儿童医疗辅导照护缓解患儿腰椎穿刺疼痛和父母焦虑研究  

Relief of children′s pain level and parents′anxiety level during pediatric lumbar punctures Child Life service model

作　　者：张顺娣 顾莺 胡菲 凌芳 陈炯 沈佳佳 陈超 李娜 Zhang Shundi;Gu Ying;Hu Fei;Ling Fang;Chen Jiong;Shen Jiajia;Chen Chao;Li Na(Department of Emergency,Children′s Hospital of Fudan University,Shanghai 201102,China)

机构地区：[1]复旦大学附属儿科医院急诊科,上海201102

出　　处：《护理学杂志》2020年第24期30-32,共3页Journal of Nursing Science

基　　金：2018~2020年复旦大学双一流建设项目(2018-40-22);2020年度复旦大学附属儿科医院护理科研基金立项项目(EKHL007)。

摘　　要：目的探索儿童医疗辅导照护在门急诊腰椎穿刺患儿中的应用效果。方法将门急诊腰椎穿刺的150例患儿作为干预组,实施儿童医疗辅导照护,包括术前全方位沟通、治疗性游戏等措施;159例作为对照组,实施常规护理。比较两组腰椎穿刺一次成功率、穿刺时长,穿刺时患儿疼痛程度及家属焦虑水平。结果两组腰椎穿刺成功率比较,差异无统计学意义(P>0.05);干预组穿刺时长显著短于对照组,患儿疼痛程度及家属焦虑水平显著低于对照组(均P<0.01)。结论儿童医疗辅导照护能缩短患儿腰椎穿刺时间,缓解患儿疼痛程度,并降低家属焦虑水平。Objective To evaluate the effect of Child Life service model on children′s pain level and parents′anxiety level during pediatric lumbar punctures.Methods In the non-contemporaneous control study,150 children receiving lumbar puncture were treated as the intervention group,who were subjected to Child Life service model;an earlier batch of 159 children receiving lumbar puncture were treated as the control group,who received routine nursing care.Pain level during lumbar puncture in the children and anxiety level in the parents were measured.Results The rate of successful lumbar puncture had no significant difference between the 2 groups(P>0.05).The children pain scores and parent anxiety scores in the intervention group were significantly lower than those in the control group(P<0.01 for all).Conclusion Child Life service model could relieve children′s pain level and parents′anxiety level during pediatric lumbar punctures.

关 键 词：儿童 腰椎穿刺 儿童医疗辅导 游戏治疗 疼痛 焦虑 

分 类 号：R473.72[医药卫生—护理学]