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[1]王曉玲,謝夢婷,陳碧紅.兒童醫(yī)療輔導在日間手術(shù)的學齡前患兒外周靜脈穿刺中的應用[J].福建醫(yī)藥雜志,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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兒童醫(yī)療輔導在日間手術(shù)的學齡前患兒外周靜脈穿刺中的應用()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
46
期數(shù):
2024年05期
頁碼:
80-84
欄目:
護理園地
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
文章編號:
1002-2600(2024)05-0080-05
作者:
王曉玲; 謝夢婷; 陳碧紅
福建醫(yī)科大學附屬龍巖第一醫(yī)院,龍巖 364000
Author(s):
WANG Xiaoling;  XIE Mengting;  CHEN Bihong
Longyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian 364000, China
關(guān)鍵詞:
Child Life;  小兒外科;  日間手術(shù);  學齡前;  外周靜脈穿刺
Keywords:
Child Life;  pediatric surgery;  day surgery;  preschool;  peripheral venipuncture
分類號:
R726.1
DOI:
10.20148/j.fmj.2024.05.027
文獻標志碼:
B
摘要:
目的 探討基于兒童醫(yī)療輔導(Child Life)理念的多學科干預方案在小兒外科日間手術(shù)的學齡前患兒行外周靜脈穿刺中的應用效果和可行性。方法 采用隨機對照試驗,于2023年7—9月選取來自福建醫(yī)科大學附屬龍巖第一醫(yī)院女性泌尿與小兒外科的77例進行日間手術(shù)的學齡前患兒,觀察組在對照組常規(guī)護理的基礎上增加了Child Life干預方案。在外周靜脈穿刺時記錄患兒的穿刺時間、次數(shù)和配合、哭鬧情況,并通過改良耶魯術(shù)前焦慮量表(mYPAS)、兒童疼痛行為量表(FLACC)、誘導期合作評分表(ICC)和兒童情緒表現(xiàn)量表(CEMS)評價方案對患兒的干預效果進行評價,并使用Mann-Whiney U秩和檢驗對兩組的資料進行統(tǒng)計分析。結(jié)果 觀察組患兒的配合程度優(yōu)于對照組,且焦慮、疼痛、ICC評分和CEMS評分均低于對照組患兒,而穿刺時間、穿刺次數(shù)和哭鬧情況與對照組患兒比較差異均無統(tǒng)計學意義。結(jié)論 該方案對減輕日間手術(shù)患兒外周靜脈穿刺的疼痛及焦慮等不良情緒的干預效果好,為提升該類患兒的依從性和就醫(yī)體驗感,促進和諧醫(yī)患關(guān)系的建立提供了參考依據(jù)和實踐經(jīng)驗。
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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備注/Memo

備注/Memo:
基金項目:福建省自然科學基金聯(lián)合資金項目(2023J011887)
通信作者:陳碧紅, Email:[email protected]
更新日期/Last Update: 2024-10-15