兴趣游戏用于降低学龄前患儿术前焦虑的效果研究  

Effect of interested play on reducing children’s preoperative anxiety

作　　者：高兴莲[1] 刘英[2] 田莳[1] 张冬青[1] 武庆平[3] 

机构地区：[1]华中科技大学同济医学院附属协和医院手术室,武汉市430022 [2]华中科技大学同济医学院研究生班 [3]华中科技大学同济医学院附属协和医院麻醉科,武汉市430022

出　　处：《中华护理杂志》2013年第1期27-29,共3页Chinese Journal of Nursing

摘　　要：目的探讨兴趣游戏干预对学龄前患儿心理及麻醉配合程度的影响。方法将59例择期手术的患儿按随机数字表法分为试验组(n=29)和对照组(n=30)。术前15～20min,试验组患儿与1名家长进入童趣化麻醉诱导间等候,患儿进行游戏;麻醉诱导时,手术室护士采用鼓励、分散注意力等方法使患儿配合麻醉诱导。对照组患儿与1名家长在普通术前等候室等候,护士将其带入麻醉诱导间进行一般麻醉诱导。患儿进入手术室时、等待手术时、麻醉诱导时,采用改良耶鲁围手术期焦虑量表(ModifiedYale Preoperative Anxiety Scale,mYPAS)进行评价;麻醉合作量表(Induction Compliance Checklist,ICC)用于评价患儿麻醉诱导时的行为表现。结果两组mYPAS得分比较,进入手术室时的差异无统计学意义(P>0.05);在等待手术时、麻醉诱导时,试验组得分低于对照组,差异有统计学意义(P<0.05)。ICC得分试验组低于对照组,差异有统计学意义(P<0.05)。结论采用儿童兴趣游戏进行术前干预,能有效减轻患儿术前焦虑、恐惧,提高麻醉诱导配合程度。Objective To evaluate the effect of interested play on reducing children＇s preoperative anxiety and improving compliance with anesthesia. Methods Fifty-nine pre-school children receiving elective surgery were assigned to two groups by a random number table. The children in the control group were admitted to a general preoperative room with a parent for 15- 20 minutes and then were taken into the anesthesia room. The children in the experimental group with a parent were taken into an anesthesia room decorated with toys and cartoons 15 minutes prior to surgery. During anesthesia induction,the nurse attracted children＇s attention using interesting play with encouragement and rewards. The children＇s anxiety was assessed using Modified Yale Preoperative Anxiety Scale（mYPAS） when they entered into the operating room,waiting for surgery and during anesthesia induction. Moreover,the children＇s compliance with anesthesia induction was assessed using the Induction Compliance Checklist（ICC）. Results The mYPAS score was significantly lower in the experimental group than that in the control group when waiting for surgery and anesthesia induetion（P〈0.05）,while there was no significant difference when they entered into the operating room. The children＇s compliance with anesthesia induction was significantly higher in the experimental group than that in the control group（P〈0.05）. Conclusion Interested play can reduce pre-school children＇s pre- operative anxiety,and improve their compliance with anesthesia induction.

关 键 词：游戏和玩具 儿童 学龄前 焦虑 手术前护理 

分 类 号：R473.72[医药卫生—护理学]