Department of Pediatric Surgery, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, 317000 Taizhou, Zhejiang, China.
Arch Esp Urol. 2024 Sep;77(8):915-920. doi: 10.56434/j.arch.esp.urol.20247708.129.
Paediatric circumcision is a standard surgical procedure that frequently induces anxiety, fear, and pain in young patients. Child-friendly nursing has shown potential in alleviating psychosocial distress in paediatric care settings. However, its specific impact on patients undergoing circumcision remains underexplored. This study aimed to evaluate the effectiveness of child-friendly nursing in reducing patients' anxiety, fear and pain in patients undergoing paediatric circumcision.
Clinical data of paediatric patients who underwent circumcision at Taizhou Hospital of Zhejiang Province from January 2022 to November 2023 were retrospectively analysed. Patients were divided into the traditional nursing (January 2022 to December 2022) and child-friendly nursing (January 2023 to November 2023) groups. Psychosocial parameters, including anxiety, depression, pain, and fear, were assessed using the Children's Anxiety Meter-State (CAM-S), Children's Depression Inventory (CDI), Wong-Baker FACES Pain Rating Scale (WBFPRS), and Children's Fear Scale (CFS), respectively.
No significant differences were found in CAM-S, CDI, WBFPRS, and CFS scores between the two groups before intervention ( > 0.05). However, post-intervention scores for all parameters in the child-friendly nursing group were significantly lower than those in the traditional nursing group ( < 0.001). The results suggest that child-friendly nursing effectively reduces anxiety, depression, fear and pain in children undergoing circumcision.
This study provides compelling evidence supporting the effectiveness of child-friendly nursing in enhancing surgical experiences and improving psychosocial outcomes for paediatric patients undergoing circumcision.
小儿包皮环切术是一种标准的外科手术，常导致年轻患者出现焦虑、恐惧和疼痛。儿童友好型护理在减轻儿科护理环境中的心理社会困扰方面显示出了潜力。然而，其对接受包皮环切术的患者的具体影响仍未得到充分探索。本研究旨在评估儿童友好型护理在减轻小儿包皮环切术患者焦虑、恐惧和疼痛方面的有效性。
回顾性分析 2022 年 1 月至 2023 年 11 月期间在浙江省台州医院接受包皮环切术的小儿患者的临床资料。患者分为传统护理组（2022 年 1 月至 2022 年 12 月）和儿童友好型护理组（2023 年 1 月至 2023 年 11 月）。使用儿童焦虑量表状态（CAM-S）、儿童抑郁量表（CDI）、Wong-Baker FACES 疼痛评定量表（WBFPRS）和儿童恐惧量表（CFS）评估心理社会参数，包括焦虑、抑郁、疼痛和恐惧。
干预前两组 CAM-S、CDI、WBFPRS 和 CFS 评分无显著差异（>0.05）。然而，儿童友好型护理组干预后所有参数的评分均明显低于传统护理组（<0.001）。结果表明，儿童友好型护理有效减轻了接受包皮环切术的儿童的焦虑、抑郁、恐惧和疼痛。
本研究为儿童友好型护理在增强小儿包皮环切术患者手术体验和改善心理社会结局方面的有效性提供了有力证据。
