中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2010年
18期
2155-2157
,共3页
认知行为疗法%小儿%局麻%斜视矫正术
認知行為療法%小兒%跼痳%斜視矯正術
인지행위요법%소인%국마%사시교정술
Congnitive-behavioral therapy%Children%Local anesthesia%Strabismus surgery
目的 探讨认知行为疗法在小儿局麻下斜视矫正术中的应用效果.方法 将选择局麻下行择期斜视矫正术的120例6~10岁的学龄期患儿分为两组,每组各60例.干预组采用认知行为疗法进行术前访视指导以及术中陪护.对照组采用常规方法进行术前访视指导,对比两组患儿在手术前及手术中的合作率、心率、血压和血清皮质醇的变化等.结果 干预组患儿进入手术室后血压、心率、血清皮质醇均低于对照组(P<0.05).结论 应用认知行为疗法对局麻下斜视矫正术患儿进行术前术中干预,能降低手术患儿的恐惧反应,提高患儿对局部麻醉的依从性和手术成功率.
目的 探討認知行為療法在小兒跼痳下斜視矯正術中的應用效果.方法 將選擇跼痳下行擇期斜視矯正術的120例6~10歲的學齡期患兒分為兩組,每組各60例.榦預組採用認知行為療法進行術前訪視指導以及術中陪護.對照組採用常規方法進行術前訪視指導,對比兩組患兒在手術前及手術中的閤作率、心率、血壓和血清皮質醇的變化等.結果 榦預組患兒進入手術室後血壓、心率、血清皮質醇均低于對照組(P<0.05).結論 應用認知行為療法對跼痳下斜視矯正術患兒進行術前術中榦預,能降低手術患兒的恐懼反應,提高患兒對跼部痳醉的依從性和手術成功率.
목적 탐토인지행위요법재소인국마하사시교정술중적응용효과.방법 장선택국마하행택기사시교정술적120례6~10세적학령기환인분위량조,매조각60례.간예조채용인지행위요법진행술전방시지도이급술중배호.대조조채용상규방법진행술전방시지도,대비량조환인재수술전급수술중적합작솔、심솔、혈압화혈청피질순적변화등.결과 간예조환인진입수술실후혈압、심솔、혈청피질순균저우대조조(P<0.05).결론 응용인지행위요법대국마하사시교정술환인진행술전술중간예,능강저수술환인적공구반응,제고환인대국부마취적의종성화수술성공솔.
Objective To investigate the effects of congnitive-behavioral therapy in pediatric strabismus surgery under local anesthesia. Methods One hundrend an twenty children (between six and ten years), who were received strabismus surgery under local anesthesia, were randomly divided into two groups. congnitivebehavioral therapy group(group A, n=60) were treated with congnitive-behavioral therapy, while control group (group B, n=60) were treated with conventional preoperative guide. Tthe cooperation rate, heart rate, blood pressure and serum cortisol changes were compared between groups. Results Compared with group B, the heart rate, blood pressure and serum cortisol changes in group A were Significantly lower (x2=6.61, P<0.01).Conclusions Preoperative application of cognitive-behavioral therapy for children with strabismus surgery under local anesthesia can significantly reduce children's fear reactions and improve compliance in children and the success rate of surgery.