation and specific policies to carry out the evidence for clinical transformation and application,so as to improve the degree of anesthesia induction cooperation in surgical children.

Key words: Coordination During Induction of Anesthesia, Non-Pharmacological Intervention, Evidence Summary, Perioperative Nursing, Pediatric Nursing