摘要目的 探讨微视频联合情景模拟游戏对先天性心脏病患儿术前焦虑的影响.方法 将2016年1—6月行先天性心脏病手术的患儿为对照组,2016年7—12月行先天性心脏病手术的患儿为观察组,每组100例.对照组患儿实施围术期常规护理,观察组患儿给予微视频联合情景模拟游戏干预,采用改良耶鲁围术期焦虑量表(mYPAS)和诱导期合作程度量表(ICC)评估两组患者的术前焦虑水平和诱导期配合程度.结果 两组患儿术前访视前焦虑水平分别为(28.58±2.98)分和(28.94±2.63)分,两组比较差异均无统计学意义(P>0.05).观察组患儿入手术室等候区焦虑水平为(30.21±2.78)分,低于对照组的(36.89±3.41)分;观察组患儿麻醉诱导时焦虑水平为(31.46±3.34)分,低于对照组(41.45±4.19)分;观察组患儿诱导期配合程度为(2.67±1.45)分,低于对照组(6.95±1.78)分,两组比较差异均有统计学意义(t值分别为15.21、18.83、8.62;P<0.001).结论 微视频联合情景模拟游戏可有效降低先天性心脏病患儿术前焦虑水平,提高麻醉诱导期配合主动性.

abstractsObjective To explore the effects of micro video combined scene simulation games on preoperative anxiety in pediatric patients with congenital heart disease.Methods All the participants were divided into two groups, with 100 cases in each. Patients who underwent congenital heart disease surgery from January to June 2016 were allocated in the control group, and from July to December 2016, patients who underwent the same surgery were allocated in the observation group. The patients of the control group were given routine perioperative nursing care. The patients of the observation group were given micro video combined scene simulation games. All the patients were evaluated with the questionnaire of modified Yale Perioperative Anxiety Scale (mYPAS) and Induction Compliance Checklist (ICC) for the degree of preoperative anxiety and the degree of cooperation in the indection period.Results The level of perioperative anxiety of the two groups were (28.58±2.98) and (28.94±2.63), and there was no statistical difference (P>0.05). The degree of anxiety in preoperative waiting period of the observation group was (30.21±2.78), which was lower than that of the control group (36.89±3.41). The degree of anxiety in the anesthetic induction period was (31.46±3.34), which was remarkably lower than that of the control group (41.45±4.19). The degree of cooperation in induction period of the patients in the observation group was (2.67±1.45), which was lower than that of the control group (6.95±1.78). All the differences were statistically significant (t=15.21, 18.83, 8.62;P<0.001). Conclusions Micro video combined scene simulation game can effectively reduce the level of preoperative anxiety in children with congenital heart disease and improve the cooperation in the induction period of anesthesia.