個(gè)性化護(hù)理干預(yù)對(duì)學(xué)齡前患兒手術(shù)麻醉誘導(dǎo)配合程度的影響

辛映卿+彭文麗+徐沛金

【摘要】 目的 研究個(gè)性化護(hù)理干預(yù)對(duì)學(xué)齡前患兒手術(shù)麻醉誘導(dǎo)配合程度的影響。方法 128例接受手術(shù)治療的學(xué)齡前患兒， 隨機(jī)分為觀察組與對(duì)照組， 各64例。對(duì)照組患兒給予常規(guī)護(hù)理， 觀察組患兒給予個(gè)性化護(hù)理干預(yù)。觀察比較兩組患兒進(jìn)入手術(shù)室、等待手術(shù)以及麻醉誘導(dǎo)時(shí)的焦慮程度、抑郁程度以及患兒的麻醉誘導(dǎo)配合程度。結(jié)果 兩組患兒進(jìn)入手術(shù)室時(shí)焦慮、抑郁評(píng)分比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）；觀察組患兒等待手術(shù)、麻醉誘導(dǎo)時(shí)焦慮、抑郁評(píng)分均顯著低于對(duì)照組， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組患兒麻醉誘導(dǎo)合作量表（ICC）評(píng)分為（1.84±1.32）分， 低于對(duì)照組的（2.96±1.27）分， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）；觀察組患兒自知力與治療態(tài)度問(wèn)卷量表（ITAQ）評(píng)分為（15.47±4.31）分， 高于對(duì)照組的（13.21±3.58）分， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 采用個(gè)性化護(hù)理對(duì)將行手術(shù)治療的學(xué)齡前患兒進(jìn)行干預(yù)， 能夠明顯降低患兒的焦慮、抑郁程度， 提高患兒的自知力與治療態(tài)度， 并提高患兒麻醉誘導(dǎo)的配合程度。

【關(guān)鍵詞】 個(gè)性化護(hù)理；學(xué)齡前患兒；麻醉誘導(dǎo)；配合程度

DOI：10.14163/j.cnki.11-5547/r.2017.26.089

【Abstract】 Objective To study the effect of individualized nursing intervention on anesthesia induction cooperation degree of preschool children. Methods A total of 128 preschool children undergoing surgical treatment were randomly divided into observation group and control group， with 64 cases in each group. The control group received conventional nursing， and the observation group received individualized nursing intervention. Observation and comparison were made on anxiety degree and depression of entering operation room， waiting for operation and anesthesia induction， and anesthetic induction cooperation degree between two groups. Results Both groups had no statistically significant difference in anxiety degree and depression of entering operation room （P>0.05）. The observation group had obviously lower anxiety degree and depression of waiting for operation and anesthesia induction than the control group， and their difference was statistically significant （P<0.05）. The observation group had lower induction compliance checklist （ICC） score as （1.84±1.32） points than （2.96±1.27） points in the control group， and their difference was statistically significant （P<0.05）. The observation group had higher insight and treatment attitude questionnaire （ITAQ） score as （15.47±4.31） points than （13.21±3.58） points in the control group， and the difference was statistically significant （P<0.05）. Conclusion The individualized nursing intervention on preschool children undergoing surgical treatment， can significantly reduce the degree of anxiety and depression in children， improve childrens insight and treatment attitude， and improve anesthetic induction cooperation degree.

【Key words】 Individualized nursing； Preschool children； Anesthesia induction； Cooperation degree

學(xué)齡前患兒由于心智發(fā)育不成熟， 在行手術(shù)治療前容易出現(xiàn)焦慮、抑郁等負(fù)面情緒， 降低患兒的麻醉誘導(dǎo)配合程度， 并且影響患兒的臨床治療效果[1， 2]。個(gè)性化護(hù)理是針對(duì)每例患兒的需求進(jìn)行干預(yù)的護(hù)理措施， 能夠改善患兒的負(fù)面情緒， 減輕其心理壓力， 并增加患兒麻醉誘導(dǎo)的配合度， 對(duì)患兒的手術(shù)治療有著重要意義[3， 4]。本文研究個(gè)性化護(hù)理干預(yù)對(duì)學(xué)齡前患兒麻醉誘導(dǎo)配合程度的影響， 現(xiàn)報(bào)告如下。endprint

1 資料與方法

1. 1 一般資料 隨機(jī)選擇2016年1～12月于本院接受需要進(jìn)行全身麻醉外科手術(shù)治療的學(xué)齡前患兒128例， 將患兒隨機(jī)分為觀察組與對(duì)照組， 各64例。觀察組男35例， 女29例， 年齡3～6歲， 平均年齡（4.4±1.3）歲；對(duì)照組男34例， 女30例，年齡3～5歲， 平均年齡（3.7±0.8）歲。兩組患兒性別、年齡等一般資料比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）， 具有可比性。