Effects of dexmedetomidine nasal drops-assisted audio-visual animation psychological intervention on anxiety and coordination before general anesthesia in children with congenital heart disease

Abstract

The purpose of this article is to observe the effect of dexmedetomidine nasal-assisted audio-visual animation psychological intervention on preoperative anxiety and coordination of children with congenital heart disease surgery under general anesthesia. Seventy children who underwent elective congenital heart disease surgery in our hospital from January to December 2020 were selected as the research objects, and they were divided into the control group and the study group by random number table method, 35 cases/group. Both groups were given 2μg/kg dexmedetomidine slowly instilled in the nose 30 minutes before induction of anesthesia. At the same time, the control group received routine nursing care, and the study group combined audio-visual and animated psychological intervention. The sleeping conditions of the two groups of children after 30 minutes of nasal drip were recorded. The two groups of children were compared with the modified Yale preoperative anxiety scale (mYPAS) scores at 1 day before surgery, on the day of surgery, and during induction of anesthesia, and the induction compliance checklist during induction of anesthesia (induction compliance checklist, ICC) score. Thirty minutes after nasal drip, compared with the control group, the number of children falling asleep in the study group was significantly increased, and the difference was statistically significant (P <0.05); 1 day before the operation, the mYRAS score and mYRAS score of the two groups of children were more than 40 points. Compared with the control group, the mYRAS score and the number of cases with mYRAS score ≥40 in the study group were significantly reduced on the day of surgery and during induction of anesthesia (P > 0.05). The difference was statistically significant. Significance (P < 0.05); during induction of anesthesia, compared with the control group, the number of ICC scores and ICC scores ≥ 4 in the study group were significantly lower than those in the control group (P < 0.05). The use of 2μg/kg dexmedetomidine nasal drops to assist the psychological intervention of audio-visual animation 30 minutes before surgery can significantly improve the cooperation of children and improve preoperative anxiety. It is worth promoting to improve nursing satisfaction.