角色扮演卡牌游戏方案的构建及在扁桃体切除患儿围术期的应用研究

doi:10.3761/j.issn.1672-9234.2024.09.013

摘要/Abstract

摘要：

目的设计角色扮演卡牌游戏方案，探讨其在扁桃体切除患儿围术期的应用效果。方法基于该院研制的“医疗小纵队”桌游卡牌套装，通过文献回顾等方法，形成角色扮演卡牌游戏方案。采用便利抽样法，选取于浙江省某三级甲等儿童专科医院接受扁桃体切除术的患儿126例作为研究对象。将患儿按照入院先后顺序分入对照组（2023年3月—6月入院，n=60）和试验组（2023年7月—10月入院，n=66），对照组接受常规围术期护理，试验组在常规围术期护理基础上接受角色扮演卡牌游戏干预，比较两组医疗恐惧情况、术后谵妄发生情况、术后用药依从性水平及父母出院准备度。结果最终试验组中63例完成本研究，对照组均完成本研究。试验组术后第1 d医疗恐惧得分为（21.02±1.90）分，低于对照组的（22.30±3.34）分（P=0.011）；术后进入复苏室至返回病房2 h间的谵妄发生率低于对照组[5%（3/63）比17%（10/60），P=0.032]；术后第 1 d用药依从性得分为（3.11±0.70）分，高于对照组的（2.53±0.60）分（P<0.001）；父母出院准备度得分为（239.21±28.15）分，高于对照组的（211.55±29.38）分（P<0.001）。结论角色扮演卡牌游戏方案的应用可减轻扁桃体切除患儿围术期医疗恐惧感，减少其术后谵妄发生，提高其术后用药依从性及父母的出院准备度。

关键词: 角色扮演, 卡牌, 游戏疗法, 儿科护理学, 扁桃体切除术, 围术期护理

Abstract:

Objective To design a role-playing card game program and explore its application effect in the perioperative period of pediatric tonsillectomy patients. Methods Based on the tabletop card game of “Medical Little Team” developed by our hospital，a role-playing card game program was formulated through literature review. A convenience sampling method was used to recruit 126 pediatric patients undergoing tonsillectomy in a tertiary pediatric hospital in Zhejiang Province as study participates. The patients were divided into a control group （admitted from March to June 2023，n=60） or an intervention group（admitted from July to October 2023，n=66） depending on the order of admission. The control group received routine perioperative nursing，while the intervention group received role-playing card game intervention in addition to routine perioperative nursing. Medical fear，postoperative delirium occurrence，postoperative medication adherence，and parental readiness for discharge were assessed and compared between the two groups. Results Finally, 63 cases in the experimental group completed the study, and all the cases in the control group completed the study. On the first postoperative day，the medical fear score in the intervention group was（21.02±1.90），lower than that in the control group of （22.30±3.34）（P=0.011）. The incidence of delirium within 2 hours from entering the recovery room to returning to the ward after surgery was lower in the intervention group[5%（3/63） vs. 17%（10/60），P=0.032]. The medication adherence score on the first postoperative day was （3.11±0.70） in the intervention group，higher than that in the control group of （2.53±0.60）（P<0.001）. The parental readiness for discharge score was （239.21±28.15） in the intervention group，higher than that in the control group of （211.55±29.38）（P<0.001）. Conclusion The application of role-playing card game can alleviate perioperative medical fear in pediatric tonsillectomy patients，reduce postoperative delirium，improve medication adherence，and enhance parental readiness for discharge.

Key words: Role playing, Cards, Play Therapy, Pediatric Nursing, Tonsillectomy, Perioperative Nursing

郑迎, 余冉晖, 裘妃, 陆彤瑶, 孙旦华, 吴小花, 徐红贞. 角色扮演卡牌游戏方案的构建及在扁桃体切除患儿围术期的应用研究[J]. 中华护理教育, 2024, 21(9): 1106-1112.

ZHENG Ying, YU Ranhui, QIU Fei, LU Tongyao, SUN Danhua, WU Xiaohua, XU Hongzhen. Application of role-playing card game program in perioperative period of tonsillectomy children[J]. Chinese Journal of Nursing Education, 2024, 21(9): 1106-1112.

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