小儿纤维支气管镜检查术前应用心理干预效果研究  

Study on the Effect of Ppsychological Intervention for Patients Accepting Fiberoptic BronChoscopy

作　　者：刘友菊 李希红 李然然 LIU Youju;LI Xihong;Li Ranran(Department of Pediatrics,The Second Affiliated Hospital of Shandong First Medical University,Taian Shandong 271000,China;Shandong Provincial Third Hospital,Ji'nan Shandong 250031,China)

机构地区：[1]山东第一医科大学第二附属医院儿科,山东泰安271000 [2]山东省立第三医院,山东济南250031

出　　处：《中国医药指南》2023年第1期78-80,共3页Guide of China Medicine

摘　　要：目的 探讨小儿纤维支气管镜检查术前进行心理干预效果。方法 选择2019年3月至2020年3月的两组患儿作为研究对象,其中对照组60例患儿实施常规护理流程,心理干预组64例,术前应用心理干预模式,比较两组患儿家长心理健康临床卫生症状自评量表(Symptom Check List-90,SCL-90)、焦虑状态-特质问卷(the State-Trait Anxiety Inventory,STAI)、麻醉诱导期合作度量表(Induction Compliance Checklis,ICC)等指标。利用SPSS20.0软件进行统计分析。结果 心理干预组患儿家长SCL-90数据明显低于对照组,差异有统计学意义(P<0.05);心理干预组患儿家长在手术等待期的焦虑状况、麻醉ICC评分都明显低于对照组,一次进镜成功率明显高于对照组,差异有统计学意义(P<0.05);心理干预组术后第1天、第2天、第3天的HAMA、HAMD评分均低于对照组,差异有显著性(均P<0.05)。结论 通过对小儿纤维支气管镜检查术前实施心理干预模式,可以有效缓解患儿家长的心理紧张情绪,对提高手术成功率和患儿情绪安抚都有明显效果,提高了患儿家长满意率,同时也促进了护理人员的专业技能和服务态度的有力提升,使医患关系更加和谐。Objective Investigate the effect of psychological intervention for patients accepting fiberoptic bronchoscopy. Methods Selection of different time of two groups of children with method as the research object, the control group 60 cases, the implementation of routine nursing process, psychological intervention group 64 cases, preoperative preparation of a psychological intervention model, parents of children of two groups were clinical symptoms of Symptom Check list-90(SCL-90), the State-Trait Anxiety Inventory(STAI), Induction Compliance Checklis(ICC),and other indicators. Using SPSS20.0 software for statistical analsis. Results The SCL-90 data of parents in psychological intervention group was obviously lower than the control group, the difference was statistically significant(P<0.05). The anxiety and anesthesia ICC scores of parents in the psychological intervention group during the waiting period were significantly lower than those in the control group, and the success rate of one intervention was significantly higher than that in the control group(P<0.05), and the HAMA and HAMOD scores on the 1st, 2nd and 3rd days after surgery in the psychological intervention group were significantly lower than those in the control group(all P<0.05). Conclusion Through to the pediatric fibre bronchoscopy preoperative psychological intervention model, can effectively alleviate the psychological tension of parents, to improve the success rate of surgery and children calm mood has obvious effect,improved the parents satisfaction, but also promoted the nurses’ professional skills and strong service attitude to ascend, make the patient-doctor relationship more harmonious.

关 键 词：支气管镜检查 心理干预 焦虑 满意度 进镜成功率 

分 类 号：R473.72[医药卫生—护理学]