基于学龄前心理特点的多元化兴趣诱导对支气管镜下取异物患儿焦虑水平、生理应激反应及苏醒质量的影响
Effects of multiple interest induction based on preschool psychological characteristics on anxiety level, physiological stress response and recovery quality of children with bronchoscopic foreign body removal
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年,卷(期) |
2023, 50(6) |
| 作者 |
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| 作者单位 |
郑州大学第一附属医院麻醉科 ;
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| 摘要 |
【摘要】目的:探究基于学龄前心理特点的多元化兴趣诱导对支气管镜下取异物患儿焦虑水平、生理应激反应及苏醒质量的影响。方法:选取我院2021年9月至2022年3月期间109例行纤维支气管镜下取异物患儿作为研究对象,采用随机数字表法分为医疗组和多元组。医疗组54例给予按常规医疗护理工作模式进行临床诊疗和护理,多元组55例针对学龄前患儿心理特点给予多元化兴趣诱导干预,对比两组焦虑水平,生理应激反应,麻醉苏醒质量。结果:两组干预后SCAS、mYPAS评分较干预前降低,多元组低于医疗组(P<0.05)。两组诱导后至手术过程中MAP、HR水平均呈逐渐降低趋势,多元组低于医疗组(P<0.05)。多元组PAED评分、呼之睁眼时间、自主呼吸恢复时间水平低于医疗组(P<0.05)。结论:基于学龄前心理特点的多元化兴趣诱导可调节支气管镜下取异物患儿的生理应激反应,改善焦虑水平,提高苏醒质量。
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| Abstract |
[Abstract]Objective: To explore the effects of diversified interest induction based on preschool psychological characteristics on anxiety level, physiological stress response and recovery quality of children with bronchoscopic foreign body removal. Method: A total of 109 children with foreign body removal by fiberoptic bronchoscopy in our hospital from September 2021 to March 2022 were selected as the study subjects, and were divided into medical group and multivariate group by random number table method. In the medical group, 54 cases were given clinical diagnosis, treatment and nursing according to the conventional medical nursing work mode, and 55 cases in the multiple group were given diversified interest induction intervention according to the psychological characteristics of preschool children. The anxiety level, physiological stress response and anesthesia recovery quality of the two groups were compared. Results: SCAS and mYPAS scores in the two groups after intervention were lower than those before intervention, and those in the multiple groups were lower than those in the medical group (P<0.05). MAP and HR levels in both groups decreased gradually from induction to operation, and those in multiple groups were lower than those in medical group (P<0.05). PAED score, eye-opening time of exhalation and recovery time of spontaneous respiration in the multivariate group were lower than those in the medical group (P<0.05). Conclusion: Multiple interest induction based on preschool psychological characteristics can regulate the physiological stress response of children with foreign body removal under bronchoscope, improve anxiety level and improve the quality of recovery.
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| 关键词 |
【关键词】多元化兴趣诱导; 支气管镜下取异物; 生理应激反应
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| KeyWord |
[Key words]Diversified interest induction; Foreign bodies were removed under bronchoscopy. Physiological stress response
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| 基金项目 |
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| 页码 |
1553-1555 |
刘社景*.
基于学龄前心理特点的多元化兴趣诱导对支气管镜下取异物患儿焦虑水平、生理应激反应及苏醒质量的影响 [J].
国际精神病学杂志.
2023; 50; (6).
1553 - 1555.