International Journal of Nursing Research
International Journal of Nursing Research. 2025; 7: (6) ; 10.12208/j.ijnr.20250313 .
总浏览量: 35
1 湖北医药学院附属襄阳市第一人民医院 湖北襄阳
2 武汉科技大学 湖北武汉
3 湖北医药学院 湖北十堰
*通讯作者： 李玉梅,单位： 湖北医药学院附属襄阳市第一人民医院 湖北襄阳；
目的 探讨情景引导下微视频干预在OSA患儿围手术期中应用。方法 选取我院2022年12月—2023年8月OSA患儿298例，随机分组，对照组采用常规护理，实验组在常规护理基础上，基于情景引导下微视频干预，实施以微视频为主导，不同情景场景下卡通图片游戏和儿童互助模式为辅助的人文护理。结果 两组均完成全程研究，出院时治疗总依从率为对照组80.4％，实验组95.2％；围手术期焦虑情绪总评分对照组18.52±15.13，实验组 13.17±12.34。结论 基于情景引导下微视频干预方法在OSA患儿围手术期中应用有利于提高治疗依从性，减少患儿负性情绪，提高患儿生活质量。
Objective To explore the application of micro-video intervention under situational guidance in the perioperative period of children with OSA. Methods A total of 298 children with OSA admitted to our hospital from December 2022 to August 2023 were randomly divided into groups. The control group received routine care, while the experimental group, on the basis of routine care, received humanistic care based on micro-video intervention under situational guidance, with micro-videos as the main approach and cartoon picture games and children's mutual assistance models in different situational scenarios as auxiliary measures. Results Both groups completed the entire study. The total compliance rate at discharge was 80.4% in the control group and 95.2% in the experimental group. The total score of perioperative anxiety was 18.52 ± 15.13 in the control group and 13.17 ± 12.34 in the experimental group. Conclusion The application of micro-video intervention under situational guidance in the perioperative period of children with OSA is beneficial to improving treatment compliance, reducing negative emotions of children, and enhancing their quality of life.
[1] 中国儿童OSA诊断与治疗指南制定工作组,中华医学会耳鼻咽喉头颈外科学分会小儿学组,中华医学会儿科学分会呼吸学组.中国儿童阻塞性睡眠呼吸暂停诊断与治疗指南(2020)[J].中华耳鼻咽喉头颈外科杂志,2020,55(8):729-747.
[2] PATEL S R.Obstructive sleep apnea[J].Ann Intern Med,2019, 171(11):ITC81-ITC96.
[3] 陈芳芳,付玉川,卢毅,等.阻塞性睡眠呼吸暂停患儿认知改变与脑白质网络的相关性[J].温州医科大学学报,2023, 53(2):87-92.
[4] 杨军,谢宇平,马薇,等.儿童阻塞性睡眠呼吸暂停对认知功能损伤的研究进展[J].神经损伤与功能重建,2022,17 (7)396-419.
[5] JI T,LI X,CHEN J,et al.Brain function in children with obstructive sieep apnea:a resting-state fMRI study[J].Sleep, 2021,44(8):1-10.
[6] 陈菲,李维辛.肌少症与认知障碍相关性的研究进展[J].神经损伤与功能重建,2020,15:641-644,651.
[7] Marcus CL,Brooks LJ,Ward SD,et al.Diagnosis and Management of Childhood Obstructive Sleep Apenea Syndrome[J]. Pediatrics,2012,130:e714-e755.
[8] Section on Pediatric Pulmonology, Subcommittce on Obstructive Slee Apnea Syndrome. American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome[J]. Pediatrics,2002,109(4):704-712.
[9] 中华耳鼻咽喉头颈外科杂志编委会,中华医学会耳鼻咽喉科学分会.儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐)[J].中华耳鼻咽喉头颈外科杂志,2007, 42(2):83-84.
[10] MODRZYNSKI M,ZAWISZA E.The analysis of occurrence of atopic allergy in children with adenoid hypertrophy[J]. Wiad Lek,2007,60(11-12):507-512.
[11] 张薇,葛文彤,唐力行,等.儿童慢性鼻窦炎合并腺样体肥大菌谱及预后相关因素分析[J].中国耳鼻咽喉颅底外科杂志,2021,27,60(11-12):507-512.
[12] 孙梦玲,牛勋,杨修平,等.EB病毒与儿童扁桃体腺样体肥大的相关研究形状[J].临床耳鼻咽喉头颈外科杂志,2021, 35(5);477-480.
[13] 严婷婷,方红霞,高文娟,等.基于格林模式的健康教育在冠心病PCI术后患者中的应用[J].中华现代护理杂志,2021, 27(17):2327-2331.
[14] 陈欢,侯朝铭,高静,等. 中文版高血压患者服药依从性量表测量学特性的系统评价[J]. 中华护理杂志,2023, 58(2): 171-178.
[15] 陈欢,侯朝铭,高静,等. 中文版高血压患者服药依从性量表测量学特性的系统评价[J]. 中华护理杂志,2023,58(2): 171-178.
[16] CHOW C H T,NEJATIN,POOLE K L,etal.Children’sshynessinasurgicalsetting[J].J Can Acad Child Adolesc Psychiatry,2017,6(3):190-197
[17] CHAN K C,SHI L,SO H K,et al.Neurocognitive dysfunction and grey matter density deficit in children with obstructive sleep apnoea[J].Sleep Med,2014,15(9):1055-1061.
[18] 肖兰,田亚明,陈佳音. 微视频联合亲情快乐服务模式对肱骨髁上骨折患儿的影响[J]. 齐鲁护理杂志,2023,29(14): 23-26.
[19] 王松朋. 扁桃体腺样体切除术后应用基于微视频的回授法健康教育的护理观察[J]. 辽宁医学杂志,2023,37(1):92-95.
[20] 施晓青,杨玉燕,王琛烨.温州地区6-12岁儿童阻塞性睡眠呼吸暂停低通气综合征影响因素及生活质量调查[J].中国妇幼保健,2022,37(2):300-303.
[21] 张凤蝉. 探究家长参与护理模式对儿童内科患者治疗依从性及睡眠质量的影响[J]. 世界睡眠医学杂志,2022,9 (10): 1865-1867,1870.