医疗辅导游戏对隐匿性阴茎患儿及家属的影响

doi:10.20047/j.issn1673-7210.2023.13.39

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Abstract Objective To analyze the effects of medical counseling games on children with hidden penis and their families. Methods A total of 130 children with latent penis and their families admitted to Taizhou Hospital of Zhejiang Province from January to August 2022 were studied. According to the random envelope method, the patients were divided into control group (using conventional nursing intervention) and observation group (using medical counseling game combined with conventional nursing intervention), with 65 cases in each group. Before and after the intervention, the modified yale preoperative anxiety scale (m-YPAS) and the anxiety scores of their families on the state-trait anxiety inventory (STAI), the compliance behavior of children, the facial expression, legs, activity crying, and consolability (FLACC), the health knowledge of their families and the postoperative recovery status were compared between the two groups. Results Before surgery, the scores of m-YPAS and STAI were lower in the two groups than at admission, and those in the observation group were lower than those in the control group (P＜0.05); on discharge day, compliance behavior score in two groups was higher than that at admission, and observation group was higher than control group (P＜0.05); 6 h after surgery, 12 h after surgery and before discharge, the FLACC scores of the two groups was compared in time and between groups, and the differences were statistically significant (P＜0.05). Compared within the group, the FLACC scores of the two groups at 12 h after surgery was higher than that at 6 h after surgery, and the FLACC score before discharge was lower than that at 6 h after surgery (P＜0.05), the FLACC score of observation group was lower than that of control group at different time (P＜0.05). The family members of the observation group had better knowledge of health than the control group (P＜0.05); the time of getting out of bed and discharge in observation group were shorter than those in control group (P＜0.05). The total complication rate of observation group was lower than that of control group (P＜0.05). Conclusion Medical counseling games can reduce the preoperative anxiety of children with occult penis surgery and their parents, improve the compliance behavior of children, and their families’ grasp of health knowledge, reduce the degree of postoperative pain of children, promote postoperative recovery, and have clinical reference significance.

Key words： Concealed penis Medical counselling games Anxiety Medical compliance behavior Knowledge of health Recovery

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	JIN Lihong1　LI Danting2　FANG Jingjing1　YU Linjun1　HU Wenhui3▲

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JIN Lihong1　LI Danting2　FANG Jingjing1　YU Linjun1　HU Wenhui3▲. Effects of medical counseling games on children with hidden penis and their families[J]. 中国医药导报, 2023, 20(13): 170-175.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.13.39 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I13/170

[1] 李林飞，李东晓，赵鼎，等.郑州地区491例隐匿性阴茎患儿细胞遗传学分析[J].临床泌尿外科杂志，2021，36（2）：126-127，131.
[2] 井颖，张振山，潮敏.包皮脱套松解延长固定术治疗对隐匿性阴茎患儿阴茎疲软时显露长度的影响[J].中国性科学，2021，30（10）：14-17.
[3] 罗伟，王顺军，方克伟，等.隐匿阴茎改良手术的疗效与安全性观察[J].昆明医科大学学报，2019，40（12）：124- 129.
[4] 李昌佩，周维，夏凡，等.“双针法”在小儿隐匿性阴茎矫正手术的应用[J].中国现代手术学杂志，2020，24（5）：374-378.
[5] 李慎，金宗兰，胡元泉，等.叙事医学人文护理在隐匿性阴茎患儿围术期的应用研究[J].中国医药导报，2021，18（17）：165-168.
[6] 庞胜.小儿隐匿性阴茎术后护理方法与护理效果探讨[J].贵州医药，2019，43（8）：1339-1340.
[7] Olbrecht VA，Williams SE，O’Conor KT，et al. Guided relaxation-based virtual reality versus distraction-based virtual reality or passive control for postoperative pain management in children and adolescents undergoing Nuss repair of pectus excavatum：protocol for a prospective，randomised，controlled trial （FOREVR Peds trial）[J]. BMJ Open，2020，10（12）：e040295.
[8] 凌芳，顾莺，胡菲，等.儿童医疗游戏辅导在学龄期重症肺炎患儿中的应用研究[J].上海护理，2021，21（2）：6-10.
[9] 李临刚.先天性隐匿阴茎的诊断与治疗[C].//世界中联男科专业委员会第九届学术年会、国际中医男科第十一届学术大会、海峡两岸中医男科第六届学术论坛、2017年世界中医男科学术大会论文集，2017：324-327.
[10] 代莹，郑先琳，舒烈琳，等.简化版改良耶鲁术前焦虑量表的汉化及信效度研究[J].护理研究，2019，33（15）：2596-2599.
[11] 李志，李春芳，韩卫东.广泛性焦虑障碍患者的述情障碍与状态焦虑、特质焦虑的关系[J].中国健康心理学杂志，2010，18（8）：900-902.
[12] 吴怡雪，陈易，邱文波，等.婴儿疼痛行为指征量表的汉化及信效度检验[J].中国疼痛医学杂志，2021，27（11）：835-840.
[13] 王娴，杨建军，周志强.吸入麻醉药相关的儿童苏醒期谵妄和躁动[J].医学研究生学报，2010，23（4）：404-407.
[14] 顾莺，张晓波，傅丽丽，等.儿童医疗游戏辅导护理专业队伍的建设与管理[J].中国护理管理，2019，19（5）：761- 764.
[15] 庞芳，杨彬.医疗游戏在住院儿童治疗中的人文实践[J].解放军医院管理杂志，2018，25（12）：1193-1195.
[16] 张伟同，冯勋强，刘翠苹，等.渐进性皮瓣转移技术联合改良Devine术治疗小儿隐匿性阴茎的效果评价[J].临床外科杂志，2022，30（4）：376-378.
[17] 杨俊家，王爱和，杨华军，等.不同手术方法治疗小儿隐匿性阴茎的临床效果分析[J].中国妇幼保健，2020，35（6）：1073-1075.
[18] 吴小花，徐红贞.健康中国建设背景下儿童医疗人文关怀的落实与思考[J].浙江大学学报（人文社会科学版），2020，50（6）：28.
[19] 张倩，郭锦丽，黄永波，等.医疗游戏辅导对学龄期四肢骨折患儿心理状态及疼痛的影响[J].护理研究，2022， 36（19）：3549-3553.
[20] 赵艳晓，应放天，方倩怡，等.基于FAHP的肿瘤儿童医疗游戏辅导玩具设计研究[J].包装工程，2022，43（4）：135-141.
[21] 张冠珣，阐玉英，李蓉蓉，等.儿童医疗辅导游戏在急性白血病患儿护理中的应用进展[J].中国实用护理杂志，2021，37（9）：717-721.
[22] 黄华，金婷，李力.医疗游戏辅导在肿瘤患儿PICC置管中的应用[J].齐鲁护理杂志，2019，25（3）：17-19.
[23] 张冠珣，李蓉蓉，阐玉英，等.基于儿童医疗辅导理念的急性白血病患儿化疗期症状群干预方案的构建[J].中国护理管理，2022，22（5）：708-712.
[24] 张顺娣，顾莺，胡菲，等.儿童医疗辅导应用于胃恶性淋巴瘤患儿1例护理[J].上海护理，2021，21（5）：69-71.
[25] 张顺娣，顾莺，胡菲，等.儿童医疗辅导照护缓解患儿腰椎穿刺疼痛和父母焦虑研究[J].护理学杂志，2020，35（24）：30-32.