综合护理干预对包皮套扎术患儿心理的影响

Effect of nursing intervention on psychology of children with plastibell circumcision surgery

目的探讨综合护理干预对包皮套扎术患儿手术心理的影响，寻求适宜的围手术期护理方案。方法选取在门诊手术室行小儿包皮套扎术的患儿400例，按随机数字表法分为研究组和对照组各200例。对照组采用常规护理方法给予围手术期护理；研究组实施心理干预、分组干预、家庭支持系统干预为主的综合护理干预。比较两组患儿干预效果。结果实施综合护理干预后，研究组4—7岁患儿手术配合率为76．0％，8—13岁患儿手术配合率为92．0％，对照组分别为36．0％，53．0％，两组比较差异均有统计学意义（Х^2值分别为32．468，38．144；P〈0．05）。结论对包皮套扎术患儿实施综合护理干预，可以减轻患儿手术恐惧感，提高患儿手术配合程度，是适宜的围手术期护理方案。

Objective To evaluate the influence of nursing intervention on the psychology of children with plastibell circumcision surgery, so as to find out the optimal nursing method. Methods Totals of 400 patients underwent the operation of plastibell circumcision were randomly divided into experimental group （ n = 200） and control group （ n = 200）. And control group conducted conventional perioperative nursing care, while experimental group received the comprehensive nursing intervention： psychological intervention, grouping intervention, family assistant intervention. The physiological indication, the scare feeing score, operation coordination rate between the two groups were compared. Results After the intervention, the cooperate rate for surgery was 76.0% for 4 - 7 years old children and 92.0% for 8 - 13 years old children in experimental group, that was 36.0% and 53.0% in control group, and there was statistically significant difference （ Х^2 = 32.468,38. 144, respectively; P 〈 0. 05 ）. Conclusions Implementing the comprehensive nursing intervention can ease the children＇s operation scaring feeling and increase the coordination degree, which is the optimal perioperative nursing method.