童趣化诱导干预模式在学龄前期全麻手术患儿中的应用效果

叶剑芳; 王赏利; 周根芝; 丁雷鸣

doi:10.16766/j.cnki.issn.1674-4152.002639

童趣化诱导干预模式在学龄前期全麻手术患儿中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.002639

1.
丽水市中心医院手术室，浙江丽水 323000
2.
丽水市中心医院麻醉科，浙江丽水 323000

基金项目:

浙江省医药卫生科技计划项目 2021KY415

详细信息

通讯作者:
叶剑芳, E-mail: yejf232323@163.com

中图分类号: R473.72 R614.2
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- 文章访问数: 222
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- 被引次数: 0
出版历程
- 收稿日期: 2022-01-17
- 网络出版日期: 2022-11-29

Effect of child interest induction intervention model in preschool children undergoing general anaesthesia

1.
Operating Room of Lishui Central Hospital, Lishui, Zhejiang 323000, China

摘要

摘要: 目的探讨以儿童兴趣喜好为诱导的干预模式在学龄前期患儿全麻手术中的应用效果，为该干预模式在学龄前期全麻手术患儿中的推广应用提供依据。方法选取2019年7月—2020年6月丽水市中心医院收治的468例学龄前全麻手术患儿作为研究对象，依据纳入、排除标准筛选出439例患儿，将2019年7—12月采用常规管理模式的218例全麻手术患儿作为常规组，将2020年1—6月采用童趣化诱导干预模式管理的221例全麻手术患儿作为干预组；对2组患儿术前焦虑情绪、麻醉诱导配合程度及苏醒期躁动程度进行评分比较。结果干预组患儿术前访视时焦虑情绪评分为(29.96±3.25)分，与常规组的(30.18±3.37)分比较，差异无统计学意义(P＞0.05)；干预组术前等候时[(26.16±4.15)分]及麻醉诱导前[(44.47±5.38)分]焦虑情绪评分明显低于常规组[(34.92±4.32)分及(52.48±5.52)分]；麻醉诱导合作程度评分[(1.51±0.84)分]及苏醒期躁动程度评分[(6.79±3.27)分]明显低于常规组[(2.87±1.13)分及(8.51±3.48)分]，差异有统计学意义(均P＜0.05)。结论以儿童兴趣喜好为诱导的干预模式应用于学龄前期全麻手术患儿，能够有效改善学龄前期全麻手术患儿的术前焦虑状态，提高其麻醉诱导配合度，减轻其术后苏醒期躁动程度。
- 儿童 /
- 学龄前期 /
- 全麻 /
- 手术 /
- 童趣 /
- 焦虑 /
- 麻醉诱导
Abstract: Objective To explore the application effect of child interest induction intervention model in general anaesthesia for preschool children. The intervention model provides a guiding basis for the popularisation and application of general anaesthesia in preschool children. Methods A total of 468 preschool children undergoing general anaesthesia in Lishui Central Hospital from July 2019 to June 2020 were selected as the research objects. Amongst them, 439 cases that met the requirements of the study were screened in accordance with the inclusion and exclusion criteria. On the basis of the order of admission time, 218 children undergoing general anaesthesia from July 2019 to December 2019 were taken as the routine group and 221 children undergoing general anaesthesia from January to June 2020 under the management of child interest induction intervention model were taken as the intervention group. The preoperative anxiety, the cooperation degree of anaesthesia induction and the degree of agitation in the awakening period between the two groups were compared. Results During preoperative visit, no significant difference was found in the anxiety score between the intervention group [(29.96±3.25) points] and the routine group [(30.18±3.37) points, P > 0.05]. The anxiety scores during preoperative waiting [(26.16±4.15) points] and before anaesthesia induction [(44.47±5.38) points] in the intervention group were significantly lower than those in the routine group [(34.92±4.32) points and (52.48±5.52) points, respectively]. The scores of cooperation degree of anaesthesia induction [(1.51±0.84) points] and agitation degree of awakening [(6.79±3.27) points] in the intervention group were significantly lower than those in the routine group [(2.87±1.13) points and (8.51±3.48) points, respectively] and the difference were statistically significant (all P < 0.05). Conclusion The implementation and application of child interest induction intervention model in general anaesthesia for preschool children could effectively improve the preoperative anxiety of preschool children undergoing general anaesthesia, improve the coordination of anaesthesia induction and reduce the degree of agitation in postoperative recovery period.
- Children /
- Preschool age /
- General anaesthesia /
- Operation /
- Childlike interest /
- Anxiety /
- Anaesthesia induction

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图 1 童趣化手术转运

Figure 1. Surgical transport of interest to children

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图 2 图书角

Figure 2. Reading corner

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图 3 水果、卡通贴奖励

Figure 3. Fruits, cartoon stickers reward

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表 1 2组学龄前期全麻手术患儿一般资料比较

Table 1. Comparison of general data between the two groups of preschool children undergoing general anesthesia

组别	例数	性别(例)		年龄(x±s，岁)
组别	例数	男	女	年龄(x±s，岁)
常规组	218	153	65	4.49±1.12
干预组	221	155	66	4.33±1.08
统计量		< 0.001^a		1.524^b
P值		0.991		0.128
注：^a为χ²值，^b为t值。

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表 2 2组学龄前期全麻手术患儿Cm-YPAS评分比较(x±s，分)

Table 2. Comparison of Cm-YPAS scores between the two groups of preschool children undergoing general anesthesia (x±s, points)

组别	例数	T1	T2	T3	F值	P值
常规组	218	30.18±3.37	34.92±4.32^a	52.48±5.52^ab	1 490.363	< 0.001
干预组	221	29.96±3.25	26.16±4.15^a	44.47±5.38^ab	1 090.740	< 0.001
t值		0.695	21.661	15.382
P值		0.488	< 0.001	< 0.001
注：组内与T1时间点比较，^aP＜0.05；组内与T2时间点比较，^bP＜0.05。

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表 3 2组学龄前期全麻手术患儿ICC评分及PAED评分比较(x±s，分)

Table 3. Comparison of ICC score and PAED score between the two groups of preschool children undergoing general anesthesia (x±s, points)

组别	例数	ICC评分	PAED评分
常规组	218	2.87±1.13	8.51±3.48
干预组	221	1.51±0.84	6.79±3.27
t值		14.296	5.337
P值		< 0.001	< 0.001

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