兴趣游戏在学龄前儿童术后急性疼痛和术后早期下床活动中的效果研究  

Effects of interested games on acute pain and early ambulation of postoperative in preschool children

作　　者：耿荷红 朱莹莹[1] 燕林 闫丽丽 张现伟 石彩晓 GENG He-hong;ZHU Ying-ying;YAN Lin;YAN Li-li;ZHANG Xian-wei;SHI Cai-xiao(The Second Wards of General Surgery,Children’s Hospital Affiliated to Zhengzhou University/Henan Children’s Hospital/Zhengzhou Children’s Hospital,Zhengzhou,Henan 450018,China;不详)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院普通外科二病区,河南郑州450018 [2]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院护理部

出　　处：《中华全科医学》2021年第1期146-149,共4页Chinese Journal of General Practice

基　　金：河南省卫生科技攻关项目(172102310006)。

摘　　要：目的探究兴趣游戏对学龄前儿童术后急性疼痛和术后早期下床活动的影响。方法选择2018年5月—2019年5月在河南省儿童医院普通外科二病区就诊的胃肠道手术患儿114例作为研究对象。为避免干预措施交叉影响,将先入院的57例患儿作为对照组,后入院的57例患儿作为干预组。对照组实施加速康复外科常规术后护理;干预组在实施加速康复外科常规术后护理的基础上,对患儿实施兴趣游戏干预。比较2组患儿术后急性疼痛评分、术后首次下床活动时间、术后首次下床活动量、术后前3天下床活动量、术后相关并发症发生率以及患儿家长满意度。结果2组患儿的术后疼痛评分存在显著差别(P<0.01),干预组和对照组相比,在术后不同时间段疼痛评分显著降低;干预组患儿术后首次下床活动时间、术后相关并发症的发生率恶心/呕吐、上呼吸道感染、切口感染和粘连性肠梗阻均低于对照组(均P<0.05);干预组患儿术后首次下床活动量、术后第一天活动量、术后第二天活动量、术后第三天活动量明显高于对照组(均P<0.01);另外,干预组患儿家长满意度评分(96.5%)高于对照组(87.7%)。结论兴趣游戏能够有效减轻学龄前儿童术后急性疼痛,促进患儿术后早期下床活动,降低术后相关并发症发生率,提高患儿家长的满意度。Objective To explored the application effect of interested games on acute pain and early ambulation of postoperative in preschool children.Methods Total 114 children with gastrointestinal surgery were selected from May 2018 to May 2019 in our Department.In order to avoid the cross-influence of interventions,57 children who were admitted to the hospital were used as the control group,and 57 children who were admitted to the hospital as the intervention group.The control group performed routine postoperative nursing of enhanced recovery after surgery,and the intervention group was based on the control group and implemented interested games intervention on the children.The postoperative acute pain scores,the time of first postoperative activities,the number of first postoperative activities,the amount of getting out of the first three days after surgery,the incidence of postoperative complications,and the satisfaction of the parents of the children were compared between the two groups.Results There was significant difference in postoperative pain score between the two groups(P<0.01).Compared with the control group,the pain score in the intervention group was significantly lower than that in the control group;the time of first ambulation and the incidence of postoperative complications(nausea/vomiting,upper respiratory tract infection,incision infection and adhesive intestinal obstruction)in the intervention group were lower than those in the control group(all P<0.05).The activities of the first time out of bed,the first day,the second day and the third day were significantly higher than those in the control group(all P<0.01).In addition,the parental satisfaction score(96.5%)of the intervention group was higher than that of the control group(87.7%).Conclusion Interested games can effectively alleviate postoperative acute pain in preschool children,promote early ambulation,reduce the incidence of postoperative complications,and improve the satisfaction of parents.

关 键 词：兴趣游戏 学龄前 急性疼痛 早期下床活动 

分 类 号：R441.1[医药卫生—诊断学] R619[医药卫生—临床医学]