代币法对尿道下裂患儿术后伤口疼痛的影响

Effect of token behavioral intervention on the postoperative pain for children with hypospadias

目的 探讨代币法对尿道下裂患儿术后伤口护理疼痛和依从性的影响,为儿童疼痛管理及心理行为干预提供依据.方法 选择80例尿道下裂术后患儿,按入院的时间分为试验组与对照组各40例.在进行伤口护理时对2组患儿分别进行代币法和常规护理干预,比较2组患儿疼痛评分以及伤口护理依从性.结果 试验组伤口护理第1天疼痛评分为（2.65±1.89）分,第2天为（2.40±1.73）分,第3天为（2.10±1.43）分,对照组分别为（4.10±2.52）、（3.35±2.09）、（2.90±1.75）分,2组比较差异有统计学意义（t=2.912、2.399、-2.239,均P〈0.05）;2组患儿伤口护理依从性比较差异有统计学意义（χ2=5.415、7.587、9.372,均P〈0.05）.结论 代币法可有效缓解尿道下裂术后患儿伤口护理的疼痛,提高患儿伤口护理的依从性.

Objective To explore the effect of token on the pain and compliance of wound care of postoperative children with hypospadias, and provide evidence for the pain management and psycho-behavior intervention of children. Methods Selected 80 cases of hypospadias and they were assigned to the experience group and the control group. The control group was guided by conventional nursing intervention method while the experience group was guided by token intervention. Compare the pain score and compliance of two groups. Results The pain score of the experience group were （2.65±1.89）, （2.40± 1.73）, （2.10±1.43） points, the control group were （4.10±2.52）, （3.35±2.09）, （2.90±1.75） points. There were significant differences between the two groups （t=2.912, 2.399,- 2.239, all P〈0.05）. There were significant differences between the two groups for the compliance （χ2=5.415, 7.587, 9.372, all P〈0.05）. Conclusion Token can relief the pain of wound care of postoperative children with hypospadias, increase the compliance of wound care of the children.