情景模拟训练对癌症放疗患儿放疗麻醉率、应激反应水平及遵医行为的影响价值  

Effect of scenario simulation training on anesthesia rate,stress response level and compliance behavior of children with cancer radiotherapy

作　　者：闫敬 李文晓 王莉莉 Yan Jing;Li Wenxiao;Wang Lili

机构地区：[1]郑州市第三人民医院肿瘤放疗科,450000 [2]郑州市第三人民医院肾病风湿免疫科,450000

出　　处：《中国疗养医学》2022年第11期1172-1175,共4页Chinese Journal of Convalescent Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20200715)。

摘　　要：目的探索情景模拟训练对癌症放疗患儿放疗麻醉率、应激反应水平及遵医行为的影响价值。方法选取郑州市第三人民医院2020年6月至2021年12月80例癌症放疗患儿作为研究对象,采用随机数字表分为常规组和情景组。常规组40例给予常规护理,情景组40例给予联合情景模拟训练,对比两组患儿放疗麻醉情况,应激反应水平,遵医行为。结果情景组放疗麻醉率32.50%(13/40)低于常规组57.50%(23/40),P<0.05。两组患儿干预4周末心率(HR)、舒张压(DBP)、收缩压(SBP)、血糖(GLU)、皮质醇(COR)水平较干预前升高,情景组升高幅度低于常规组(P<0.05)。两组患儿干预4周末哭闹喊叫、语言、躁动不安、面部表情、挣扎抗拒、遵医行为量表评分水平较干预前降低,情景组低于常规组(P<0.05)。结论情景模拟训练对癌症放疗患儿进行干预,可调节其应激反应水平,调控遵医行为,改善放疗麻醉情况。Objective To explore the effect of scenario simulation training on the anesthesia rate,stress response level and compliance behavior of children with cancer radiotherapy.Methods 80 children undergoing cancer radiotherapy from June 2020 to December 2021 in the Third People’s Hospital of Zhengzhou City were selected as the research objects,and were divided into routine group and scenario group by using random number table.Routine nursing care was given to 40 patients in the routine group,and combined scenario simulation training was given to 40patients in the scenario group.The anesthesia state,stress reaction level and compliance behavior of the two groups were compared.Results The anesthesia rate of the scenario group was 32.50%(13/40)lower than that of the routine group 57.50%(23/40),P<0.05.The levels of heart rate(HR),diastolic blood pressure(DBP),systolic blood pressure(SBP),blood glucose(GLU)and cortisol(COR)in the two groups at the end of the fourth week after intervention were higher than those before intervention,and the increase in the scenario group was lower than that in the routine group(P<0.05).The scores of crying and shouting,language,restlessness,facial expression,struggle resistance,and compliance behavior scale of children in the two groups at the end of the fourth week after intervention were lower than those before intervention,and those in the scenario group were lower than those in the routine group(P<0.05).Conclusion The intervention of scenario simulation training on children with cancer radiotherapy can adjust their stress response level,regulate their compliance behavior,and improve the radiotherapy anesthesia.

关 键 词：情景模拟训练 癌症放疗 应激反应 遵医行为 

分 类 号：R473.73[医药卫生—护理学]