[1]王晓玲,谢梦婷,陈碧红.儿童医疗辅导在日间手术的学龄前患儿外周静脉穿刺中的应用[J].福建医药杂志,2024,46(05):80-84.[doi:10.20148/j.fmj.2024.05.027]
　WANG Xiaoling,XIE Mengting,CHEN Bihong.Application of child life concept in peripheral venipuncture in preschool children undergoing day surgery[J].FUJIAN MEDICAL JOURNAL,2024,46(05):80-84.[doi:10.20148/j.fmj.2024.05.027]
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儿童医疗辅导在日间手术的学龄前患儿外周静脉穿刺中的应用()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
46
期数:
2024年05期
页码:
80-84
栏目:
护理园地
出版日期:
2024-10-15

文章信息/Info

Title:
Application of child life concept in peripheral venipuncture in preschool children undergoing day surgery
文章编号:
1002-2600(2024)05-0080-05
作者:
王晓玲; 谢梦婷; 陈碧红
福建医科大学附属龙岩第一医院,龙岩 364000
Author(s):
WANG Xiaoling;  XIE Mengting;  CHEN Bihong
Longyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian 364000, China
关键词:
Child Life;  小儿外科;  日间手术;  学龄前;  外周静脉穿刺
Keywords:
Child Life;  pediatric surgery;  day surgery;  preschool;  peripheral venipuncture
分类号:
R726.1
DOI:
10.20148/j.fmj.2024.05.027
文献标志码:
B
摘要:
目的 探讨基于儿童医疗辅导(Child Life)理念的多学科干预方案在小儿外科日间手术的学龄前患儿行外周静脉穿刺中的应用效果和可行性。方法 采用随机对照试验,于2023年7—9月选取来自福建医科大学附属龙岩第一医院女性泌尿与小儿外科的77例进行日间手术的学龄前患儿,观察组在对照组常规护理的基础上增加了Child Life干预方案。在外周静脉穿刺时记录患儿的穿刺时间、次数和配合、哭闹情况,并通过改良耶鲁术前焦虑量表(mYPAS)、儿童疼痛行为量表(FLACC)、诱导期合作评分表(ICC)和儿童情绪表现量表(CEMS)评价方案对患儿的干预效果进行评价,并使用Mann-Whiney U秩和检验对两组的资料进行统计分析。结果 观察组患儿的配合程度优于对照组,且焦虑、疼痛、ICC评分和CEMS评分均低于对照组患儿,而穿刺时间、穿刺次数和哭闹情况与对照组患儿比较差异均无统计学意义。结论 该方案对减轻日间手术患儿外周静脉穿刺的疼痛及焦虑等不良情绪的干预效果好,为提升该类患儿的依从性和就医体验感,促进和谐医患关系的建立提供了参考依据和实践经验。
Abstract:
Objective To explore the effect and feasibility of multidisciplinary intervention program based on Child Life concept in peripheral venipentesis for preschool children undergoing day surgery in pediatric surgery. Methods A randomized controlled trial design was used.A total of 77 preschool children from the department of female urology and pediatric surgery in Longyan First Affiliated Hospital of Fujian Medical University from July to September 2023 were chosen and divided into two groups. The observation group carried out the child life intervention program based on routine care in the control group. During peripheral venipuncture, the puncture time, frequency, coordination and crying of the children were evaluated. The modified Yale Preoperative Anxiety Scale(mYPAS), the Face, Legs, Activity, Cry, and Consolability(FLACC)scale, Induction Compliance Checklist(ICC)and Childrens Emotional Manifestation Scale(CEMS)were used to evaluate the intervention effect of the program on children, and the data of the two groups were statistically analyzed with Mann Whiney U rank sum test. Results The comparison results between the two groups showed that the cooperation degree of the observation group was better than that of the control group, and the anxiety, pain, ICC score, and CEMS score were lower than those of the control group, while puncture time, puncture times and crying were not significantly different between the control group. Conclusions This study verified the intervention effect of this program on pain, alleviating anxiety and other adverse emotions of children undergoing peripheral venipentesis in day surgery, and provided reference and practical experience for improving the compliance and medical experience of these children, and promoting harmonious doctor-patient relationship.

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备注/Memo

备注/Memo:
基金项目:福建省自然科学基金联合资金项目(2023J011887)
通信作者:陈碧红, Email:longyancbh@163.com
更新日期/Last Update: 2024-10-15