资源描述：
《认知行为干预对学龄期患儿术前心理应激反应的影响_苏化平.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、2010年11月护理管理杂志Nov,2010第10卷11期JournalofNursingAdministrationVol.10No.11·827·认知行为干预对学龄期患儿术前心理应激反应的影响苏化平,徐伟岚【摘要】目的探讨认知行为干预对学龄期患儿术前心理应激反应的影响。方法将70例学龄期择期全身麻醉手术患儿分为干预组和对照组,各35例,对照组进行常规术前访视,干预组进行术前认知行为干预。在入院时和进入手术室开放静脉通路5min后分别抽取静脉血,检测血浆皮质醇、肾上腺素和去甲肾上腺素的浓度。结果入院时两
2、组患儿的血浆皮质醇、肾上腺素和去甲肾上腺素的浓度差异无统计学意义(P>0.05);开放静脉后,干预组血浆皮质醇、去甲肾上腺素和肾上腺素浓度均低于对照组,差异具有统计学意义(P<0.01)。结论学龄前患儿术前均存在不同程度的应激反应,认知行为干预能够减轻患儿术前心理应激反应。【关键词】学龄期患儿;认知行为干预;术前;应激反应中图分类号:R473.72文献标识码:A文章编号:1671-315X(2010)11-0827-02Effectsofcognitive-behavioralinterventionon
3、preoperativestressreactionamongschool-agechildren/SUHua-ping,XUWei-lan//JournalofNursingAdministration,-2010,10(11):827.OperatingRoom,FirstPeople'sHospitalofChangdeCity,Changde415000,China【Abstract】ObjectiveToexploretheeffectsofcognitive-behavioralinterve
4、ntiononpreoperativestressreactionofschool-agechildren.MethodsSeventyschool-agechildrenwithelectiveoperationundergeneralanesthesiaweredividedintothecontrolgroupandtheinterventiongroup,eachwith35cases,accordingtotheoddandevenoftheiradmissionday.Thecontrolgr
5、oupreceivedthepreoperativeroutinevisit,andtheinterventiongroupreceivedthecognitive-behavioralintervention.Thebloodsamplesofthepatientswerecollectedonthedayofadmissionand5minutesaftervenouspunctureintheopera-tionroomtoexaminetheconcentrationsofplasmacortis
6、ol(Cor),norepinephrine(NE)andepinephrine(E).ResultsTherewasnodifferenceaboutthecon-centrationsofCor,NE,andEonthedayofadmissionbetweenthetwogroups(P>0.05).TheconcentrationsofCor,NE,andEatthetimeof5minutesafterve-nouspunctureintheoperationroomintheintervent
7、iongroupwerelowerthanthoseinthecontrolgroup(P<0.01).ConclusionsTherearepreoperativestressreactionamongschool-agechildrenindifferentdegrees.Thecognitive-behavioralinterventionisaneffectiveapproachtorelievepreoperativestressreactionofschool-agechildren.【Key
8、words】school-agechildren;cognitive-behavioralintervention;preoperative;stressreaction学龄期儿童生理心理尚未发育完善,研究显示,患儿在围表1两组患者一般资料比较[n(%)]手术期常处于过度心理应激状态,不仅影响麻醉手术的顺利进干预组对照组项目2值P值[1-2]行,还延迟患儿术后的愈合,损害患儿的身心健康。认知(n=35)(n=35)行为干预将认
