{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:40:05Z","timestamp":1782139205869,"version":"3.54.5"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the application effect of parental accompanying during anesthesia induction and recovery period nursing in endoscopic plasma-assisted tonsillectomy combined with adenoidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with the control group, the observation group had a shorter eye-opening time and a shorter stay in the anesthesia resuscitation room (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.01), lower mYPAS and S-TAI scores 1 day after surgery (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.05), a lower ICC score (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.01), lower PAED scores at T2, T3, and T4 (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.01), lower FLACC scores at T2, T3, T4, and T5 (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.01), and a higher nursing satisfaction rate (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1771384","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T12:30:08Z","timestamp":1777033808000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Application effect of parental accompanying during anesthesia induction and recovery period nursing in endoscopic plasma-assisted tonsillectomy combined with adenoidectomy"],"prefix":"10.3389","volume":"13","author":[{"given":"Yu","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Operating Room, The People\u2019s Hospital of Bozhou, Bozhou","place":["Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuan","family":"He","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, The People\u2019s Hospital of Bozhou, Bozhou","place":["Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayin","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Operating Room, The People\u2019s Hospital of Bozhou, Bozhou","place":["Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liqiu","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Operating Room, The People\u2019s Hospital of Bozhou, Bozhou","place":["Anhui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1213\/ane.0000000000006645","article-title":"Care of the pediatric patient for ambulatory tonsillectomy with or without adenoidectomy: the society for ambulatory anesthesia position statement.","volume":"139","author":"Brennan","year":"2024","journal-title":"Anesthesia Analgesia."},{"key":"B2","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1186\/s12887-023-03979-2","article-title":"Age-related hypertrophy of adenoid and tonsil with its relationship with craniofacial morphology.","volume":"23","author":"Huang","year":"2023","journal-title":"BMC Pediatr."},{"key":"B3","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1186\/s12871-026-03717-y","article-title":"Effectiveness of parental presence during induction of anaesthesia in managing perioperative anxiety in children: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.","volume":"26","author":"Alalikhan","year":"2026","journal-title":"BMC Anesthesiol."},{"key":"B4","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/j.jopan.2020.08.015","article-title":"Parental and child anxiety perioperatively: relationship, repercussions, and recommendations.","volume":"36","author":"Sullivan","year":"2021","journal-title":"J Perianesthesia Nurs."},{"key":"B5","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.pedn.2024.03.010","article-title":"Global prevalence and risk factors of emergence delirium in pediatric patients undergoing general anesthesia: a systemic review and meta-analysis.","volume":"77","author":"Chen","year":"2024","journal-title":"J Pediatric Nurs."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1349105","DOI":"10.3389\/fphar.2024.1349105","article-title":"Electroencephalographic insights into the pathophysiological mechanisms of emergence delirium in children and corresponding clinical treatment strategies.","volume":"15","author":"Gao","year":"2024","journal-title":"Front. 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