CAJ | 학술논문

目的：探讨激励式心理护理干预在择期手术患儿中的应用价值。方法选择2014年3~8月唐山市协和医院住院择期手术患儿96例，按照随机数字表法分为研究组和对照组，每组各48例。对照组采用常规护理，研究组在常规护理的基础上加用激励式心理护理。分析比较两组干预后的护理效果。结果研究组患儿的手术总配合率为97.9%，对照组仅为52.1%，差异有统计学意义(P<0.05)。临手术时研究组患儿收缩压明显低于对照组，脉率也明显低于对照组，差异均有统计学意义(P<0.05)。与干预前比较，两组患儿心理状态均有不同程度的改善，两组患儿干预后的SAS评分、SDS评分均明显下降，差异有统计学意义(P<0.05)；且干预后研究组SAS评分、SDS评分明显低于对照组，差异有统计学意义(P<0.05)。结论将激励式心理护理干预用于择期手术患儿中可以有效改善患儿心理状态，稳定患儿情绪，降低患儿焦虑程度，有助于提高手术配合度，促进手术顺利进行。
목적：탐토격려식심리호리간예재택기수술환인중적응용개치。방법선택2014년3~8월당산시협화의원주원택기수술환인96례，안조수궤수자표법분위연구조화대조조，매조각48례。대조조채용상규호리，연구조재상규호리적기출상가용격려식심리호리。분석비교량조간예후적호리효과。결과연구조환인적수술총배합솔위97.9%，대조조부위52.1%，차이유통계학의의(P<0.05)。림수술시연구조환인수축압명현저우대조조，맥솔야명현저우대조조，차이균유통계학의의(P<0.05)。여간예전비교，량조환인심리상태균유불동정도적개선，량조환인간예후적SAS평분、SDS평분균명현하강，차이유통계학의의(P<0.05)；차간예후연구조SAS평분、SDS평분명현저우대조조，차이유통계학의의(P<0.05)。결론장격려식심리호리간예용우택기수술환인중가이유효개선환인심리상태，은정환인정서，강저환인초필정도，유조우제고수술배합도，촉진수술순리진행。
Objective To investigate the effect of incentive psychological intervention on children undergoing elective surgica operation. Methods From March to August 2014, in Union Hospital of Tangshan City, 97 children undergoing elective surgica operation were selected, according to random number table, they were divided into research group and control group, with 48 cases in each group. The control group were given routine nursing, the research group were given incentive psychological nursing on the basis of routine nursing. Nursing effects of the two groups after nursing interven-tion were analyzed and compared. Results The the total operative matching rate in research group was 97.9%, that in control group was only 52.1%, the difference was statistically significant (P<0.05). Approching the operation, the sys-tolic pressure of patients of the research group was significantly lower than that of control group, and the pulse rate of the research group was also lower than that of the control group, the differences were statistically significant (P<0.05). After the intervention, the psychological state of patients of both the two group had different degree improvement, SAS, SDS scores of children in two groups were lower than those before the intervention, the differences were statistically sig-nificant (P<0.05);and these in the research group were lower than those in the control group, the differences were sta-tistically significant (P<0.05). Conclusion The application of incentive psychological nursing on children undergoing elective operation can effectively improve the psychological state of childern, stabilize their mood, reduce the degree of anxiety of the patients, and also help to improve the cooperation degree, promote operation smoothly.