童趣化护理在小儿全麻手术麻醉诱导中的应用  

Application of child-friendly nursing in the induction of anesthesia for pediatric general anesthesia surgery

作　　者：翟晓宇 王文华 Zhai Xiaoyu;Wang Wenhua(Department of Anesthesia and Perioperative Medicine,Henan(Zhengzhou)Children's Hospital,Zhengzhou 450018,China)

机构地区：[1]河南省儿童医院郑州儿童医院麻醉与围术期医学科,郑州450018

出　　处：《保健医学研究与实践》2022年第5期125-128,共4页Health Medicine Research and Practice

基　　金：河南省科技攻关联合共建项目(LHGJ20190897、LHGJ2018020611)。

摘　　要：目的探讨童趣化护理在小儿全麻手术麻醉诱导中的应用效果。方法选取2018年1月—2020年1月在郑州市某医院接受全麻手术的76例患儿为研究对象,采用随机数字表法分为研究组(36例)与对照组(40例)。对照组患儿接受常规围术期护理干预,研究组患儿接受童趣化护理干预。比较2组患儿干预前后儿童抑郁评定量表(CDRS)评分、儿童状态-特质焦虑量表(STAIC)评分,护理后麻醉诱导配合度、家属护理满意度及术后并发症发生情况。结果2组患儿干预前STAIC及CDRS评分比较,差异无统计学意义(P>0.05);2组患儿干预后STAIC及CDRS评分低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患儿麻醉诱导配合度为77.78%,高于对照组的52.50%,差异有统计学意义(χ^(2)=5.286,P=0.022)。研究组患儿家属护理满意度为94.44%,高于对照组的77.50%,差异有统计学意义(χ^(2)=4.395,P=0.036)。2组患儿术后不良事件发生率比较,差异无统计学意义(χ^(2)=0.707,P=0.401)。结论童趣化护理干预在小儿全麻手术麻醉诱导中的应用效果良好,可有效减轻患儿围术期焦虑情绪,提高患儿麻醉诱导配合度及家属满意度。Objective To explore the effect of child-friendly nursing in the induction of anesthesia for pediatric general anesthesia surgery.Methods Seventy-six children who underwent general anesthesia surgery in a hospital in Zhengzhou from January 2018 to January 2020 were selected as subjects and divided into a study group(n=36)and a control group(n=40)using the random number table method.The children in the control group received conventional perioperative intervention,and the children in the study group received child-friendly nursing intervention.The scores of the Children’s Depression Rating Scale(CDRS)and State-Trait Anxiety Inventory for Children(STAIC)before and after the intervention,the degree of anesthesia induction compliance after nursing,the family satisfaction and the occurrence of postoperative complications were compared between the two groups.Results There was no statistically significant difference in STAIC and CDRS scores of children between the 2 groups before the intervention(P>0.05);the STAIC and CDRS scores of children between the 2 groups after the intervention were lower than those before the intervention,and the study group had lower scores than the control group,and the difference was statistically significant(P<0.05).The induction compliance rate of the children in the study group was 77.78%,which was higher than that of the control group(52.50%),and the difference was statistically significant(χ^(2)=5.286,P=0.022).The nursing satisfaction for the families of the children in the study group was 94.44%,which was higher than that in the control group(77.50%),and the difference was statistically significant(χ^(2)=4.395,P=0.036).There was no statistically significant difference in the incidence of postoperative adverse events in children between the 2 groups(χ^(2)=0.707,P=0.401).Conclusion The application of child-friendly nursing intervention in the induction of anesthesia for pediatric general anesthesia surgery is effective in reducing perioperative anxiety in children and improving their

关 键 词：全身麻醉 麻醉诱导 儿童 童趣化护理 依从性 

分 类 号：R473.72[医药卫生—护理学]