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舒适化护理对日间手术儿童术前焦虑和术后早期转归的影响

吴新雁 韩丁 王煜 陈梅丽 杨学静 潘守东

吴新雁, 韩丁, 王煜, 陈梅丽, 杨学静, 潘守东. 舒适化护理对日间手术儿童术前焦虑和术后早期转归的影响[J]. 中华全科医学, 2022, 20(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.002792
引用本文: 吴新雁, 韩丁, 王煜, 陈梅丽, 杨学静, 潘守东. 舒适化护理对日间手术儿童术前焦虑和术后早期转归的影响[J]. 中华全科医学, 2022, 20(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.002792
WU Xin-yan, HAN Ding, WANG Yu, CHEN Mei-li, YANG Xue-jing, PAN Shou-dong. Effects of comfort nursing on preoperative anxiety and postoperative early outcomes in children undergoing day surgery[J]. Chinese Journal of General Practice, 2022, 20(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.002792
Citation: WU Xin-yan, HAN Ding, WANG Yu, CHEN Mei-li, YANG Xue-jing, PAN Shou-dong. Effects of comfort nursing on preoperative anxiety and postoperative early outcomes in children undergoing day surgery[J]. Chinese Journal of General Practice, 2022, 20(12): 2156-2159. doi: 10.16766/j.cnki.issn.1674-4152.002792

舒适化护理对日间手术儿童术前焦虑和术后早期转归的影响

doi: 10.16766/j.cnki.issn.1674-4152.002792
基金项目: 

首都临床特色应用研究项目 Z181100001718096

首都儿科研究所青年课题基金 QN-2020-05

详细信息
    通讯作者:

    潘守东,E-mail:panshoudong@shouer.com.cn

  • 中图分类号: R473.72 R726.1

Effects of comfort nursing on preoperative anxiety and postoperative early outcomes in children undergoing day surgery

  • 摘要:   目的  探讨舒适化护理对日间手术儿童术前焦虑和术后早期转归的影响。  方法  选取2020年1—12月于首都儿科研究所附属儿童医院接受日间手术治疗的1~14岁儿童共451例,根据随机数字表法分为对照组(227例)和观察组(224例)。对照组采取常规护理,观察组采取舒适化护理。采用改良耶鲁术前焦虑评分(mYPAS)评价患儿的术前焦虑水平;对儿童麻醉苏醒期躁动进行评分并计算苏醒期躁动(>12分)发生率;术后3 d通过电话随访,采用住院后行为问卷调查患儿不良行为发生率,以及调查家长对医疗护理服务的满意度评分分级。  结果  观察组与对照组相比,mYPAS[5.0(5.0,7.0)分vs. 10.0(8.0, 15.0)分]、苏醒期躁动[23例(10.3%) vs. 101例(44.5%)]和术后不良行为改变[5例(2.2%) vs. 40例(17.6%)]均显著降低(均P<0.05),家长满意度分级更优(P<0.05)。  结论  舒适化护理可有效缓解日间手术患儿术前焦虑,降低麻醉苏醒期躁动和术后不良行为改变的发生率,适于在儿童日间手术中心普及推广。

     

  • 表  1  2组择期手术治疗患儿一般资料比较

    Table  1.   Comparison of general data between the two groups of children with elective surgery

    组别 例数 年龄(x±s,岁) 体重(x±s,kg) 性别(男/女,例) 手术方式(例)
    腹腔镜下鞘状突高位结扎术 腹腔镜下腹股沟斜疝修补术 鼻内镜下腺样体消融术 包皮环切术 其他c
    对照组 227 4.7±2.6 20.6±10.5 194/33 86 68 34 26 13
    观察组 224 4.6±2.6 20.7±11.3 202/22 112 45 32 25 10
    统计量 0.628a 0.038a 2.342b 8.547b
    P 0.530 0.970 0.126 0.073
    注:at值,b为χ2值;c其他包括鼻骨骨折、慢性阑尾炎、先天性附耳、耳内异物、皮脂腺囊肿、头皮肿物手术。
    下载: 导出CSV

    表  2  2组择期手术治疗患儿术前焦虑、PAED和术后不良行为改变情况比较

    Table  2.   Comparison of preoperative anxiety, PAED and postoperative adverse behavior changes between the two groups

    组别 例数 mYPAS评分[M(P25, P75),分] PAED发生[例(%)] 术后不良行为改变发生[例(%)]
    对照组 227 10.0(8.0,15.0) 101(44.5) 40(17.6)
    观察组 224 5.0(5.0,7.0) 23(10.3) 5(2.2)
    统计量 14.345a 66.249b 29.726b
    P < 0.001 < 0.001 < 0.001
    注:aZ值,b为χ2值。
    下载: 导出CSV

    表  3  2组择期手术治疗患儿家长对医疗护理服务的满意情况比较[人(%)]

    Table  3.   Comparison of parents' satisfaction with medical care service between the two groups[cases(%)]

    组别 人数 满意 基本满意 不满意
    对照组 227 77(33.92) 130(57.27) 20(8.81)
    观察组 224 110(49.10) 105(46.88) 9(4.02)
    注:2组满意情况比较,Z=3.398,P=0.001。
    下载: 导出CSV
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  • 收稿日期:  2022-03-11
  • 网络出版日期:  2023-02-07

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