中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
15期
1140-1142
,共3页
洪颜%于静波%方佩娟%缪淑琴
洪顏%于靜波%方珮娟%繆淑琴
홍안%우정파%방패연%무숙금
游戏疗法%儿童%脊椎穿刺%疼痛%依从性
遊戲療法%兒童%脊椎穿刺%疼痛%依從性
유희요법%인동%척추천자%동통%의종성
Play therapy%Children%Spinal puncture%Pain%Compliance
目的 探讨游戏疗法对住院儿童腰椎穿刺(腰穿术)疼痛及操作依从性等的影响.方法 将准备行腰穿术的患儿60例,按照随机数字表法分为干预组和对照组各30例,对照组采用常规方式,干预组在常规方式的基础上,在腰穿术前和腰穿术中增加游戏互动环节.结果 干预组患儿术后呼吸、脉搏增快的例数分别为10例和8例,与对照组的24例和21例比较,差异有统计学意义,P＜0.01.干预组术中FLACC量表和Wong-Baker笑脸量表评分分别为(2.52±1.37)分和(3.59±1.15)分,均显著低于对照组的(4.22±1.97)分和(4.93±1.71)分,差异有统计学意义,P＜0.01.干预组患儿的依从性评分及腰穿术操作时间亦显著优于对照组,差异有统计学意义,P＜0.05.结论 游戏疗法可缓解患儿腰穿术操作性疼痛,降低生命体征波动,提高穿刺的依从性,缩短整个操作完成的时间.
目的 探討遊戲療法對住院兒童腰椎穿刺(腰穿術)疼痛及操作依從性等的影響.方法 將準備行腰穿術的患兒60例,按照隨機數字錶法分為榦預組和對照組各30例,對照組採用常規方式,榦預組在常規方式的基礎上,在腰穿術前和腰穿術中增加遊戲互動環節.結果 榦預組患兒術後呼吸、脈搏增快的例數分彆為10例和8例,與對照組的24例和21例比較,差異有統計學意義,P＜0.01.榦預組術中FLACC量錶和Wong-Baker笑臉量錶評分分彆為(2.52±1.37)分和(3.59±1.15)分,均顯著低于對照組的(4.22±1.97)分和(4.93±1.71)分,差異有統計學意義,P＜0.01.榦預組患兒的依從性評分及腰穿術操作時間亦顯著優于對照組,差異有統計學意義,P＜0.05.結論 遊戲療法可緩解患兒腰穿術操作性疼痛,降低生命體徵波動,提高穿刺的依從性,縮短整箇操作完成的時間.
목적 탐토유희요법대주원인동요추천자(요천술)동통급조작의종성등적영향.방법 장준비행요천술적환인60례,안조수궤수자표법분위간예조화대조조각30례,대조조채용상규방식,간예조재상규방식적기출상,재요천술전화요천술중증가유희호동배절.결과 간예조환인술후호흡、맥박증쾌적례수분별위10례화8례,여대조조적24례화21례비교,차이유통계학의의,P＜0.01.간예조술중FLACC량표화Wong-Baker소검량표평분분별위(2.52±1.37)분화(3.59±1.15)분,균현저저우대조조적(4.22±1.97)분화(4.93±1.71)분,차이유통계학의의,P＜0.01.간예조환인적의종성평분급요천술조작시간역현저우우대조조,차이유통계학의의,P＜0.05.결론 유희요법가완해환인요천술조작성동통,강저생명체정파동,제고천자적의종성,축단정개조작완성적시간.
Objective To evaluate the impact of play therapy to the pain and the compliance of hospitalized children during tht course of lumbar puncture operation.Methods Divided 60 children with lumbar puncture operation into the intervention group (30 cases) and the control group(30cases)randomly.Routine cares were used in the control group,while the play therapy was used in the intervention group in addition during the course of lumbar puncture operation.Results There were statistical significance in the comparisons of the changes of respiratory rate and pulse rate during the preoperative and intraoperative of lumbar puncture between the two groups,P＜0.01.There were also significant differences in the comparisons of subjective and objective pain score as well as the puncture compliance in the lumbar puncture operation.The score of FLAFF scale and the Wong-Baker scale in the intervention group was (2.52 ± 1.37) and (3.59 ± 1.15) respectively,which was significant lower than that of in the control group,(4.22 ± 1.97) and (4.93 ± 1.71),the difference was significant,P＜0.01.Conclusion Play therapy can relieve the pain of children with lumbar puncture operation,reduce the changes of the vital signs,promote the puncture compliance and shorten the time of the whole operation completeness.
