Frontiers in medicine · 2026
Application effect of parental accompanying during anesthesia induction and recovery period nursing in endoscopic plasma-assisted tonsillectomy combined with adenoidectomy.
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Yang Yu, He Chuan, Qin Jiayin, Wu Liqiu
Аннотация
AIM: To assess the application effect of parental accompanying during anesthesia induction and recovery period nursing in endoscopic plasma-assisted tonsillectomy combined with adenoidectomy.
METHODS: A total of 116 children admitted to our hospital between January 2021 to February 2024 who were diagnosed with adenotonsillar hypertrophy and scheduled to undergo endoscopic plasma-assisted tonsillectomy combined with adenoidectomy were enrolled in this study. Eligible children were identified from patients already posted for surgery during the study period and were assigned to the control group or the observation group, with 58 cases in each group. In the control group, anesthesia induction and recovery were managed by nurses alone, whereas in the observation group, parental presence was provided during anesthesia induction and nursing care during anesthesia recovery. The anesthesia resuscitation time, anxiety levels of children and parents, degree of cooperation during anesthesia induction, degree of delirium, degree of pain, and nursing satisfaction were compared between the two groups.
RESULTS: Compared with the control group, the observation group had a shorter eye-opening time and a shorter stay in the anesthesia resuscitation room (P < 0.01), lower mYPAS and S-TAI scores 1 day after surgery (P < 0.05), a lower ICC score (P < 0.01), lower PAED scores at T2, T3, and T4 (P < 0.01), lower FLACC scores at T2, T3, T4, and T5 (P < 0.01), and a higher nursing satisfaction rate (P < 0.05).
CONCLUSION: Parental accompanying during anesthesia induction and recovery period nursing was associated with lower anxiety-related scores, better induction compliance, less emergence delirium and pain-related behavioral distress, and improved recovery-room outcomes in children undergoing endoscopic plasma-assisted tonsillectomy combined with adenoidectomy. However, these findings should be interpreted cautiously in light of the bundled nature of the intervention and the methodological limitations of the study.
METHODS: A total of 116 children admitted to our hospital between January 2021 to February 2024 who were diagnosed with adenotonsillar hypertrophy and scheduled to undergo endoscopic plasma-assisted tonsillectomy combined with adenoidectomy were enrolled in this study. Eligible children were identified from patients already posted for surgery during the study period and were assigned to the control group or the observation group, with 58 cases in each group. In the control group, anesthesia induction and recovery were managed by nurses alone, whereas in the observation group, parental presence was provided during anesthesia induction and nursing care during anesthesia recovery. The anesthesia resuscitation time, anxiety levels of children and parents, degree of cooperation during anesthesia induction, degree of delirium, degree of pain, and nursing satisfaction were compared between the two groups.
RESULTS: Compared with the control group, the observation group had a shorter eye-opening time and a shorter stay in the anesthesia resuscitation room (P < 0.01), lower mYPAS and S-TAI scores 1 day after surgery (P < 0.05), a lower ICC score (P < 0.01), lower PAED scores at T2, T3, and T4 (P < 0.01), lower FLACC scores at T2, T3, T4, and T5 (P < 0.01), and a higher nursing satisfaction rate (P < 0.05).
CONCLUSION: Parental accompanying during anesthesia induction and recovery period nursing was associated with lower anxiety-related scores, better induction compliance, less emergence delirium and pain-related behavioral distress, and improved recovery-room outcomes in children undergoing endoscopic plasma-assisted tonsillectomy combined with adenoidectomy. However, these findings should be interpreted cautiously in light of the bundled nature of the intervention and the methodological limitations of the study.