先天性心脏病手术患儿心理状态对术后恢复和卫生经济学的影响

目的 探讨先天性心脏病手术患儿心理状态对术后并发症、在重症监护病房(ICU)监护时间及花费的影响,为改进围手术期护理提供依据.方法将182例先天性心脏病患儿术前心理评价,分成合作型和拒绝型,对比两组患儿术后并发症、ICU监护时间及花费的差异.结果拒绝型患儿组并发症为40.6%、ICU监护时间为(26.1±16.9)h,花费为(4 569.0±4 825.8)元,高于合作型患儿组(P<0.05).结论 患儿心理状态可影响术后恢复及卫生经济学花费,故应倡导术前常规进行心理状态评估并进行相应心理护理于预,减少拒绝型患儿,以减少术后并发症、促进患儿康复,降低医疗费用,也节约社会医疗卫生资源.

Impact of psychological features on the postoperative course and health economics in children with congenital heart disease

Objective To investigate the impact of psychological features on the postoperative complications, nursing-time and costs during the intensive care unit (ICU) in children with congenital heart disease (CHD), and to provide scientific evidence for improving the nursing in these patients. Methods 182 children with CHD were divided into the rejection group and the cooperation group based on their psychological evaluation before the operation. Then the postoperative complications, nursing-time and costs during ICU were compared. Results In the rejection group, the postoperative complications (40.6%), nursing-time (26.1± 16.9 h) and costs (4 569.0±4 825.8 Yuan) during ICU were significantly higher than those in the cooperation group (P<0.05). Conclusions The psychological features in children with CHD have a strong impact on the postoperative rehabilitation and health economics. It's necessary to do a psychological evaluation and intensive mental care in preoperative children with CHD to reduce the rejection patients, and in turn to reduce the postoperative complication, promote the rehabilitation, reduce the costs and save the medical resource.