摘要
目的探讨术前护士主导的情景模拟游戏干预对疝气外科手术患儿配合度、不良情绪及围术期指标的影响。方法选取2020-10-15-2022-03-15焦作市妇幼保健院收治的100例接受疝气外科手术患儿作为研究对象,采用随机数字表法分为对照组和观察组,各50例。对照组给予家庭参与护理模式,观察组在对照组基础上联合术前护士主导的情景模拟游戏干预,对比2组患儿手术配合度、手术成功率、围术期指标及不良情绪。结果观察组手术配合度为90.00%,高于对照组的66.00%,差异有统计学意义,χ^(2)=8.392,P=0.004;观察组手术成功率为100.00%,高于对照组的98.00%,差异无统计学意义,P=1.000;观察组肛门排气时间、离床活动时间、住院时间分别为(1.63±0.27)、(3.33±0.43)、(10.57±2.28)d,低于对照组的(2.44±0.36)、(4.22±0.55)、(12.34±3.11)d,差异有统计学意义,t值分别为12.728、9.014、3.246,P值分别为<0.001、<0.001、0.002;观察组干预后积极情绪评分为(32.12±2.70)分,高于对照组的(24.68±2.62)分,F=13.983,P<0.001;消极情绪评分为(12.40±2.02)分,低于对照组的(18.76±2.30)分,F=14.691,P<0.001。结论术前护士主导的情景模拟游戏干预对疝气外科手术患儿效果显著,能够提高患儿手术配合度和手术成功率,缩短住院时间,减少不良情绪。
Objective To study the influence of preoperative nurse-led scenario simulation game intervention on the cooperation degree,adverse mood and perioperative indicators of children undergoing hernia surgery.Methods A total of 100 children who underwent hernia surgery in Jiaozuo Maternal and Child Health Hospital from October 15,2020 to March 15,2022 were selected as the research objects and divided into observation and control groups by random number table method.The control group(n=50)was given family participation nursing mode,and the observation group(n=50)was given preoperative nurse-led scenario simulation game intervention on the basis of the control group.The operation cooperation,success rate,perioperative indicators and adverse emotions were compared between the two groups.Results The surgical cooperation of the observation group(90.00%)was higher than that of the control group(66.00%),and the difference was statistically significant(χ^(2)=8.392,P=0.004).The surgical success rate of the observation group(100.00%)was higher than that of the control group(98.00%),and the difference was not statistically significant(P=1.000).The anal exhaust time,ambulation time and hospital stay in the observation group were(1.63±0.27)d,(3.33±0.43)d and(10.57±2.28)d,respectively,which were lower than those in the control group(2.44±0.36)d,(4.22±0.55)d and(12.34±3.11)d.The differences were statistically significant(t values were 12.728,9.014,3.246,P values were<0.001,<0.001,0.002).After intervention,the positive emotion score of the observation group was(32.12±2.70),which was higher than that of the control group(24.68±2.62),and the negative emotion score was(12.40±2.02),which was lower than that of the control group(18.76±2.30),and the differences were statistically significant(F values were 13.983,14.691,respectively).(all P<0.001).Conclusion Preoperative nurse-led scenario simulation game intervention has a significant effect on children undergoing hernia surgery,which can improve their surgical cooperation and success rate,shorten the length of hospital stay,and reduce adverse emotions.
作者
安艳丽
魏海玲
刘芸芸
AN Yan-li;WEI Hai-ling;LIU Yun-yun(Department of Surgical,Jiaozuo Maternal and Child Health Hospital,Jiaozuo 454000,China)
出处
《社区医学杂志》
CAS
2022年第23期1337-1341,共5页
Journal Of Community Medicine
关键词
疝气
情景模拟游戏
家庭参与模式
手术配合度
围术期指标
不良情绪
hernia
scene simulation game
family participation model
surgical coordination
perioperative indicators
adverse emotions
作者简介
通信作者:安艳丽,女,河南濮阳人,主管护师,主要从事小儿普外、先天性消化道畸形、小儿泌尿外科及甲状腺乳腺外科相关护理的临床研究工作。E-mail:An571369@163.com
