多元化兴趣诱导对支气管镜下取异物患儿焦虑水平、生理应激反应及苏醒质量的影响  

Effects of multiple interest induction based on preschool psychological characteristics on anxiety level,physiological stress response and recovery quality of children with bronchoscopic foreign body removal

作　　者：刘社景 王媛[2] 赫阳森 赵二贤[1] LIU Shejing;WANG Yuan;HE Yangsen(Department of Anesthesiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院麻醉科,郑州450000 [2]郑州大学附属儿童医院,河南省儿童医院,郑州儿童医院麻醉科

出　　处：《国际精神病学杂志》2023年第6期1553-1555,1562,共4页Journal Of International Psychiatry

基　　金：河南省医学科技攻关计划省部共建项目(编号:SBGJ202102210)。

摘　　要：目的探究基于学龄前心理特点的多元化兴趣诱导对支气管镜下取异物患儿焦虑水平、生理应激反应及苏醒质量的影响。方法选取我院2021年9月~2022年3月期间109例行纤维支气管镜下取异物患儿作为研究对象,采用随机数字表法分为医疗组和多元组。医疗组54例给予按常规医疗护理工作模式进行临床诊疗和护理,多元组55例针对学龄前患儿心理特点给予多元化兴趣诱导干预,对比两组焦虑水平,生理应激反应,麻醉苏醒质量。结果两组干预后斯宾思儿童焦虑量表、改良耶鲁焦虑量表评分较干预前降低,多元组低于医疗组(P<0.05)。两组诱导后至手术过程中平均动脉压、心率水平均呈逐渐降低趋势,多元组低于医疗组(P<0.05)。多元组麻醉苏醒期躁动量表评分、呼之睁眼时间、自主呼吸恢复时间水平低于医疗组(P<0.05)。结论基于学龄前心理特点的多元化兴趣诱导可调节支气管镜下取异物患儿的生理应激反应,改善焦虑水平,提高苏醒质量。Objective To explore the effects of diversified interest induction based on preschool psychological characteristics on anxiety level,physiological stress response and recovery quality of children with bronchoscopic foreign body removal.Methods A total of 109 children with foreign body removal by fiberoptic bronchoscopy in our hospital from September 2021 to March 2022 were selected as the study subjects,and were divided into medical group and multivariate group by random number table method.In the medical group,54 cases were given clinical diagnosis,treatment and nursing according to the conventional medical nursing work mode,and 55 cases in the multiple group were given diversified interest induction intervention according to the psychological characteristics of preschool children.The anxiety level,physiological stress response and anesthesia recovery quality of the two groups were compared.Results The Spence Children's Anxiety Scale,the Modified Yale Perioperative Anxiety Scale scores in the multiple group were lower than those in the medical group(P<0.05).The Mean arterial pressure and Heart rate levels in the two groups were gradually decreased from induction to operation,and those in the multivariate group were lower than those in the medical group(P<0.05).The scores of Pediatric Anesthesia Emergence Delirium scale,the time of exhalation opening and the recovery time of spontaneous breathing in the multivariate group were lower than those in the medical group(P<0.05).Conclusion Multiple interest induction based on preschool psychological characteristics can regulate the physiological stress response of children with foreign body removal under bronchoscope,improve anxiety level and improve the quality of recovery.

关 键 词：多元化兴趣诱导 支气管镜 生理应激 

分 类 号：R749.99[医药卫生—神经病学与精神病学]