活体肝移植患儿的心理护理

通过对21例次活体肝移植患儿的心理进行评估，认为：活体肝移植患儿围手术期可出现紧张恐惧、焦虑、害怕疼痛、怀疑、敌对、抑郁等多种异常心理改变。针对上述心理反应，采取相应护理对策，包括：进行术前访视，运用心理学理论，加强与患儿的沟通，建立良好的护患关系，及时了解患儿的思想动态，及时帮助减轻术后的痛苦与不适，进行赏识教育，充分发挥家庭的支持作用，改善ICU环境等措施，帮助患儿克服不良心理。提示实施个体化、情感化、有针对性的心理干预措施，能够提高患儿对ICU环境和手术应激的适应能力，促进其身心康复。

Mental care of children undergoing in vivo liver transplantation

The authors assessed the mental status in 21 children undergoing in vivo liver transplantation, holding the children were liable to such mental abnormalities like stress, fear, anxiety, fear of pains, suspicion, hostility, depression. Pertinent nursing countermeasures included: preoperative visit, enhanced communication with them using psychological theory, establishment of good nurse-patient relation, timely understanding of their mentality, timely relief of postoperative pains and discomfort, conduct of appreciation education, full exertion of family's supporting role, improvement of ICU environment to help them overcome the mental abnormalities. They pointed out individualized and pertinent nursing intervention is able to enhance the children's adaptability to ICU environment and operative stress ultimately to promote their mental and physical health.