Department of Anesthesia and Perioperative Medicine, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou 450000, Henan, China.
Contrast Media Mol Imaging. 2022 Apr 28;2022:7730158. doi: 10.1155/2022/7730158. eCollection 2022.
To analyze the application effect of image-text communication-based healthcare education combined with shifting of attention on child patients undergoing inguinal hernia repair under general anesthesia.
A total of 110 child patients with inguinal hernia treated in our hospital from January 2020 to January 2022 were selected as the study subjects and divided into the control group (CG, routine intervention measures) and the research group (RG, image-text communication-based healthcare education combined with shifting of attention) according to their preoperative intervention plans, with 55 cases each. After surgery, the child patients' psychological status, crying and shouting situation, and occurrence of complications were evaluated to compare and analyze the intervention effect of the two groups.
The child patients' positive rate and anxiety incidence rate of psychological status evaluation were obviously lower in RG than in CG ( < 0.05), and the daily frequency of crying and shouting was significantly lower in RG than in CG ( < 0.05); the single time of crying and shouting was significantly shorter in RG than in CG ( < 0.05); after surgery, child patients in the two groups had different degrees of infections, subcutaneous emphysema, and scrotal edema, but the total incidence rate of these complications was obviously lower in RG than in CG ( < 0.05); after surgery, no significant between-group difference in child patients' FLACC scores immediately after being transferred to the ward was observed ( > 0.05), and at postoperative 1 h, 3 h, and 5 h, the FLACC scores of RG were obviously lower than those of CG ( < 0.05); and according to the investigation results, the total satisfaction and number of very satisfied parents in RG were greatly higher than those in CG ( < 0.05).
Before child patients undergoing inguinal hernia repair under general anesthesia, implementing image-text communication-based healthcare education combined with shifting of attention can effectively improve the child patients' postoperative psychological status and crying and shouting situation and is conducive to preventing postoperative infections, pain, and other complications and promoting postoperative recovery. The combined intervention has potential utility in reducing child patients' high-risk adverse reactions during the perioperative period and ensuring smooth operation, which is generally recognized by the child patients' family members.
分析基于图文沟通的医疗保健教育结合注意力转移在全麻下小儿腹股沟疝修补术中的应用效果。
选取 2020 年 1 月至 2022 年 1 月我院收治的 110 例小儿腹股沟疝患儿作为研究对象,按照术前干预方案分为对照组(CG,常规干预措施)和观察组(RG,基于图文沟通的医疗保健教育结合注意力转移),每组 55 例。术后评估患儿心理状态、哭闹情况及并发症发生情况,比较分析两组干预效果。
观察组患儿心理状态评价的阳性率和焦虑发生率明显低于 CG(<0.05),每日哭闹频次明显低于 CG(<0.05);单次哭闹时间明显短于 CG(<0.05);术后两组患儿均有不同程度的感染、皮下气肿、阴囊水肿,但观察组总并发症发生率明显低于 CG(<0.05);术后患儿转入病房即刻 FLACC 评分两组间无明显差异(>0.05),术后 1、3、5 h 观察组 FLACC 评分明显低于 CG(<0.05);调查结果显示,观察组患儿家长的总满意度和非常满意度明显高于 CG(<0.05)。
全麻下小儿腹股沟疝修补术前实施基于图文沟通的医疗保健教育结合注意力转移,可有效改善患儿术后心理状态和哭闹情况,有利于预防术后感染、疼痛等并发症,促进术后恢复。联合干预可降低患儿围术期高危不良反应发生率,保证手术顺利进行,得到患儿家属的普遍认可。