首页|期刊导航|上海护理|医疗游戏辅导在学龄期隐匿性阴茎患儿围术期护理中的应用

医疗游戏辅导在学龄期隐匿性阴茎患儿围术期护理中的应用OA

Application of Medical Game Counseling in Perioperative Nursing of School-Age Children with Con-cealed Penis

中文摘要英文摘要

目的 探讨医疗游戏辅导对学龄期隐匿性阴茎手术患儿焦虑和疼痛的影响.方法 选取2024年7月至2025年6月收治于亳州市某三级甲等医院小儿外科的隐匿性阴茎手术患儿60例为研究对象,采用随机数字表法分为干预组和对照组,每组各30例.对照组给予常规护理干预,干预组在常规护理基础上联合医疗游戏辅导进行干预.采用中文版改良耶鲁术前焦虑量表(cm-YPAS)和Wong Backer面部表情疼痛评定量表评估两组患儿术前焦虑及术后疼痛水平.结果 干预后两组患儿手术当日焦虑评分均降低,且干预组患儿焦虑评分低于对照组,差异有统计学意义(P<0.05);干预组患儿术后6 h、12 h、24 h的疼痛评分均低于对照组(P<0.05),重复测量方差分析显示其组间、时间及两者交互效应均有统计学意义(P<0.05).结论 医疗游戏辅导可有效缓解学龄期隐匿性阴茎手术患儿的围术期焦虑,并减轻其术后疼痛程度,具有临床推广价值.

Objective To explore the effects of medical game counseling on anxiety and pain in school-age children undergoing concealed penis surgery.Methods The study selected 60 children who were admitted to the Pediatric Surgery Department at a Grade Ⅲ-A hospital in Bozhou to undergo concealed penis surgery from July 2024 to June 2025.They were randomly assigned to either the intervention group(n=30)or the control group(n=30)according to a random number table.The control group received routine care,while the intervention group additionally received medical game counseling.The Chinese version of the Modified Yale Preoperative Anxiety Scale(cm-YPAS)and the Wong-Baker FACES Pain Rating Scale were used to assess preoperative anxiety and postoperative pain in both groups.Results After the intervention,anxiety scores on the surgery day decreased in both groups,with the intervention group showing significantly lower anxiety scores than the control group(P<0.05).The intervention group also showed lower pain scores at 6 h,12 h and 24 h postoperatively than the control group(P<0.05);repeated measures analysis of variance revealed significant group,time and interaction effects(P<0.05).Conclusion Medical game counseling is worthy of clinical promotion,as it effectively alleviates perioperative anxiety and reduces postoperative pain in school-age children undergoing concealed penis surgery.

蒋丽;宋海燕;魏巧;魏敏;李爱求

亳州市人民医院/上海市儿童医院亳州院区,安徽 亳州 236800亳州市人民医院/上海市儿童医院亳州院区,安徽 亳州 236800亳州市人民医院/上海市儿童医院亳州院区,安徽 亳州 236800亳州市人民医院/上海市儿童医院亳州院区,安徽 亳州 236800上海市儿童医院/上海交通大学医学院附属儿童医院,上海 200040

医药卫生

医疗游戏学龄期儿童隐匿性阴茎应用效果

Medical gameSchool-age childConcealed penisApplication effect

《上海护理》 2026 (5)

1-5,5

亳州市卫生健康科研项目(bzwj2024b025)亳州市儿童医院院级科研立项(2024 hMS-02).

10.3969/j.issn.1009-8399.2026.05.001

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