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目的观察术前个性化护理干预对先天性心脏病(CHD)手术患儿的影响。方法 CHD手术患儿60例,年龄2-5岁。随机均分为两组:A组接受术前个性化护理干预,并由父母陪同患儿进入手术室;B组接受常规术前护理。记录围术期心率变化,评估患儿术前焦虑评分和麻醉诱导抗拒评分。结果 A组患儿在离开病房和麻醉诱导时的心率慢于B组(P<0.05)。A组患儿在离开病房时、父母离开手术室时和麻醉诱导时的焦虑评分均低于B组(P<0.05),同时A组患儿对麻醉诱导的抗拒评分轻于B组(P<0.05)。结论术前个性化护理干预能有效降低CHD患儿术前的焦虑程度,提高对麻醉的配合度。
Objective To observe the effect of preoperative personalized nursing intervention on children with congenital heart disease (CHD). Methods Sixty children with CHD underwent surgery, aged 2-5 years. Randomly divided into two groups: Group A received preoperative personalized nursing intervention, accompanied by the infants into the operating room by parents; Group B received routine preoperative care. The changes of perioperative heart rate were recorded, and the preoperative anxiety score and anesthesia induction resistance score were evaluated. Results The heart rate in group A was lower than that in group B when leaving the ward and induction of anesthesia (P <0.05). The anxiety scores of both group A and group B were significantly lower than those of group B (P <0.05) when they left the ward, and their anxiety scores were lower than those of group B (P < 0.05). Conclusion Preoperative personalized nursing intervention can effectively reduce the preoperative anxiety in children with CHD and improve the coordination of anesthesia.