ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (1): 58-61.doi: 10.3969/j.issn.1674-3865.2020.01.016

• 临床研究 • 上一篇    下一篇

阅读疗法在先天性心脏病患儿中的应用效果

王文娟   

  1. 450000 郑州，郑州大学附属儿童医院、河南省儿童医院、郑州儿童医院手术室
  • 出版日期:2020-02-25 发布日期:2021-05-17
  • 通讯作者: 王文娟，E-mail:wwj0305@163.com
  • 作者简介:王文娟（1989-），女，护师。研究方向：儿童心血管系统疾病的临床护理

Effects of reading therapy on children with congenital heart disease

  • Online:2020-02-25 Published:2021-05-17

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摘要： 目的 探讨阅读疗法在先天性心脏病患儿中的应用效果。 方法 选取2017年11月至2018年12月本院收治的先天性心脏病患儿90例，随机分为观察组与对照组各45例。对照组给予常规口头宣教与疾病护理干预，观察组在对照组的基础上应用“住院患儿阅读疗法读本”进行阅读疗法干预，比较两组患儿围术期的心率水平、手术配合情况、术后焦虑状态、术后疼痛状态。 结果 两组患儿夜间睡眠时与麻醉后心率水平比较差异无统计学意义（P>0.05）；观察组患儿离开病房时、麻醉诱导时心率水平低于对照组，差异有统计学意义（P<0.05）。观察组患儿麻醉诱导抗拒评分、苏醒期躁动评分均低于对照组，差异有统计学意义（P<0.05）。观察组术后1～8 d焦虑状态评分低于对照组，差异有统计学意义（P<0.05）。两组患儿术后1、7、8 d疼痛行为评分比较，差异无统计学意义（P>0.05）；观察组术后2～6 d疼痛行为评分低于对照组，差异有统计学意义（P<0.05）。 结论 阅读疗法可有效降低先天性心脏病患儿围术期的焦虑状态，加强患儿围术期的配合程度，减轻患儿术后疼痛程度。

关键词: 先天性心脏病, 围术期, 阅读疗法, 焦虑

Abstract: Objective To explore effects of reading therapy on children with congenital heart disease (CHD). Methods Ninety CHD children treated in the hospital from November 2017 to December 2018 were enrolled.They were randomly divided into observation group and control group,45 cases in each group.Both groups were given routine oral education and disease nursing intervention.Besides,observation group was given Reading Therapy Reader for Hospitalized Children for reading therapy intervention.The perioperative heart rate,surgical cooperation,postoperative anxiety status and postoperative pain status were compared between the two groups. Results There was no significant difference in heart rate during sleep time at night or after anesthesia between the two groups (P>0.05).The heart rate in observation group was lower than that in control group when leaving ward and at anesthesia induction time (P<0.05).The anesthesia induction resistance score and emergence agitation score in observation group were lower than those in control group (P<0.05).At 18d after surgery,anxiety score in observation group was lower than that in control group (P<0.05).There was no statistical difference in the 1d,7d or 8d pain behavior score between the two groups after surgery (P>0.05);however,the 26d score was lower in observation group,and there was statistical difference(P<0.05). Conclusion Reading therapy can effectively reduce perioperative anxiety status of CHD children,strengthen their perioperative coordination degree,and alleviate postoperative pain

Key words: Congenital heart disease, Perioperative period, Reading therapy, Anxiety