医疗辅导游戏对隐匿性阴茎患儿及家属的影响  

Effects of medical counseling games on children with hidden penis and their families

作　　者：金丽虹[1] 李丹婷[2] 方静静[1] 於林军[1] 胡文辉[3] JIN Lihong;LI Danting;FANG Jingjing;YU Linjun;HU Wenhui(Department of Pediatric Surgery,Taizhou Hospital of Zhejiang Province,Zhejiang Province,Taizhou317000,China;Department of Neonatology,Taizhou Hospital of Zhejiang Province,Zhejiang Province,Taizhou317000,China;Department of Pediatric Medicine,Taizhou Hospital of Zhejiang Province,Zhejiang Province,Taizhou317000,China)

机构地区：[1]浙江省台州医院小儿外科,浙江台州317000 [2]浙江省台州医院新生儿科,浙江台州317000 [3]浙江省台州医院小儿内科,浙江台州317000

出　　处：《中国医药导报》2023年第13期170-175,共6页China Medical Herald

基　　金：浙江省医药卫生科技计划项目(2023KY1306);浙江省台州市科学计划项目(1801ky21)。

摘　　要：目的探究医疗辅导游戏对隐匿性阴茎患儿及家属的影响。方法将2022年1月至8月浙江省台州医院收治的130例隐匿性阴茎患儿及其家属作为研究对象,按照随机信封法将其分为对照组(采用常规护理干预)与观察组(采用医疗辅导游戏联合常规护理干预)两组,每组65例。比较干预前后两组患儿改良耶鲁术前焦虑量表(m-YPAS)及家属的状态-特质焦虑问卷(STAI)焦虑状态评分、患儿遵医行为、儿童疼痛行为评分量表(FLACC)、家属健康知识掌握程度及术后恢复状况。结果术前两组患儿m-YPAS、STAI各评分低于入院时,且观察组低于对照组(P<0.05);出院日,两组患儿遵医行为评分高于入院时,且观察组高于对照组(P<0.05)。术后6 h、术后12 h、出院前,两组患儿FLACC评分在时间及组间比较,差异有统计学意义(P<0.05);组内比较,术后12 h两组FLACC评分高于术后6 h,出院前FLACC评分低于术后6 h(P<0.05);组间比较,观察组不同时间FLACC评分低于对照组(P<0.05)。观察组患儿家属对健康知识掌握程度优于对照组(P<0.05)。观察组患儿下床活动时间、出院时间短于对照组(P<0.05);观察组患儿并发症总发生率低于对照组(P<0.05)。结论医疗辅导游戏可减轻隐匿性阴茎手术患儿及家长术前焦虑,提高患儿遵医行为及家属对健康知识的掌握程度,减轻患儿术后疼痛程度,促进术后恢复,有临床借鉴意义。Objective To analyze the effects of medical counseling games on children with hidden penis and their families.Methods A total of 130 children with latent penis and their families admitted to Taizhou Hospital of Zhejiang Province from January to August 2022 were studied.According to the random envelope method,the patients were divided into control group(using conventional nursing intervention)and observation group(using medical counseling game combined with conventional nursing intervention),with 65 cases in each group.Before and after the intervention,the modified yale preoperative anxiety scale(m-YPAS)and the anxiety scores of their families on the state-trait anxiety inventory(STAI),the compliance behavior of children,the facial expression,legs,activity crying,and consolability(FLACC),the health knowledge of their families and the postoperative recovery status were compared between the two groups.Results Before surgery,the scores of m-YPAS and STAI were lower in the two groups than at admission,and those in the observation group were lower than those in the control group(P<0.05);on discharge day,compliance behavior score in two groups was higher than that at admission,and observation group was higher than control group(P<0.05);6 h after surgery,12 h after surgery and before discharge,the FLACC scores of the two groups was compared in time and between groups,and the differences were statistically significant(P<0.05).Compared within the group,the FLACC scores of the two groups at 12 h after surgery was higher than that at 6 h after surgery,and the FLACC score before discharge was lower than that at 6 h after surgery(P<0.05),the FLACC score of observation group was lower than that of control group at different time(P<0.05).The family members of the observation group had better knowledge of health than the control group(P<0.05);the time of getting out of bed and discharge in observation group were shorter than those in control group(P<0.05).The total complication rate of observation group was lower than that of con

关 键 词：隐匿性阴茎 医疗辅导游戏 焦虑 遵医行为 健康知识 恢复 

分 类 号：R473.72[医药卫生—护理学]