CAJ | 학술논문

目的探讨实施人文关怀护理前后唇腭裂整复术婴幼儿围术期焦虑程度的变化.方法选择2008年5月～2009年6月行唇腭裂整复术的患儿42例为护理组,实施人文关怀护理;选择2007年3月～2008年4月行唇裂整复术患儿38例为对照组,实施常规护理采用改良耶鲁围术期焦虑量表(mYPAS)于术前访视(T1)、人手术室(T2)、麻醉诱导时(T3)、术后24 h(T4)4个时间点测量患儿的焦虑值,以诱导期合作评分(ICC)观察诱导时患儿合作程度,以调查表调查家属的满意度.结果与T1时间点相比,两组患儿T2及T3两个时间点焦虑评分明显升高(P＜0.01),T4回到术前值;两组比较,护理组患儿在T3时其焦虑评分明显降低(P＜0.01),同时护理组患儿合作评分也明显降低(P＜0.01);护理组患儿家属对医务人员满意率明显高于对照组,差异有显著性(P＜0.01).结论采用人文关怀护理能明显的减轻唇腭裂整复术患儿围术期的焦虑程度.
목적 탐토실시인문관부호리전후진악렬정복술영유인위술기초필정도적변화.방법 선택2008년5월～2009년6월행진악렬정복술적환인42례위호리조,실시인문관부호리;선택2007년3월～2008년4월행진렬정복술환인38례위대조조,실시상규호리채용개량야로위술기초필량표(mYPAS)우술전방시(T1)、인수술실(T2)、마취유도시(T3)、술후24 h(T4)4개시간점측량환인적초필치,이유도기합작평분(ICC)관찰유도시환인합작정도,이조사표조사가속적만의도.결과 여T1시간점상비,량조환인T2급T3량개시간점초필평분명현승고(P＜0.01),T4회도술전치;량조비교,호리조환인재T3시기초필평분명현강저(P＜0.01),동시호리조환인합작평분야명현강저(P＜0.01);호리조환인가속대의무인원만의솔명현고우대조조,차이유현저성(P＜0.01).결론 채용인문관부호리능명현적감경진악렬정복술환인위술기적초필정도.
Objective To investigate the effects of nursing techniques with humanistic nursing on perioperative anxiety in infants and young children. Methods Compared with 38 cases with eheilopalatognathus (C group), 42 cases with eheilopalatognathus (H group)were performed by humanistic nursing. The anxiety level were tested by mYPAS (modified Yale re operative anxiety scale) at 4 time points:the day before operation, walking into the operating room, anesthesia induction and the day after operation. The cooperative levels during the anesthesia induction were tested by ICC (induction compliance checklist) . Results In both groups, there was significantly higher anxiety level when walking into the operating room and during the anesthesia induction than that at the day before operation, but the children in H group showed lower anxiety level and better cooperation than that in C group during the anesthesia induction. Conclusions Combining nursing techniques with humanistic nursing can have a good effect to lower the anxiety level in infancy and children.