小儿腺样体及扁桃体摘除术围术期的心理护理  

Perioperative Psychological Nursing of Adenoids and Tonsillectomy in Children

作　　者：马丽娟 MA Li-juan(Department of Otolaryngology,Faculty of ENT,Yancheng,Jiangsu Province,224001 China)

机构地区：[1]盐城市一院五官科医院耳鼻喉科,江苏盐城224001

出　　处：《系统医学》2018年第20期193-195,共3页Systems Medicine

摘　　要：目的探讨分析小儿腺样体及扁桃体摘除术围术期的心理护理对策。方法将2017年1月—2018年4月该院64例小儿腺样体及扁桃体摘除术患儿分为两组,对照组行围手术期标准护理,观察组在此基础上开展心理护理,对比两组手术情况和术后恢复情况,统计术后并发症发生率。结果与对照组相比,观察组手术用时更短,术后睁眼时间、呼吸恢复时间及拔管时间更早,两组数据差异有统计学意义(t=9.224、6.177、6.406、6.943,P=0.002、0.015、0.013、0.011);观察组患儿术后OAAS评分为(4.55±0.16)分,VAS评分为(4.51±0.68)分,较对照组(6.09±0.71)分、(6.85±1.40)分相比差异有统计学意义(t=7.341、7.085,P=0.010、0.011);观察组术后恶心呕吐、误吸、喉痉挛和喉水肿发生率明显低于对照组,两组数据差异有统计学意义(χ~2=5.143,P=0.027)。结论围手术期开展心理护理,可有效加强腺样体及扁桃体摘除术患儿的心理应对,降低手术应激反应与并发症,促进患儿术后恢复,值得临床推广和应用。Objective To analyze the psychological nursing strategies for the perioperative period of pediatric adenoid and tonsillectomy. Methods From January 2017 to April 2018, 64 children with adenoids and tonsillectomy in the hos- pital were divided into two groups. The control group received standard nursing during perioperative period. The obser- vation group carried out psychological nursing on this basis. The incidence of postoperative complications was compared between the two groups and the postoperative recovery. Results Compared with the control group, the observation group was shorter in operation time, postoperative blink time, respiratorT recovery time and extubation time earlier. The dif- ference between the two groups was statistically significant （t=9.224, 6.177, 6.406, 6.943, P=0.002, 0.015, 0.013, 0.011）; the postoperative OAAS score was （4.55±0.16）points, and the VAS score was （4.51±0.68）points, compared with the control group （6.09±0.71）points, （6.85±l.40）points The difference was statistically significant （t=7.341, 7.085, P= 0.010, 0.011）; the incidence of postoperative nausea and vomiting, aspiration, throat and laryngeal edema was signifi- cantly lower in the observation group than in the control group. The difference was statistically significant （χ2=5.143, P=0.027）. Conclusion Psychological nursing during perioperative period can effectively strengthen the psychological response of children with adenoid and tonsillectomy, reduce the stress response and complications of surgry, and pro- mote postoperative recovery of children. It is worthy of clinical promotion and application.

关 键 词：腺样体摘除术 扁桃体摘除术 小儿心理护理 并发症 

分 类 号：R47[医药卫生—护理学]