适应性训练联合微视频宣教对先天性心脏病患儿围术期焦虑及照护者心理弹性的影响  

Effects of adaptive training combined with micro-video education on perioperative anxiety of children with congenital heart disease and psychological resilience of caregivers

作　　者：冯瑞玲 王瑞玲[1] 宋瑞[1] 石彩晓 翟波 Feng Ruiling;Wang Ruiling;Song Rui;Shi Caixiao;Zhai Bo(Children's Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,Henan,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),河南郑州450000

出　　处：《临床心身疾病杂志》2023年第1期33-36,41,共5页Journal of Clinical Psychosomatic Diseases

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

摘　　要：目的探讨适应性训练联合微视频宣教对先天性心脏病患儿围术期心理焦虑及照护者心理弹性的影响。方法将拟行手术治疗的先天性心脏病患儿(80例)及其照护者(80名)按随机数字表法分为研究组和对照组,各40例。两组均给予常规护理干预,研究组在此基础上给予适应性训练联合微视频宣教,观察3 d。比较围术期两组患儿改良耶鲁围术期焦虑量表评分及干预前后两组照护者心理弹性量表评分。结果进入等候区和麻醉诱导期两组患儿改良耶鲁围术期焦虑量表评分较术前1 d显著升高(P<0.01),但研究组显著低于对照组(P<0.01)。干预后两组照护者心理弹性量表评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。结论适应性训练联合微视频宣教能有效改善先天性心脏病患儿围术期焦虑状况,提高照护者的心理弹性水平。Objective To explore the effects of adaptive training combined with micro-video education on perioperative anxiety of children with congenital heart disease(CHD)and psychological resilience of caregivers.Methods The children with CHD(80 cases)and their caregivers(80 cases)were randomly divided into study group and control group,with 40 cases in each group.Both groups were given routine care,while the study group was given adaptive training combined with micro-video education on the basis of routine care for 3 days.The modified Yale perioperative anxiety scale(mYPAS)scores of the two groups of children during the perioperative period and the Connor-Davidson resilience scale(CD-RISC)scores of the two groups of caregivers before and after the intervention were compared.Results The scores of mYPAS for children in the study group in the waiting area and anesthesia induction period were significantly higher than those in the first day before surgery(P<0.01),but the study group was significantly lower than the control group(P<0.01).The scores of CD-RISC in the two groups after intervention were significantly higher than those before intervention(P<0.01),and the study group was significantly lower than the control group(P<0.01).Conclusions The combination of adaptive training and micro-video education can effectively improve the perioperative anxiety of children with CHD,and improve the psychological resilience of their caregivers.

关 键 词：先天性心脏病 儿童 适应性训练 微视频 焦虑 照护者 心理弹性 

分 类 号：R541.1[医药卫生—心血管疾病] R473.6[医药卫生—内科学]