3～12岁手术患儿在麻醉复苏室的心理干预

Psychological intervention for 3-12 years old children in post-anesthctic ICU

目的探讨患儿在麻醉复苏室(PACU)进行心理干预的必要性和可行性,为临床实施心理干预提供依据。方法将240例手术患儿分为两组:3～6岁组、6～12岁组,再根据是否给予心理干预随机分为实验组和对照组(各60例),观察并记录在PACU的情绪、精神状况、与医务人员的配合程度和在PACU的恐惧感以及患儿术前与出PACU的血压、脉搏的变化。结果实验组与对照组相比较,实验组在PACU较安静,与医务人员配合的程度高,术前与出PACU的血压、脉搏变化小且术后恐惧感消失较快。结论对手术患儿在PACU进行心理干预可明显缓解患儿的紧张、恐惧程度,能较好地配合医务人员的工作,为安全、顺利地度过麻醉恢复期,预防并发症的发生创造良好的条件。

Objective To explore the necessity and feasibility of the psychological intervention for children in post-anesthetic ICU （PACU） and to provide evidence for the clinical psychological intervention. Methods Totally 240 children patients were divided into 3-6 years group and 6- 12 years group. Each group was further divided into experiment subgroup （n = 60） and control one （n= 60）. The blood pressure, pulse, emotion, mental state, fear and the coordination with the medical staff in and out of PACU in each group were observed. Results The children in ex- periment subgroup were very quiet without fear and could act well with the medical staff. The pulse and blood pressure of the children in experimental subgroup kept stable. Conclusion Psychological intervention is a good way to calm down the children and release the complication. The children may pass through the anesthesia recovery stage easily by this way.