专科化游戏干预在眼科学龄前患儿围手术期护理中的应用研究

Application of specialized game intervention in perioperative nursing for preschool children patients in ophthalmology

目的探讨在眼科学龄前患儿围手术期护理中采取专科化游戏干预的效果。方法选取2016年1月—2017年10月在南京市某医院眼科行择期手术的80例学龄前患儿作为研究对象,按照入院时间分为实验组40例和对照组40例。实验组在常规护理的基础上实施和眼科诊疗项目相匹配的专科化游戏干预;对照组实施常规围手术期护理措施。比较干预前后两组患儿和家长的焦虑程度以及家长对专科护理工作的满意度。结果实验组患儿手术当天术前病区交接时、进入手术室时、术后回病房时焦虑评分明显低于对照组(P<0.05);实验组患儿家长术前病区交接时焦虑程度与对照组比较,差异无统计学意义(P>0.05);实验组患儿家长在患儿术后回病房时的焦虑程度评分低于对照组,对专科护理工作的满意度高于对照组,差异均具有统计学意义(P<0.05)。结论专科化游戏干预能有效减轻患儿围手术期的焦虑、恐惧情绪,减轻患儿术后家长的焦虑程度,增加家长对专科护理工作的满意度。

Objective To explore the effects of specialized game intervention in perioperative nursing for preschool children patients in ophthalmology.Methods From January 2016to October 2017,80preschool children patients underwent surgery in the department of ophthalmology in a hospital in Nanjing were recruited and divided into the experimental group(n=40)and the control group(n=40)according to the time of admission.On the basis of routine nursing,the experimental group received the intervention measures of specialized game matching ophthalmological diagnosis and treatment;while the control group received routine perioperative nursing.The anxiety scores of the two groups of children before and after intervention,the anxiety scores of the parents ,and the satisfaction for specialized nursing work were compared.Results The anxiety scores among patients in the experimental group at handover,entering the operating room and returning to the ward were signifieandy lower than those in the control group (P<0.05).There was no significant difference in anxiety at handover between parents in the experimental group and the control group (P>0.05).The score of parents in the experimental group at returning to the ward was significantly lower than the control group.The satisfaction for specialized nursing work was higher in the experimental group than that in the control group,and the differences were statistical significant(P<0.05).Conclusion The intervention of specialized game can effectively reduce the anxiety and fear during perioperative period for patients,reduce anxiety of parents after surgery and improve satisfaction for specialized nursing work.