| 蒋丽,宋海燕,魏巧,魏敏,李爱求.医疗游戏辅导在学龄期隐匿性阴茎患儿中的应用观察[J].上海护理,2026,26(5): |
| 医疗游戏辅导在学龄期隐匿性阴茎患儿中的应用观察 |
| Application effect of medical counseling games in School-Aged Children with Concealed Penis |
| 投稿时间：2025-08-08 修订日期：2026-05-05 |
| DOI： |
| 中文关键词: 医疗游戏 学龄期儿童 隐匿性阴茎 应用效果 |
| 英文关键词:medical counseling game school-age children concealed penis application effect |
| 基金项目:毫州市卫生健康科研项目;毫州市儿童医院院级科研立项 |
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| 中文摘要: |
| 【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观察组和对照组，每组各30例。对照组给予常规护理干预，观察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2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，且观察组患儿焦虑评分低于对照组，差异有统计学意义（P<0.05）；观察组术后6 h、12 h、24 h的疼痛评分低于对照组（P<0.05），重复测量方差分析显示其在组别、时间及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，并减轻术后疼痛反应，具有临床推广价值。 |
| 英文摘要: |
| 【Abstract】 Objective To explore the application effect of medical counseling games on anxiety and pain in school-aged children undergoing concealed penis surgery. Methods Sixty children undergoing concealed penis surgery admitted to the pediatric surgery department of a Grade A tertiary hospital in Bozhou City from July 2024 to June 2025 were selected. They were randomly divided into an observation group and a control group using a random number table method, with 30 cases in each group.The control group received routine nursing intervention, while the observation group was provided with medical play guidance intervention in addition to routine nursing upon admission.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 levels in both groups. Results The control group consisted of 30 cases, aged 6-12 years (mean 9.9 ± 2.60 years); the observation group consisted of 30 cases, aged 6-12 years (mean 10.16 ± 1.70 years). There were no statistically significant differences between the two groups in age,length of hospital stay, or anxiety scores upon admission (P > 0.05). After nursing intervention, the anxiety score of both groups of children was significantly reduced on the day of surgery (P<0.05), and the anxiety score of children in the observation group was lower than that of the control group, with statistical significance (P<0.05). Pain scores at 6 hours, 12 hours, and 24 hours postoperatively were lower in the observation group than in the control group (P < 0.05). Repeated measures analysis of variance showed that the effects of group, time, and interaction were all statistically significant (P < 0.05).Conclusion Medical counseling games can effectively alleviate perioperative anxiety in school-aged children undergoing concealed penis surgery and reduce postoperative pain responses, demonstrating significant clinical promotion value. |
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