【摘要】 目的 探讨Child life理念的叙事医学干预在隐睾患儿围手术期中的应用效果。方法 选取2021年1月至2023年8月安徽医科大学第一附属医院收治的120例住院择期手术的隐睾患儿作为研究对象，采用随机数字表法分为观察组和对照组，各60例。对照组采用泌尿外科常规围手术期干预，观察组在对照组基础上采用Child life理念的叙事医学干预。比较两组患儿和家长入院时、术后1 d和出院时的焦虑状态，以及患儿术后疼痛和家长满意度。结果 两组患儿和家长焦虑评分组间、时间及交互比较，差异均具有统计学意义(P<0.001);对照组患儿和家长出院时焦虑评分均低于入院时、术后1 d,差异具有统计学意义(P<0.05);观察组患儿和家长术后1 d焦虑评分均低于入院时，出院时低于入院时、术后1 d,差异具有统计学意义(P<0.05);观察组患儿和家长术后1 d、出院时焦虑评分均低于对照组，差异具有统计学意义(P<0.05)。观察组患儿术后疼痛评分显著低于对照组，差异具有统计学意义(P<0.001)。观察组家长满意度显著高于对照组，差异具有统计学意义(P<0.001)。结论 基于Child life理念的叙事医学干预可有效减轻隐睾患儿和家长围手术期的焦虑情绪，降低患儿术后疼痛感，提高家长满意度。更多还原

【Abstract】 Objective To explore the effect of narrative medical intervention of Child life concept in perioperative of children with cryptorchidism. Methods A total of 120 children with cryptorchidism undergoing elective surgery in the First Affiliated Hospital of Anhui Medical University from January 2021 to August 2023 were selected as the study subjects, which were divided into observation group and control group according to the random number table method, with 60 cases each. The control group performed routine care in the department of urology, and the observation group implemented a narrative medical intervention based on the Child life concept. The anxiety status, postoperative pain and parental satisfaction were compared between the patient children and parents in two groups at admission, 1 day after surgery and at discharge. Results There were statistically significant differences in inter-group, time and interaction comparison of the anxiety scores of patient children and their parents in the two groups(P<0.001).In the control group, the anxiety scores of both patient children and parents at discharge were lower than those at admission and 1 day after surgery, and the differences were statistically significant(P<0.05). In the observation group, the anxiety scores of patient children and their parents 1 day after surgery were lower than those at admission, and the scores at discharge were lower than those at admission and 1 day after surgery, with statistically significant differences(P<0.05). The anxiety scores of patient children and their parents in the observation group 1 day after surgery and at discharge were lower than those in the control group, and the differences were statistically significant(P<0.05). The postoperative pain scores of the patient children in the observation group were significantly lower than those in the control group, and the difference was statistically significant(P<0.001). Parents satisfaction of the observation group was higher than the control group, with significant difference(P<0.001). Conclusions The narrative medical intervention based on the Child life concept effectively reduces the anxiety of children with cryptorchidism and their parents in the perioperative period, reduces the postoperative pain of children, and improves the parents′ satisfaction.更多还原