人文关怀护理对唇腭裂整复术婴幼儿焦虑程度的影响  

Effects of the humanistic nursing on perioperative anxiety in infants and young children

作　　者：蔡树云[1] 陈金仙[1] 杨引[1] 刘瑞莉[1] 余沛旭[1] 黄文君[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001

出　　处：《国际护理学杂志》2010年第2期174-176,共3页international journal of nursing

摘　　要：目的探讨实施人文关怀护理前后唇腭裂整复术婴幼儿围术期焦虑程度的变化。方法选择2008年5月-2009年6月行唇腭裂整复术的患儿42例为护理组，实施人文关怀护理；选择2007年3月～2008年4月行唇裂整复术患儿38例为对照组，实施常规护理采用改良耶鲁围术期焦虑量表（mYPAS）于术前访视（T1）、人手术室（T2）、麻醉诱导时（T3）、术后24h（T4）4个时间点测量患儿的焦虑值，以诱导期合作评分（ICC）观察诱导时患儿合作程度，以调查表调查家属的满意度。结果与T1时间点相比，两组患儿T2及T3两个时间点焦虑评分明显升高（P〈0．01），T4回到术前值；两组比较，护理组患儿在T3时其焦虑评分明显降低（P〈0．01），同时护理组患儿合作评分也明显降低（P〈0．01）；护理组患儿家属对医务人员满意率明显高于对照组，差异有显著性（P〈0．01）。结论采用人文关怀护理能明显的减轻唇腭裂整复术患儿围术期的焦虑程度。Objective To investigate the effects of nursing techniques with humanistic nursing on perioperative anxiety in infants and young children. Methods Compared with 38 cases with cheilopalatognathus （C group）, 42 cases with cheilopalatognathus （H group） were performed by humanistic nursing. The anxiety level were tested by mYPAS （modified Yale reoperative anxiety scale） at 4 time points： the day before operation, walking into the operating room, anesthesia induction and the day after operation. The cooperative levels during the anesthesia induction were tested by ICC （induction compliance checklist） . Results In both groups, there was significantly higher anxiety level when walking into the operating room and during the anesthesia induction than that at the day before operation, but the children in H group showed lower anxiety level and better cooperation than that in C group during the anesthesia induction. Conclusions Combining nursing techniques with humanistic nursing can have a good effect to lower the anxiety level in infancy and children.

关 键 词：焦虑 人文关怀 护理 

分 类 号：R473.78[医药卫生—护理学]