多元化沟通联合童趣性诱导干预在学龄期疝微创手术患儿中的效果  

Effect of diversified communication combined with child-friendly induction intervention in school-age children undergoing minimally invasive hernia surgery

作　　者：牛珊珊[1] 刘珊珊[1] 苏丹[1] NIU Shanshan;LIU Shanshan;SU Dan(Ward of Pediatric Surgery,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang,Henan,453000)

机构地区：[1]新乡医学院第一附属医院小儿外科病区,河南新乡453000

出　　处：《实用临床医药杂志》2024年第23期144-148,共5页Journal of Clinical Medicine in Practice

基　　金：河南省医学教育研究项目(wjlx2022090)。

摘　　要：目的分析动画演示多元化沟通联合童趣性诱导干预在学龄期疝微创手术患儿中的应用效果。方法选取学龄期疝微创手术患儿180例为研究对象,随机分为对照组和观察组,每组90例。对照组应用常规护理,观察组在对照组基础上应用多元化沟通联合童趣性诱导干预。比较2组患儿治疗配合度、健康知识掌握程度、围术期焦虑及恐惧情绪和术后疼痛程度。结果观察组治疗配合度及健康知识掌握程度均高于对照组,术前访视时及术后返回病房时儿童焦虑障碍自评量表(SCARED)及儿童医疗恐惧量表(CMFS)得分均低于对照组,差异有统计学意义(P<0.05);术后12、24 h,观察组患儿疼痛程度[视觉模拟评分法(VAS)得分]均低于对照组,差异有统计学意义(P<0.05)。结论多元化沟通联合童趣性诱导干预有利于提高学龄期疝微创手术患儿治疗配合度及健康知识掌握度,能有效缓解患儿围术期焦虑及恐惧情绪,对缓解术后疼痛程度具有积极作用。Objective To analyze the application effect of diversified communication combined with child-friendly induction intervention in school-age children undergoing minimally invasive hernia surgery.Methods A total of 180 school-age children who underwent minimally invasive hernia surgery were selected as research subjects and randomly divided into control group(90 cases)and observation group(90 cases).The control group received routine care,while the observation group was given diversified communication combined with child-friendly induction intervention based on the routine care.The cooperation level,health knowledge mastery,perioperative anxiety and fear,and postoperative pain degree were compared between the two groups.Results The observation group showed higher treatment cooperation and better mastery of health knowledge than the control group,the scores of the Screening for Child Anxiety-related Emotional Disorders(SCARED)and the Children's Medical Fear Scale(CMFS)were lower in the observation group before the visit and returning to the ward after surgery(P<0.05).At 12 and 24 h postoperatively,the Visual Analogue Scale(VAS)scores for pain in the observation group were also lower than those in the control group(P<0.05).Conclusion Diversified communication combined with child-friendly induction intervention is beneficial for improving the treatment cooperation and health knowledge mastery of school-age children undergoing minimally invasive hernia surgery.It can effectively alleviate perioperative anxiety and fear,and has a positive role in reducing postoperative pain.

关 键 词：学龄期 疝微创手术 多元化沟通 童趣性诱导干预 健康知识 不良情绪 

分 类 号：R473.72[医药卫生—护理学] R726[医药卫生—临床医学] R619