影音动画式心理干预与常规心理安慰对小儿术后焦虑、恐惧影响的比较  

AV ANIMATION WITH THE TRADITIONAL PSYCHOLOGICAL COMFORT PSYCHOLOGICAL INTERVENTION EFFECTS ON PEDIATRIC POSTOPERATIVE ANXIETY AND FEAR

作　　者：赵艾[1] 

机构地区：[1]中国医科大学附属盛京医院手术室,辽宁省沈阳市110004

出　　处：《中国煤炭工业医学杂志》2016年第11期1649-1652,共4页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨影音动画式心理干预及常规心理安慰对小儿术后焦虑、恐惧的影响。方法选择择期全身麻醉下腹部手术患儿80例,随机分为观察组和对照组,各40例。观察组采用播放影音动画的形式对哭闹的患儿进行心理干预,对照组采用讲故事的方式对哭闹患儿进行心理干预,二组患儿常规入苏醒室后监测生命体征,苏醒时间,分别于给镇痛药后5min、10min、20min比较二组患儿的镇痛评分,于观看影片后10min比较二组患儿的镇静评分,恐惧评分。结果观察组患儿哭闹躁动明显少于对照组患儿,组内比较差异有统计学意义(P<0.05)。结论影音动画式心理干预与常规心理安慰比较能显著降低患儿术后焦虑、哭闹的发生,有效缩短术后恢复室的留观时间,减少术后躁动及其带来的并发症的发生,使患儿平稳度过围术期。Objective To explore the effect of Av（audio, video）animation psychological intervention and conventional psychological comfort on pediatric postoperative anxiety and fear. Methods We selected 80 cases of children undergoing elective abdominal surgery under general anesthesia, then were randomly divided into treatment group （group A） and control group （group B）, 40 cases in each group. We adopt the form of broadcast video animation for group A crying children as psychological intervention, and we used the way of telling the story for group B crying children as psychological intervention. Two groups of children in postanesthesia care unit were given conventional monitoring of vital signs and wake up of time, respectively to compare the analgesic score of two groups of children at 5 minutes, 10 minutes, 20 minutes after they were given a signal dose of analgesics and to compare two groups of children with sedation scores, and fear at 10 minutes after watched the film. Results The phenomenon of crying ,agitation Of children of group A significantly less than group B, the difference was statistically significant （P〈0.05）. Conclusions Av animation type psychoiogical intervention compared With conventional psychological comfort can significantly reduce the occurrence of postoperative anxiety, crying, effectively shorten the postop-erative recovery room under observation time, reduce the occurrence of the complications of postoperative agitation and, make the children calm during perioperative.

关 键 词：影音动画 心理干预 小儿 术后焦虑 

分 类 号：R749.94[医药卫生—神经病学与精神病学]