临床小儿外科杂志Issue(6)：521-524,4.DOI:10.3969/j.issn.1671-6353.2014.06.015
小儿骨科围手术期的心理干预
The application of psychological intervention in the orthopaedics perioperative period
白德明 1刘洁 1刘颖 2孟喜军 3龙江涛 1贾中伟 1燕美琴 1姜峰 2吕华 1李斌霞1
作者信息
- 1. 山西省儿童医院 山西省太原市，030001
- 2. 山西医科大学 山西省太原市，030001
- 3. 武汉市儿童医院骨科 武汉市，430000
- 折叠
摘要
Abstract
Objetive To explore the effect of surgical satisfaction by implementing psychological inter-vention on orthopedic pediatric patients and their parents.Methods 52 cases of optional operative school-age children (6 ~10 years old)and their parents.Randomly divided into two groups before the surgery,experimen-tal group (N=27),control group (N=25).Both groups implementing general anesthesia endotracheal intuba-tion.Implementing psychological guidance to experimental groups around the surgery but not to control groups. Using the Clinical symptoms of mental health self-rating scale (SCL -90)to assessment the two groups par-ents’s mental condition after the intervention.Using the modified yale preoperative anxiety scale(mYPAS)to assessment the two groups of children's anxiety level at four times(T1:Preoperative visit time ,T2:Into the op-erating room time ,T3:General anesthesia endotracheal intubation induction time,T4:24 h after surgery).As-sessment the children's cooperation by using the Induction period of cooperation Scale (ICC)at the T3. Re-sults The experiment group parent SCL -90 scores below the control group.compared to T1,both of the two groups children scores have increased significantly(P <0.05),compared during the experiment group and the control group,the former group scores of anxiety was below significantly(P <0.05 ),at the same time,ICC scores was below.two groups patients scores were high compared to T1 (P <0.05). Conclusion ①Psycho-logical treatments in the preoperative period of school-age children elevate effectively anxiety perioperation and negative emotions to enhance perfect induction.②Psychological treatments in the preoperative period of parents have helped children through psychological barrier.③They can improve the surgical satisfaction.关键词
手术期间/心理护理/干预性研究/病人满意度/儿童Key words
Intraoperative Period/Psychological Nursing/Intervention Studies/Patient Satisfaction/Child引用本文复制引用
白德明,刘洁,刘颖,孟喜军,龙江涛,贾中伟,燕美琴,姜峰,吕华,李斌霞..小儿骨科围手术期的心理干预[J].临床小儿外科杂志,2014,(6):521-524,4.
