童趣化护理干预在学龄前患儿麻醉诱导中的应用研究

目的探讨童趣化护理干预在学龄前患儿麻醉诱导中的应用效果。方法根据随机数字表法将本院接受择期手术治疗的180例学龄前患儿分为对照组与观察组,均为90例,对照组患儿实施常规护理干预,观察组患儿实施童趣化护理干预,现对比分析2组患儿的疗效。结果手术前1天,2组患儿改良耶鲁围术期焦虑量表(m YPAS)评分相比差异无统计学意义(P0.05)。麻醉诱导时,2组患儿mYPAS评分与手术前1天相比均显著升高(P0.05),组间比较显示观察组焦虑评分显著低于对照组(P0.05)。手术前1天,2组患儿收缩压(SBP)、舒张压(DBP)相比差异无统计学意义(P0.05)。麻醉诱导时,2组患SBP、DBP与手术前1天相比均显著升高(P0.05),组间比较显示观察组SBP、DBP显著低于对照组(P0.05)。手术前1天,2组患儿心率(HR)相比差异无统计学意义(P0.05)。麻醉诱导时,2组患儿HR与手术前1天相比均显著升高(P0.05),组间比较显示观察组HR显著低于对照组(P0.05)。观察组患儿麻醉诱导期合作量表(ICC)评分显著低于对照组(P0.05)。结论学龄前患儿麻醉诱导中应用童趣化护理干预可以改善患儿的焦虑情绪,且对血压、HR影响较小,从而提高麻醉诱导配合度。

Application of nursing intervention of children's fun mode in anesthesia induction of preschool children

Objective To explore application of nursing intervention of children's fun mode m anesthesia induction of preschool children.Methods A total of 180 preschool children undergoing elective surgery in our hospital were randomly divided into control group and observation group according to the random number table method,with 90 cases in each group,the control group was given routine nursing,and the observation group with children's fun mode nursing intervention,the curative effect is compared between the two groups.Results Before operation,there was no significant difference between the two groups in the improvement of the perioperative anxiety scale (mYPAS) score in the groups (P ＞ 0.05).During induction of anesthesia,mYPAS score of the two groups before operation were significantly higher than one day before surgery,and the differences were statistically significant (P ＜ 0.05),and anxiety score in the observation group was significantly lower than the control group (P ＜ 0.05).Before one day of operation,there was no significant difference in systolic blood pressure (SBP) and diastolic blood pressure (DBP) between the two groups (P ＞0.05).During induction of anesthesia,the SBP,DBP of two groups were significantly higher than one day before operation,and the differences were statistically significant (P ＜ 0.05),and the observation group had lower SBP and DBP than the control group,the difference was statistically significant (P ＜ 0.05).Before one day of surgery,there was no significant difference in heart rate (HR) between two groups (P ＞ 0.0 5).During induction of anesthesia,the two groups had higher HR than one day before operation (P ＜ 0.05),and the observation group had lower HR than the control group (P ＜ 0.05).The observation group during anesthesia induction had lower cooperation scale (ICC) score than the control group(P ＜ 0.05).Conclusion Nursing intervention of children's fun mode for preschool children can improve children's blood pressure,and has less influence on HR so as to improve cooperation of anesthesia induction.