Abstract：
UNASSIGNED: Children who experience Emergence Delirium following an anaesthetic are at an increased risk of injury, harm to the surgical site, delayed discharge from the recovery room/ post anaesthetic care unit, an increased length of stay in hospital, the requirement of additional nursing staff to care for them and may display additional emotional and behavioural upsets in the weeks following surgery. Many factors have been postulated to be associated with the development of Emergence Delirium in children. However, to date the strength and nature of these associations has not been thoroughly investigated nor discussed considering the specific implications for contemporary nursing practice.
UNASSIGNED: The aim of this scoping review is to provide an overview of Emergence Delirium in children, and a critical synthesis of evidence informing development of nursing interventions to prevent or minimise paediatric Emergence Delirium.
UNASSIGNED: This scoping review was conducted guided by the PRISMA checklist. 14 peer-reviewed studies and guidelines published between 2000 and 2020 on Emergence Delirium in children and nursing practice were included in the deductive thematic analysis stage.
UNASSIGNED: The results found the anxiety of the child, the post-operative phase, continuity of care and medication administration were key themes in the nursing management of Emergence Delirium.
UNASSIGNED: There is opportunity for further research to be conducted on child Emergence Delirium in different hospital systems with further exploration of nurse-led interventions.
UNASSIGNED: The aim of this scoping review is to provide an overview of Emergence Delirium in children, and a critical synthesis of evidence informing development of nursing interventions to prevent or minimise paediatric Emergence Delirium.
UNASSIGNED: This scoping review was conducted guided by the PRISMA checklist. 14 peer-reviewed studies and guidelines published between 2000 and 2020 on Emergence Delirium in children and nursing practice were included in the deductive thematic analysis stage.
UNASSIGNED: The results found the anxiety of the child, the post-operative phase, continuity of care and medication administration were key themes in the nursing management of Emergence Delirium.
UNASSIGNED: There is opportunity for further research to be conducted on child Emergence Delirium in different hospital systems with further exploration of nurse-led interventions.
摘要：
麻醉后出现谵妄的儿童受伤风险增加，对手术部位的伤害，从恢复室/麻醉后护理室延迟出院，住院时间增加，需要额外的护理人员来照顾他们，并且在手术后的几周内可能会表现出额外的情绪和行为障碍。据推测，许多因素与儿童出现谵妄有关。然而,迄今为止,尚未对这些关联的强度和性质进行全面调查,也未考虑对当代护理实践的具体影响进行讨论.
■本范围审查的目的是提供儿童出现谵妄的概述，以及重要的综合证据，为预防或减少小儿谵妄的护理干预措施的发展提供信息。
■这项范围审查是在PRISMA清单的指导下进行的。在演绎主题分析阶段，纳入了2000年至2020年间发表的14项同行评审研究和指南，内容涉及儿童出现谵妄和护理实践。
■结果发现了孩子的焦虑，术后阶段,护理和药物管理的连续性是出现谵妄的护理管理的关键主题。
■有机会在不同的医院系统中对儿童出现谵妄进行进一步的研究，并进一步探索护士主导的干预措施。
■本范围审查的目的是提供儿童出现谵妄的概述，以及重要的综合证据，为预防或减少小儿谵妄的护理干预措施的发展提供信息。
■这项范围审查是在PRISMA清单的指导下进行的。在演绎主题分析阶段，纳入了2000年至2020年间发表的14项同行评审研究和指南，内容涉及儿童出现谵妄和护理实践。
■结果发现了孩子的焦虑，术后阶段,护理和药物管理的连续性是出现谵妄的护理管理的关键主题。
■有机会在不同的医院系统中对儿童出现谵妄进行进一步的研究，并进一步探索护士主导的干预措施。
