适应性训练联合微视频宣教模式在先天性心脏病患儿低温体外循环术后的应用  

Application of adaptive training combined with micro-video education mode in children with congenital heart disease undergoing hypothermic extracorporeal circulation

作　　者：冯瑞玲 王瑞玲[1] 陈洁[1] 石彩晓 翟波 Feng Ruiling;Wang Ruiling;Chen Jie;Shi Caixiao;Zhai Bo(Department of Thoracic and Cardiovascular Surgery,Children's Hospital Affiliated to Zhengzhou University,Henan Children's Hospital,Zhengzhou Children's Hospital,Zhengzhou 450018,China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院胸心外科,450018

出　　处：《中华现代护理杂志》2021年第36期4954-4957,共4页Chinese Journal of Modern Nursing

基　　金：2019年度河南省医学科技攻关计划联合共建项目(LHGJ20190896)。

摘　　要：目的探讨适应性训练联合微视频宣教模式在先天性心脏病患儿低温体外循环术后的应用效果。方法采用便利抽样法,选取2019年1月—2021年1月在郑州儿童医院行低温体外循环术的120例0~3岁先天性心脏病患儿为研究对象,按照随机数字表法分为观察组和对照组,各60例。对照组术后予以常规健康宣教模式,观察组术后予以适应性训练联合微视频宣教模式。比较两组患儿术后恢复情况、两组患儿家长焦虑及护理满意度情况。结果干预后,观察组患儿术后住院时间、吸氧时间均短于对照组,差异有统计学意义(P<0.05);两组患儿家长SAS评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组患儿家长护理满意度高于对照组,差异有统计学意义(P<0.05)。结论适应性训练联合微视频宣教模式有利于促进先天性心脏病患儿低温体外循环术后恢复,缓解患儿家长焦虑情绪,提高患儿家长对护理满意度。Objective To explore the application effect of adaptive training combined with micro-video education mode in children with congenital heart disease after hypothermic extracorporeal circulation.Methods A total of 120 children with congenital heart disease aged 0-3 years who received hypothermic extracorporeal circulation in Zhengzhou Children's Hospital from January 2019 to January 2021 were selected as research objects by the convenient sampling method.According to the random number table method,they were divided into the observation group and the control group,with 60 cases in each group.The control group received a routine postoperative health education model,and the observation group received an adaptive training combined with micro-video education model.The postoperative recovery of infants and anxiety and nursing satisfaction of family members were compared between two groups.Results After intervention,the postoperative hospitalization time and oxygen inhalation time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).SAS scores of families of children in both groups were lower than before intervention,and scores of families of children in the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of family members in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The adaptive training combined with the micro-video education mode is beneficial to promote the recovery of children with congenital heart disease after hypothermic extracorporeal circulation,relieve anxiety of family members of children and improve nursing satisfaction of family members of children.

关 键 词：体外循环 低温 先天性心脏病 婴幼儿 适应性训练 微视频宣教 

分 类 号：R473.72[医药卫生—护理学]