摘要
目的探术前游戏干预在患儿麻醉诱导期间的应用效果.方法采用随机数字表法将符合纳入标准的120例择期手术患儿分为对照组和研究组各60例.研究组患儿术前60 min进入麻醉诱导室等候,对患儿进行治疗性游戏护理干预.对照组患儿术前60 min进入普通术前等候室等候,对其进行常规护理干预.采用改良耶鲁围手术期焦虑量(mYPAS)对患儿进入麻醉诱导室干预前、麻醉诱导时评分;麻醉诱导时采用麻醉合作量表(ICC)评分,苏醒期时采用小儿全麻苏醒期谵妄量表(PAED)评分,观察两组患儿干预前后生命体征.结果进入麻醉诱导室时mYPAS得分研究组(32.23 ± 4.71)分、对照组(31.58 ± 3.72)分,差异无统计学意义(P>0.05);研究组麻醉诱导时mYPAS得分(31.92 ± 4.03)分,低于对照组(59.76 ± 5.14)分,差异有统计学意义(t=-33.016,P<0.01).研究组ICC得分(1.55 ± 0.76)分,低于对照组(3.04 ± 0.62),研究组PAED得分(4.76 ± 0.92)分,低于对照组(7.52 ± 1.36),差异有统计学意义(t=11.767,-13.020,P<0.05).麻醉诱导时研究组收缩压(96.25 ± 3.06)mmHg(1 mmHg=0.133 kPa)、舒张压(59.39 ± 2.77)mmHg、心率(118.37 ± 15.26)次/min、呼吸(29.75 ± 3.17)次/min,低于对照组的(103.46 ± 3.21)mmHg、(62.72 ± 2.94) mmHg、(124.58 ± 16.41)次/min、(34.81 ± 2.96)次/min,差异有统计学意义(t=2.146~12.593,P<0.05).结论麻醉诱导前对患儿采用术前游戏干预,能够减轻患儿焦虑、恐惧水平,患儿对麻醉诱导配合度提高,苏醒期躁动发生率降低.
Objective To investigate the effect of preoperative play intervention during anesthesia induction in children. Methods Totally 120 children who met the inclusion criteria undergoing elective surgery divided into control group (n=60) and study group (n=60) by random number table. The study group admitted to the anesthesia induction room, and performed therapeutic play nursing intervention on the children for 60 minutes before the operation. The children in the control group were admitted to the general preoperative waiting room for 60 minutes before the operation, and they were subjected to routine nursing intervention. The children′s anxiety was assessed using modified Yale Perioperative Anxiety Scale (mYPAS) when the children entered the operating room before the intervention and during anesthesia induction;the children′s compliance with anesthesia induction was assessed using the Induction Compliance Checklist (ICC). Pediatric Anesthesia Emergence Delirium Scale (PAED) score was used to observe emergence agitation. The vital signs of the two groups were observed before and after intervention. Results There was no significant difference in the mYPAS score between the study group (32.23±4.71) points and the control group (31.58±3.72) points (P>0.05). The mYPAS score (31.92±4.03) points was lower in the study group than in the control group (59.76±5.14) points (t=-33.016, P<0.01). The ICC score of the study group (1.55±0.76) points was lower than the control group (3.04±0.62) points. The PAED score of the study group (4.76±0.92) points was lower than the control group (7.52±1.36) points (t=11.767,-13.020, P<0.05). The systolic blood pressure (96.25±3.06) mmHg (1 mmHg=0.133 kPa), diastolic blood pressure (59.39±2.77) mmHg, heart rate (118.37±15.26) times/min, and respiratory (29.75±3.17) times/min in the study group were lower than the control group (103.46±3.21) mmHg,(62.72±2.94) mmHg,(124.58±16.41) times/min,(34.81±2.96) times/min (t=12.593, 6.385, 2.146, 9.037, P<0.05). Conclusion Preoperative play intervention for children before anesthesia induction can reduce the anxiety and fear level of children, and the children′s compliance of anesthesia is improved, and reduce the incidence of agitation during recovery.
作者
李华
丁瑞芳
陆叶青
李萍
Li Hua;Ding Ruifang;Lu Yeqing;Li Ping(Department of Anesthesia,Changhai Hospital Affiliated to Naval Medical University,Shanghai 200433,China)
出处
《中国实用护理杂志》
2019年第23期1793-1797,共5页
Chinese Journal of Practical Nursing
关键词
游戏干预
焦虑
依从性
手术护理
Play intervention
Anxiety
Compliance
Surgical care
