手术前后小儿及家长心理调查分析及麻醉前用药途径的选择.pdfVIP

· 62· 中国医科大学学报 J Chin Med Univ 第32卷 第1期 2003年2月 手术前后小儿及家长心理调查分析及 麻醉前用药途径的选择 张莉 ，张锦 ，任素杰 ，欧阳茹莉 ，韩盛 ，张红 (1．中国医科大学附属第二医院麻醉科，辽宁沈阳l10004；2．中国医科大学 高等职业技术学院院部；3．沈阳市铁西区中心医院儿科) 【摘要】目的：通过对手术前后小儿及家长心理状态及麻醉前用药途径选择的调查，了解他们的心理变化和 对麻醉前用药途径的需求，为合理用药提供依据。方法：调查 107例，3 d～l4岁小儿及家长对手术的心理状态以 及小儿和家长喜欢的麻醉前用药途径。结果：手术前绝大多数家长都表现为紧张或恐惧；手术种类不同，小儿及家 长表现出不同的心理状态；年龄越小，小儿越闹家长术前越紧张；麻醉前用药途径口服给药最易被小儿接受。结 论：手术和打针均可导致小儿及家长的恐惧，术前采用小儿易接受的经口给药途径实施麻醉前用药是缓解恐惧心 理的有效措施。 【关键词】手术；小儿及家长心理状态；麻醉；用药途径 【中图分类号】R971 【文献标识码】A 【文章编号】0258-4646(2003)01—0062-03 Psychological Condition of Children and Their Parents Before and After Operation and Choice of Premedication Route ZHANG Li 。ZHANG Jin ，REN Su-jie ，OUYANG Ru．．．1i，HAN Sheng ，ZHANG Hong (1．Department ofAnesthesiology，The Second Affiliated Hospital，China Medical Univercity。Shenyang l10004，China；2．Advanced professional and Technical School，China Medical University；3．Department of Pediatrics，Central Hospital of Tiexi Districts Shenyang) 【Abstract】 Objective：By investigating the psychological condition of the children and their parents before and af- ter operation and their choice of the premndieation route，we tried to find a reasonable feasible route of premeditation． Methods：Through talking with 107 children and their parents，we investigated psychological condition of the children and their parents before operation and the route of premedieation which they pm~ nd．Results：Most of the parents sbewed anxiety and fear before operation．Different kinds of operation made different psychological condition．Parents whose chil- dren receive major operation and orthopaedic surgery showed more anxiety than those whose children receive minor