术前模拟游戏联合集束化护理干预在儿童手术患者中的应用价值

Application value of preoperative simulation game combined with cluster nursing intervention in children undergoing surgery

目的观察术前模拟游戏联合集束化护理干预在儿童手术患者中的应用效果。方法选取2021年1月至2022年3月于九江市妇幼保健院行手术治疗的80例患儿为研究对象,按照随机数字表法将其分为对照组和研究组,各40例。对照组患儿术前采用常规手术室护理模式,研究组在常规手术护理基础上实施术前模拟游戏联合集束化干预措施。比较两组患儿术前1 d和进入手术后的焦虑状态、体征指标、麻醉诱导前合作程度及家属对护理工作的满意度。结果两组患儿进入手术后的改良耶鲁围手术期焦虑量表(mTPAS)评分、、状态焦虑量表(S-AI)评分均高于术前1 d,差异有统计学意义(P<0.05),但研究组患儿术前1 d、进入手术后的mTPAS、S-AI评分均低于对照组,差异有统计学意义(P<0.05)。两组患儿进入手术后的心率、舒张压、收缩压均高于术前1 d,差异有统计学意义(P<0.05),研究组患儿术前1 d、进入手术后的心率、舒张压、收缩压均低于对照组,差异有统计学意义(P<0.05)。研究组患儿的诱导期合作度量表(ICC)评分低于对照组,差异有统计学意义(P<0.05)。研究组患儿家属总满意度高于对照组,差异有统计学意义(P<0.05)。结论术前模拟游戏联合集束化护理干预可改善患儿及家属术前进入手术后的焦虑状态,促使患儿积极配合麻醉诱导,稳定患儿生命体征,提高患儿家长满意度。

Objective To observe the application effect of preoperative simulation game combined with cluster nursing intervention in pediatric surgery patients.Methods A total of 80 children who received surgical treatment in Jiujiang Maternal and Child Health Hospital from January 2021 to March 2022 were selected as the research objects.According to the method of random number table,they were divided into control group and study group,with 40 cases in each group.The children in the control group were nursed in the conventional operating room before operation,while the children in the study group were nursed in the conventional operating room on the basis of preoperative simulation games combined with cluster interventions.The anxiety state,physical signs,cooperation before anesthesia induction and the satisfaction of the family members to the nursing of children and their families one day before and after the operation were compared.Results The modified Yale perioperative anxiety scale(mTPAS)scores and state anxiety scale(S-AI)scores of the two groups were higher than those of the 1 day before surgery,the differences were statistically significant(P<0.05),but the mTPAS and S-AI scores of the study group were lower than those of the control group 1 day before surgery and after surgery,the differences were statistically significant(P<0.05).The heart rate,diastolic blood pressure and systolic blood pressure of both groups were higher 1 day before surgery,the differences were statistically significant(P<0.05),the heart rate,diastolic blood pressure and systolic blood pressure of the study group were lower 1 day before surgery and after surgery,the differences were statistically significant(P<0.05).The induction compliance checklist(ICC)score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).The total satisfaction of family members in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Preoperative simulation game combined with cluster nursing intervention can improve the anxiety state of children and their families before and after operation,promote children to actively cooperate with anesthesia induction,stabilize children's vital signs,and increase children's parents'satisfaction.