抚触对6个月以下婴儿先天性心脏病体外循环术后恢复的影响  

Effect of touching for infants under six months after extracorporeal circulation congenital heart disease operation

作　　者：庞鑫[1] 金娜[1] 张小雪[1] 

机构地区：[1]中国医科大学附属第一医院心脏外科, 沈阳110001

出　　处：《中华现代护理杂志》2013年第36期4467-4469,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨抚触对6个月以下婴儿先天性心脏病体外循环术后恢复的影响。方法选择先天性心脏病手术患儿32例，随机分为观察组（n＝16）和对照组（n＝16），术后对照组给予常规护理，观察组在对照组的基础上增加每日抚触，比较两组患儿术后恢复情况。结果观察组患儿术后平均每日摄入奶量（381．5±42）ml，多于对照组（357．5±58）ml；引流管拔除时间（71．8±14．0）h，低于对照组（92．5±15．8）h；两组比较差异均有统计学意义（t值分别为4．62，3．92；P＜0．05）。观察组患儿75．0％睡眠良好，高于对照组56．3％，两组比较差异有统计学意义（P＜0．05）；观察组患儿恐惧程度低于对照组，两组比较差异有统计学意义（χ2＝6．312，P＜0．05）。结论抚触作为6个月以下婴儿先心病体外循环术后简便易行的干预措施之一，有助于患儿的术后恢复。Objective To discuss the effects of touching for infants under six months after extracorporeal circulation congenital heart disease operation .Methods A total of 32 infants with congenital heart disease who were hospitalized between January , 2012 and December , 2012 were chosen and randomly divided into observation group （ n=16 ） and control group （ n=16 ） .The usual care was carried out for the control group and the extra touching was for the observation group .The average milk-intake per day , the variation of heart rate and blood pressure , sleep quality , weight when leaving hospital , the remove time of drainage tube , the time of hospital stays , C-reaction protein , blood glucose , glutamic-pyruvic transaminase and creatinine were compared.Results There was more milk-intake per day in observation group [（381.5 ±42）ml vs （357.5 ±58） ml] and the remove time of drainage tube was shorter in the observation group than that in the control group [（71.8 ±14.0） h vs （92.5 ±15.8） h].There were significant differences between two groups （t=4.62, 3.92, respectively; P〈0.05）.75% infants in observation group obtained better quality of sleep than the control group 56.3%.Infants experiencing excessive fear was 18.8% among observation group and significantly lower than the control group （χ2 =6.312, P〈0.05）.Conclusions Touching is a simple and convenient intervening measure for the infants under six months after extracorporeal circulation congenital heart disease operation , and it has obvious benefits and important meaning for postoperative recovery .

关 键 词：先天性心脏病 婴儿 抚触 体外循环术 术后恢复 

分 类 号：R473.72[医药卫生—护理学]