安抚奶嘴加音乐疗法用于先天性心脏病患儿镇静的效果观察

Effect of Pacifier and Music Therapy on Calming Down Children with Congenital Heart Disease

目的探讨安抚奶嘴加音乐疗法在先天性心脏病患儿镇静中的应用效果。方法将100例先天性心脏病患儿按入院时间先后分为观察组和对照组各50例,出现哭闹5 min内不能自行停止时,给予相应的护理干预。对照组采用常规哄、抱、抚触等护理干预;观察组在常规安抚方法的基础上,加用安抚奶嘴和音乐疗法的护理干预。15 min后观察两组患儿是否较前转安静,心率、呼吸、血压、SpO2的改变及出现屏气、缺氧发作、窒息、心功能衰竭等并发症情况。结果观察组患儿心率、呼吸、SpO2恢复至接近安静状态,与对照组相比,差异有统计学意义(P<0.01)。观察组安静率达90%,镇静效果优于对照组,哭闹现象明显少于对照组,差异有统计学意义(P<0.05)。观察组心功能衰竭的发生率为4%,低于对照组,差异有统计学意义(P<0.05)。结论采用安抚奶嘴和音乐疗法的护理干预方法,可使患儿处于安静状态,稳定患儿情绪,减少并发症的发生。

Objective To explore the effect of pacifier and music therapy on calming down children with congenital heart disease. Methods One hundred children with congenital heart disease were divided into observation group and control group according to their admission time. When children’s crying occurred more than five minutes, in control group, routine nursing was applied while in observation group, in addition to routine nursing, pacifier and music therapy were used. Fifteen minutes later, children ’s crying, heart rate, respiration, blood pressure, SpO2 change and complications were compared in both groups. Results In observation group, children’s heart rate, respiration, SpO2 in observation group recovered as in quiet, which showed statistical significance （P〈0.01） and 90% of the children calmed down and the occurrence rate of heart failure was only 4% （P〈0.05）. Conclusion Pacifier and music therapy, which reduces the occurrence of complications, help to calm down children with congenital heart disease.