The effect of visual preconditioning on emergence agitation of preschool children during ophthalmologic anesthesia / 中国实用护理杂志

ABSTRACT

Objective:To investigate the effect of visual preconditioning on emergence agitation in ophthalmic surgery among preschool children.Methods:A total of 156 preschool children who underwent elective ophthalmic surgery in Qilu Hospital of Shandong University from February to September 2021 were selected as the research subjects, and they were divided into the control group and the intervention group by random number table method, there were 78 cases in each group. The control group was given normal nursing 1 hour before surgery while the intervention group accepted visual preconditioning by covering the affected eye. Chinese Version of the Modified Yale Preoperative Anxiety Scale (Cm-YPAS) was used to evaluate the grade of anxiety for the patients during the process of anesthesia induction. Pediatric Anesthesia Emergence Delirium (PAED) was used to compare the score of emergence agitation and the incidence rate of emergence agitation of the two groups.Results:Finally, 75 cases were included in the intervention group and 75 cases in the control group. During anesthesia induction, the intervention group scored (39.78±4.84) and the control group scored (41.07±5.09) with Cm-YPAS, and there was no statistical difference between the two groups ( P>0.05). Furthermore, compared the PAED score of the intervention group 5(4,8) with the control group 8(5, 11), there were statistically significant differences between the two groups ( Z=-3.07, P<0.01). Emergence agitation incidence in the intervention group was 14.67%(11/75), which was lower than that in the control group 38.67%(29/75), the difference was significant ( χ2=11.05, P<0.01). Conclusions:Visual preconditioning can effectively improve recovery quality after general anesthesia and decrease the incidence rate of emergence agitation in ophthalmic surgery among preschool pediatric patients. It′s well worthy of application and dissemination of visual preconditioning clinically.