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周文娟  胡梅园 《骨科》2021,12(6):550-554
目的 探讨基于不同阶段儿童认知特点制定的骨折患儿围手术期焦虑管理方案在临床中的应用效果。方法 选取2020年6月至2021年5月我院骨科收治的需手术治疗的四肢骨折患儿160例。将2020年6月至11月收治的80例骨折患儿纳入对照组,围手术期实施常规管理方案;2020年12月至2021年5月收治的80例骨折患儿纳入观察组,围手术期实施基于儿童认知特点的焦虑管理方案。采用改良耶鲁术前焦虑量表(m-YPAS)测评患儿入院时、术前30 min的焦虑评分;特质焦虑量表(T-AI)和状态焦虑量表(S-AI)分别测评患儿家属入院时和手术等待期的焦虑评分;满意度调查问卷调查患儿家长对护理的满意度。观察两组患儿焦虑评分、家属焦虑评分以及对护理工作的满意情况。结果 术前30 min,观察组患儿焦虑评分为(45.84±6.75)分,显著低于对照组的(57.91±6.96)分,差异有统计学意义(P<0.001);观察组患儿家属手术等待期的S-AI评分为(37.35±4.51)分,显著低于对照组的(46.25±5.74)分,差异有统计学意义(P<0.05)。观察组家长对护理的满意度显著高于对照组为(95% vs. 75%),差异有统计学意义(χ2=12.549,P<0.001)。结论 基于儿童认知特点的骨折患儿围手术期焦虑管理方案有利于改善患儿和家属焦虑,提高患儿家长对护理工作的满意度,促进患儿舒适。  相似文献
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Objective: Pediatric hypnosis has a useful role in pre‐, peri‐, and post‐anesthesia to minimize anticipatory anxiety, and as adjunctive treatment to reduce and control pain. This article reviews the literature in the use of hypnosis in pediatric anesthesia to highlight its role and relevancy. Background: Current research indicates there is an immediate and enduring impact, and long‐term benefits of this child‐centered intervention. Hypnosis can be included in presurgical consultations to establish cooperation and signals for increasing comfort and to address fears and provide suggestions for rapid recovery with changed expectations for the child’s own benefit. Thus prepared, the child is in a heightened state of receptivity and statements and suggestions carry through to peri‐ and post‐anesthesia, when hypnosis can help with extubation, reduce nausea, and ease recovery. Method: The Magic Glove is one hypno‐anesthesia technique that simultaneously addresses pain and anxiety. The process of hypnosis requires training and supervised practice. Conclusion: Patients in hypnosis treatment conditions have less anxiety and shorter hospital stays and experience less long‐term pain and discomfort than do patients in control conditions. There appears little reason not to provide hypnosis as an adjunctive treatment for pediatric patients undergoing anesthesia.  相似文献
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