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目的探讨影音动画式心理干预及常规心理安慰对小儿术后焦虑、恐惧的影响。方法选择择期全身麻醉下腹部手术患儿80例,随机分为观察组和对照组,各40例。观察组采用播放影音动画的形式对哭闹的患儿进行心理干预,对照组采用讲故事的方式对哭闹患儿进行心理干预,二组患儿常规入苏醒室后监测生命体征,苏醒时间,分别于给镇痛药后5min、10min、20min比较二组患儿的镇痛评分,于观看影片后10min比较二组患儿的镇静评分,恐惧评分。结果观察组患儿哭闹躁动明显少于对照组患儿,组内比较差异有统计学意义(P<0.05)。结论影音动画式心理干预与常规心理安慰比较能显著降低患儿术后焦虑、哭闹的发生,有效缩短术后恢复室的留观时间,减少术后躁动及其带来的并发症的发生,使患儿平稳度过围术期。
Objective To explore the impact of audio-visual animated psychological intervention and conventional psychological comfort on postoperative anxiety and fear in children. Methods Eighty children undergoing elective abdominal surgery under general anesthesia were randomly divided into observation group and control group, 40 cases in each group. In the observation group, psychological intervention was performed on crying children in the form of playing video animation. The control group adopted a story-telling approach to psychological intervention in crying children. Two groups of children were routinely enrolled into the recovery room to monitor vital signs, wake-up time, The analgesic scores of the two groups were compared at 5min, 10min and 20min after analgesic. The sedation scores and fear scores of the two groups were compared 10min after the videos were viewed. Results The children in observation group had significantly less cryptic restlessness than those in control group. There was significant difference between the two groups (P <0.05). Conclusion Compared with conventional psychological comfort, audio-visual animation psychological intervention can significantly reduce the occurrence of postoperative anxiety and crying, shorten the observation time of postoperative recovery room, reduce post-operative agitation and complications, So that children with perioperative stability.