眼科学龄期患儿基于绘本的术前黑暗适应性训练  

Preoperative picture-book based dark adaptation training for school-aged children hospitalized in ophthalmology department

作　　者：李天红[1] 刘新文 吴轶璇[2] 宗慧 周汨 肖晓燕 王天霞 朱文迪 李志坚 易冬霞 陈冬力 Li Tianhong;Liu Xinwen;Wu Yixuan;Zong Hui;Zhou Mi;Xiao Xiaoyan;Wang Tianxia;Zhu Wendi;Li Zhijian;Yi Dong-xia;Chen Dongli(Department of Nursing,Wuhan Children′s Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430016,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院护理部,湖北武汉430016 [2]华中科技大学同济医学院附属武汉儿童医院眼科,湖北武汉430016 [3]武汉市江岸区惠济路小学

出　　处：《护理学杂志》2022年第6期5-8,共4页Journal of Nursing Science

基　　金：华中科技大学同济医学院附属武汉儿童医院临床医学科研项目(2021FE020)。

摘　　要：目的 探讨基于绘本的术前黑暗适应性训练在眼科学龄期患儿的应用效果。方法 选取2018年12月至2020年1月在眼科行择期手术的134例学龄患儿为研究对象,按照入院时间顺序分为观察组70例和对照组64例。对照组实施术前常规护理,观察组在此基础上开展绘本阅读和黑暗适应性训练,比较两组患儿围术期焦虑程度、术后适应行为评分。结果 观察组术后回病房时的焦虑评分显著低于对照组(P<0.01);观察组术后配合心电监护、吸氧、蒙眼放松、排尿评分显著高于对照组(P<0.05,P<0.01);观察组对适应性训练的道具、方式、时机、内容、绘本等的满意率均≥95%。结论 基于绘本的黑暗适应性训练可降低眼科手术患儿的焦虑情绪,提高对黑暗的适应性和行为依从性。Objective To explore the effect of preoperative picture-book based dark adaptation training for school-aged children hospitalized in ophthalmology department. Methods Totally, 134 school-age children who were to receive elective eye surgery and hospitalized from December 2018 to January 2020 were selected and divided into an intervention group of 70 cases and a control group of 64 cases according to the order of admission time. The control group received routine preoperative care, while the intervention group additionally received picture book reading and dark adaptation training. Perioperative anxiety and adaptive behavior scores of the two groups were compared. Results The anxiety scores measured upon return to the ward in the intervention group were significantly lower than those in the control group(P<0.01);the intervention group had higher cooperation scores in such post-operative activities as postoperative ECG monitoring, oxygen inhalation, relaxation with the presence of a covered eye, and urination, than the control group(P<0.05,P<0.01). The intervention group children′s satisfaction rates with the props, methods, timing, contents and the picture book,etc., used in the adaptation training were all ≥ 95%. Conclusion Picture-book based dark adaptation training can reduce anxiety level of children who are to receive elective eye surgery, improve children′s adaptability to postoperative darkness, and behavior compliance.

关 键 词：眼科 学龄患儿 围术期 黑暗 适应性训练 绘本 焦虑 适应行为 

分 类 号：R473.72[医药卫生—护理学] R473.77[医药卫生—临床医学]