人工耳蜗植入围手术期的心理护理探讨  

Perioperative Psychological Nursing in Children Receiving Cochlear Implant

作　　者：金伟[1] 宁丽丽[1] 刘燕京[1] 高小宁[1] 

机构地区：[1]解放军总医院耳鼻咽喉头颈外科,北京100853

出　　处：《中华耳科学杂志》2013年第1期118-120,共3页Chinese Journal of Otology

摘　　要：目的探讨心理护理在人工耳蜗植入患儿围手术期的作用。方法对127例患儿父母进行问卷调查,收集基本资料和对焦虑水平进行评分,分别采用导入式游戏、开展健康知识讲座、召开沟通座谈会、成功病例介绍等形式帮助患儿及父母在手术前、术中及术后各期存在负性心理时给予针对性心理护理干预。结果 116名(91.3%)患儿父母存在焦虑,父母文化程度高及职业为干部者焦虑比例高。所有人工耳蜗植入患儿都能顺利地完成手术,术后效果好,同时患儿家长也都愿意积极的配合医护人员做好后期的言语康复训练,提高了患儿及家长对获得听力,提高其语言交流能力的信心。结论系统的心理护理不仅是保证手术成功的重要因素,同时也是提高术后言语康复减轻聋儿及家长负性心理影响的重要手段。Objective To investigate the effect of perioperative psychological nursing in children receiving cochlear implant. Methods One hundred twenty seven parents of deaf children who were to receive cochlear implant completed a questionnaire for assessment of their psychological conditions and personality characteristics and for scoring anxiety levels. Games, health knowledge forum, group discussion and successful case presentation were administered as targeted nursing intervention to help the children and parents overcome negative psychological difficulties before, during and after the im？plant procedure. Results Anxiety was identified in 116 parents （91.3%）, seemingly correlated to the level of their education and professions. The chochlear implant procedure was successful in all children in this study, with good results. All parents were willing to continue the speech and language rehabilitation in cooperation with medical stuff, with boosted confidence in acquisition of language ability both in the children and parents. Conclusion Systematic psychological nursing is not only an important factor for successful operation, but also an important measure to lessen the negative psychological influence on parents. It is also beneficial to postoperative speech and language rehabilitation.

关 键 词：电子耳蜗植入术 围手术期 患儿及家属 心理护理 

分 类 号：R764.93[医药卫生—耳鼻咽喉科]