认知行为干预对学龄期患儿术前心理应激反应的影响

目的探讨认知行为干预对学龄期患儿术前心理应激反应的影响。方法将70例学龄期择期全身麻醉手术患儿分为干预组和对照组,各35例,对照组进行常规术前访视,干预组进行术前认知行为干预。在入院时和进入手术室开放静脉通路5 m in后分别抽取静脉血,检测血浆皮质醇、肾上腺素和去甲肾上腺素的浓度。结果入院时两组患儿的血浆皮质醇、肾上腺素和去甲肾上腺素的浓度差异无统计学意义(P0.05);开放静脉后,干预组血浆皮质醇、去甲肾上腺素和肾上腺素浓度均低于对照组,差异具有统计学意义(P0.01)。结论学龄前患儿术前均存在不同程度的应激反应,认知行为干预能够减轻患儿术前心理应激反应。

Effects of cognitive-behavioral intervention on preoperative stress reaction among school-age children

Objective To explore the effects of cognitive - behavioral intervention on preoperative stress reaction of school - age children. Methods Seventy school - age children with elective operation under general anesthesia were divided into the control group and the intervention group, each with 35 cases, according to the odd and even of their admission day. The control group received the preoperative routine visit, and the intervention group received the cognitive - behavioral intervention. The blood samples of the patients were collected on the day of admission and 5 minutes after venous puncture in the opera- tion room to examine the concentrations of plasma cortisol （Cor）, norepinephrine （NE） and epinephrine（E）. Results There was no difference about the con- centrations of Cor, NE, and E on the day of admission between the two groups （P 〉 0.05 ）. The concentrations of Cor, NE, and E at the time of 5 minutes after venous puncture in the operation room in the intervention group were lower than those in the control group （ P 〈 0.01 ）. Conclusions There are preoperative stress reaction among school - age children in different degrees. The cognitive - behavioral intervention is an effective approach to relieve preoperative stress reaction of school - age children.