学龄儿童手术前后黑暗恐惧程度评价及分析

Comparation of dark fear in school-age children before and after surgery

目的观察不同手术对学龄儿童术后黑暗恐惧程度的影响,为临床采取防治措施奠定基础。方法选择2009年7月～2011年6月潍坊医学院附属医院手术患儿557例,采用汉密顿焦虑量表(HAMA)评价其入院时及出院时的黑暗恐惧程度。结果出院时各手术科室患儿黑暗恐惧程度均较入院前增高(P<0.05或<0.01),其中出院时眼科患儿黑暗恐惧程度明显高于其他科室患儿(P<0.01),其他科室间比较P>0.05。结论外科手术可增加学龄儿童黑暗恐惧程度,尤以眼科手术为著;临床应对此采取针对性措施,以减少儿童心理障碍发生。

Objective To observe the effect of different surgery on dark fear of the school-age children, so as to lay foundation for clinical prevention and treatment. Methods Total of 557 children undergoing operation in the affiliated hos- pital of Weifang Medical University were selected from September 2009 to June 2011, their dark fear degree was evaluatived by the HAMA anxiety scale on hospital admission and discharge. Results The dark fear degree on hospital admission was significandy higher that on hospital discharge （P 〈 0.05 or O. 01 ）, the degree of children in ophthalmology is much higher than that in other departments on hospital discharge （ P 〈 0.01 ）, no difference were found among the other departments （ P 〉 O. 05 ）. Conclusions Surgery can increase the dark fear degree of school-age children, especially for the ophthalmology surgery; the clinic should take corresponding measures to decrease the occurrence of psychological disadvantages in children.