儿童急性化脓性阑尾炎围手术期个性化心理护理对应激反应的干预效果

Effect of perioperative psychological nursing on stress response in children with acute suppurative appendicitis

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(6)
作者
作者单位

西安市儿童医院 ;
西安市儿童医院 ;

摘要
【摘要】探讨儿童急性化脓性阑尾炎围手术期个性化心理护理对应激反应的影响。方法 将80例急性化脓性阑尾炎患儿随机分为观察组与对照组,各40例。对照组行常规护理,观察组行常规护理联合个性化心理护理。比较两组家长满意度,手术前后测定心率(HR)、收缩压(SBP)、舒张压(DBP)、血清皮质醇(Cor)、去甲肾上腺素(NE)和促肾上腺皮质激素(ACTH)。结果 观察组患儿家长满意率为95.00%,显著高于对照组的80.00%(P<0.05);术后两组HR、SBP、DBP和血清Cor、NE、ACTH水平均显著提高,而观察组显著低于对照组(P<0.05);观察组术后肛门排气时间、首次下床活动时间、啼哭时间及住院时间均较对照组明显缩短(P<0.05)。结论儿童急性化脓性阑尾炎围手术期开展个性化心理护理可减轻患者的应激反应,促进术后康复,提高患儿家长满意度。
Abstract
【Abstract】 Objective To investigate the effect of perioperative psychological nursing on stress response in children with acute suppurative appendicitis. Methods Eighty children with acute suppurative appendicitis were randomly divided into observation group and control group,each group with 40 cases. The control group received routine nursing ,observation group received routine nursing combined with perioperative psychological nursing. The parental satisfaction between the two groups were compared,the HR,SBP,DBP and serum levels of Cor,NE and ACTH before and after operation were measured and compared. Results The satisfaction rate of parents in the observation group was 95.00%, significantly higher than 80.00% in the control group (P<0.05);The HR, SBP, DBP and serum levels of Cor, NE,ACTH in the two groups were significantly increased after operation,while the observation group were significantly lower than those in the control group (P<0.05); The time of anal exhaust,ambulation time, crying time and hospitalization time in the observation group were significantly shorter than those in the control group (P<0.05). Conclusion Individualized psychological nursing for children with acute suppurative appendicitis can reduce the stress response, promote postoperative rehabilitation and improve the parents satisfaction.
关键词
【关键词】急性化脓性阑尾炎;儿童;个性化心理护理;应激反应
KeyWord
【Key words】 Acute suppurative appendicitis; Children; Individualized psychological nursing; Stress response
基金项目
页码 1142-1145
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雷丽云, 王璐,宣向荣,谭文婷*. 儿童急性化脓性阑尾炎围手术期个性化心理护理对应激反应的干预效果 [J]. 国际精神病学杂志. 2018; 45; (6). 1142 - 1145.

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