童趣化理念导向的护理策略在小儿无痛胃镜检查中的应用

Application of childlike concept-oriented nursing strategies in painless gastroscopy in children

目的探讨童趣化理念导向的护理策略对小儿无痛胃镜检查依从性及负面情绪的影响。方法采用便利抽样法,选取2021年1—12月在山西省儿童医院(山西省妇幼保健院)行无痛胃镜检查的104例患儿为研究对象,采用随机数字表法将患儿分为对照组和观察组,各52例。对照组给予常规胃镜检查护理,观察组在对照组基础上给予童趣化理念导向的护理。在胃镜检查麻醉诱导前评估两组患儿的依从性,记录两组患儿胃镜检查时间及检查中不良反应发生情况、苏醒期并发症发生情况,并采用改良耶鲁围手术期焦虑量表(mYPAS)、改良面部表情评分法(FLACC)比较检查前1 d、麻醉诱导时及检查后1 d患儿的焦虑情绪、疼痛程度,检查后1 d采用术后行为量表评估患儿行为改变状况。结果观察组患儿麻醉诱导前依从性高于对照组,差异有统计学意义(P<0.05)。两组患儿的胃镜检查时间及检查中不良反应发生率、苏醒期并发症发生率比较,差异均无统计学意义(P>0.05)。麻醉诱导时、检查后1 d,观察组mYPAS、FLACC评分均低于对照组,差异均有统计学意义(P<0.01)。观察组患儿检查后1 d行为改变发生率低于对照组,差异有统计学意义(P<0.05)。结论童趣化理念导向的护理对提升无痛胃镜检查患儿依从性有利,可使患儿焦虑水平下降,抑制检查后行为改变,具有良好应用前景。

Objective To explore the effect of childlike concept-oriented nursing strategies on compliance and negative emotions in children with painless gastroscopy.Methods Using the convenient sampling method,a total of 104 children who underwent painless gastroscopy in Shanxi Children's Hospital(Women Health Center of Shanxi)from January to December 2021 were selected as the research objects.The children were divided into the control group and the observation group by random number table method,with 52 cases in each group.The control group was given routine gastroscopy nursing,while the observation group was given childlike concept-oriented nursing on the basis of the control group.The compliance of children of the two groups was evaluated before induction of anesthesia for gastroscopy.The time of gastroscopy,the occurrence of adverse reactions during the examination,and the occurrence of complications during recovery were recorded in the two groups.The Modified Yale Perioperative Anxiety Scale(mYPAS)and Faces,Legs,Activity,Cry and Consolability(FLACC)were used to compare the anxiety and pain levels of the children on 1 day before the examination,during the induction of anesthesia and 1 day after the examination.Post-Hospitalization Behavior Questionnaire(PHBQ)was used to assess the behavioral changes of the children.Results The compliance of children in the observation group before induction of anesthesia was higher than that in the control group,and the difference was statistically significant(P<0.05).There were no statistically significant differences in the time of gastroscopy,the incidence of adverse reactions and the incidence of complications during recovery between the two groups(P>0.05).At the time of anesthesia induction and 1 day after the examination,the mYPAS and FLACC scores of the observation group were lower than those of the control group,and differences were statistically significant(P<0.01).The incidence of behavioral changes in the observation group was lower than that in the control group 1 day after the examination,and the difference was statistically significant(P<0.05).Conclusions Childlike concept-oriented nursing is beneficial to improve the compliance of children undergoing painless gastroscopy and it can reduce the anxiety level of children and inhibit the behavior change after examination,which has a good application prospect.