动漫视频在OSAHS患儿围术期心理状况干预中的应用效果  

Effect of animation video on perioperative psychological status in children with OSAHS

作　　者：郑娅启 张美雪 李碧莲 ZHENG Yaqi;ZHANG Meixue;LI Bilian(Operating Room,Guangzhou Women and Children′s Medical Center,Guangdong Province,Guangzhou 510000,China;Department of Anesthesiology,Guangzhou Women and Children′s Medical Center,Guangdong Province,Guangzhou 510000,China)

机构地区：[1]广州市妇女儿童医疗中心手术室,广东广州510000 [2]广州市妇女儿童医疗中心麻醉科,广东广州510000

出　　处：《中国医药导报》2020年第19期179-182,共4页China Medical Herald

基　　金：广东省护理学会护理科研课题(gdhlxueh2019zx 163);广东省医学科研基金项目(A2019367)。

摘　　要：目的 调查阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患儿围术期心理状况,探讨动漫视频对其干预的效果,减少OSAHS患儿围术期焦虑的发生.方法 选择2019年6~8月在广州妇女儿童医疗中心耳鼻咽喉科进行OSAHS手术治疗的60例患儿作为研究对象,依据随机数字表法将其分为实验组和对照组,每组30例.实验组采用自主研发的动漫视频进行术前宣教,对照组采用常规术前宣教方法宣教.比较两组术前1d(干预前)、麻醉诱导前3 min(干预后)的焦虑评分.比较两组麻醉诱导配合度评分,家属满意度评分及干预前、麻醉诱导后、术后恢复室拔管前(苏醒期)的唾液皮质醇水平.结果 干预前两组焦虑评分比较,差异无统计学意义(P>0.05);干预后实验组焦虑评分低于对照组(P<0.05).实验组ICC评分低于对照组(P<0.05).实验组家属满意度评分高于对照组(P< 0.05).实验组麻醉诱导后、苏醒期唾液皮质醇水平低于对照组(P<0.05).结论 OSAHS患儿围术期焦虑情绪发生率高,动漫视频能明显减少OSAHS患儿围术期焦虑发生,减少围术期并发症,有利于患儿快速康复,值得推广.Objective To investigate the perioperative psychological status of children with obstructive sleep apnea hypopnea syndrome(OSAHS)and explore the effect of animation video,so as to reduce the occurrence of perioperative anxiety.Methods A total of 60 children who underwent OSAHS surgery in Department of Otolaryngology,Guangzhou Women and Children′s Medical Center from June to August 2019 were selected as objects.They were divided into the experimental group and the control group according to random number table method,with 30 cases in each group.The experimental group was received preoperative education with self-developed animation video,and the control group was received routine preoperative education.The anxiety scores of the two groups were compared on 1 d before operation(before intervention)and 3 min before anesthesia induction(after intervention).Anesthesia induction coordination degree scores,family satisfaction degree and salivary cortisol levels before intervention,after anesthesia induction and before postoperative recovery of ventricular extubation(wake period)were compared between the two groups.Results There was no significant difference in anxiety score between the two groups before intervention(P>0.05).After intervention,the increased anxiety scores of the experimental group were lower than those of the control group(P<0.05).The ICC scores in the experimental group were lower than those in the control group(P<0.05).Family satisfaction degree scores in the experimental group were higher than those in the control group(P<0.05).The levels of salivary cortisol in the experimental group after anesthesia induction and wake period were lower than those in the control group(P<0.05).Conclusion The OSAHS children have high incidence of perioperative anxiety.Animation video can significantly reduce the incidence of perioperative anxiety in children with OSAHS and reduce perioperative complications,which is beneficial to the rapid recovery of patients.

关 键 词：儿童 阻塞性睡眠呼吸暂停低通气综合征 围术期 动漫 唾液皮质醇 

分 类 号：R473.71[医药卫生—护理学]