Ahmadi延续性护理模式在肠造口新生儿父母心理健康中的应用
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摘要
目的探讨Ahmadi延续性护理模式对肠造口新生儿父母心理健康的应用效果。方法选择2017年8月至2018年10月在湖南省儿童医院接受肠造口手术的60例患儿及父母作为研究对象,采用随机数字表法将其分为研究组和对照组,每组各30例。随访期间研究组退出1例,对照组退出2例,最终完成57例。对照组患者给予常规护理,研究组患者实施Ahmadi延续性护理模式的护理方案。比较两组患儿术后并发症发生情况,并于干预前、干预1个月、干预3个月比较两组患儿父母焦虑抑郁情绪、肠造口护理知识知晓度。结果研究组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。干预3个月后研究组患儿父母焦虑抑郁情绪轻于对照组,肠造口护理知识知晓度高于对照组,两组比较,差异有统计学意义(均P<0.05)。结论 Ahmadi延续性护理模式的肠造口患儿护理方案,可改善患儿父母负性情绪,并降低术后并发症发生率。
Objective To explore the effect of Ahmadi-based continuous nursing model on the mental health of colostomy children and their parents. Methods A total of 60 colostomy children and their parents in Children's Hospital of Hunan Province from August 2017 to October 2018 were enrolled in the present study. The children and their parents were randomly divided into study group and control group equally. The control group received routine postoperative stoma care, while Ahmadi-based continuous nursing model was carried out in the study group. The two groups were compared in terms of complication, anxiety and depression can care ability of their parents after 1 ～3 months of intervention. Results Complication rate in study group was significantly lower than that in control group(P<0.05). After 1～3 months of intervention, the study group showed lower SAS score and higher care ability score. After 3 months of intervention, the study group showed lower SDS score compared to the control group, and the difference was statistically significant( P<0.05). Conclusion Ahmadi-based continuous nursing model can effectively reduce the incidence of complications as well as development of negative mental moods of the children and their parents.
Objective To explore the effect of Ahmadi-based continuous nursing model on the mental health of colostomy children and their parents. Methods A total of 60 colostomy children and their parents in Children's Hospital of Hunan Province from August 2017 to October 2018 were enrolled in the present study. The children and their parents were randomly divided into study group and control group equally. The control group received routine postoperative stoma care, while Ahmadi-based continuous nursing model was carried out in the study group. The two groups were compared in terms of complication, anxiety and depression can care ability of their parents after 1 ～3 months of intervention. Results Complication rate in study group was significantly lower than that in control group(P<0.05). After 1～3 months of intervention, the study group showed lower SAS score and higher care ability score. After 3 months of intervention, the study group showed lower SDS score compared to the control group, and the difference was statistically significant( P<0.05). Conclusion Ahmadi-based continuous nursing model can effectively reduce the incidence of complications as well as development of negative mental moods of the children and their parents.
引文
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[4]肖方,曾战东,李婉丽,等.以家庭为中心的护理指导在肠造口患儿家庭中的应用效果[J].蚌埠医学院学报,2017,42(3):402-404.
[5]罗燕,张华,李雪芹,等.维持性血液透析病人延续性护理需求的调查分析[J].护理研究,2018,32(1):120-122.
[6] AHMADI B, BONAKDAR Z S, HASHEMISM,et al. Endothelial dysfunction in Iranian lupus patients[J].Rheumatol Int,2011,31(1):27-31.
[7]方娇娇,张岚,殷秀,等.延续性护理模式对早产儿母亲育儿认知与心理健康的影响[J].中华护理杂志,2017,52(8):938-943.
[8] ZHANG Y, LIU R, LI G,et al.The reliability and validity of a Chinese-version Short Health Anxiety Inventory:an investigation of university students[J].NeuropsychiatrDis Treat, 2015(10):1739-1747.
[9] YEE A, YASSIM AR, LOHHS,et al.Psychometric evaluation of the Malay version of the Montgomery-Asberg Depression Rating Scale(MADRS-BM)[J].BMC Psychiatry, 2015(15):200.
[10] LAMBRECHT JR, LARSEN SG, REIERTSENO, et al.Prophylactic mesh at endcolostomy construction reduces parastomal hernia rate:a randomized trial[J].Colorectal Dis,2015,17(10):191-197.
[11]刘新文,刘晓文,甘红霞,等.自制帽式引流袋在预防小儿肠造口周围皮肤并发症中的应用[J].中华护理杂志,2016,51(9):1127-1129.
[12]黄莹,杨巧玲,梁丽君,等.肠造口患儿实施“以家庭为中心”护理模式的效果研究[J].护理研究,2016,(1):100-102.
[13]李妍妍.品管圈活动对小儿肠造口周围皮炎及家属负性情绪的影响[J].皮肤病与性病,2018,40(6):915-916.
[14]刘小琴,吉秋进,程晨,等.家属赋能模式在婴幼儿肠造口居家护理中的应用[J].江苏医药,2015,41(22):2789-2790.
[15]肖方,曾战东,李婉丽.以家庭为中心的护理指导在肠造口患儿家庭中的应用效果[J].蚌埠医学院学报,2017,42(3):402-404.
[16]刘显会,张罡.重症病毒性脑炎患儿家长情绪与社会支持的相关性分析[J].中国妇幼健康研究,2018,29(7):848-852.
[17]汪苗,朱小丽,汪翠云,等.直肠癌造口患者的心理控制源、生命质量和应对方式[J].中国心理卫生杂志,2013,27(10):750-753.
[18]黄莹,杨巧玲,梁丽君,等.肠造口患儿实施“以家庭为中心”护理模式的效果研究[J].护理研究,2016,30(1):100-101,102.
[2] HU W H,LEE K C,TSAI K L,et al.Temporary closure of colostomy with suture before colostomy takedown improves the postoperative outcomes[J]. Int J Colorectal Dis,2018,33(1):47-52.
[3]黄莹,杨巧玲,梁丽君,等.延续护理服务在肠造口患儿出院早期的应用研究[J].护士进修杂志,2015,30(22):2058-2060.
[4]肖方,曾战东,李婉丽,等.以家庭为中心的护理指导在肠造口患儿家庭中的应用效果[J].蚌埠医学院学报,2017,42(3):402-404.
[5]罗燕,张华,李雪芹,等.维持性血液透析病人延续性护理需求的调查分析[J].护理研究,2018,32(1):120-122.
[6] AHMADI B, BONAKDAR Z S, HASHEMISM,et al. Endothelial dysfunction in Iranian lupus patients[J].Rheumatol Int,2011,31(1):27-31.
[7]方娇娇,张岚,殷秀,等.延续性护理模式对早产儿母亲育儿认知与心理健康的影响[J].中华护理杂志,2017,52(8):938-943.
[8] ZHANG Y, LIU R, LI G,et al.The reliability and validity of a Chinese-version Short Health Anxiety Inventory:an investigation of university students[J].NeuropsychiatrDis Treat, 2015(10):1739-1747.
[9] YEE A, YASSIM AR, LOHHS,et al.Psychometric evaluation of the Malay version of the Montgomery-Asberg Depression Rating Scale(MADRS-BM)[J].BMC Psychiatry, 2015(15):200.
[10] LAMBRECHT JR, LARSEN SG, REIERTSENO, et al.Prophylactic mesh at endcolostomy construction reduces parastomal hernia rate:a randomized trial[J].Colorectal Dis,2015,17(10):191-197.
[11]刘新文,刘晓文,甘红霞,等.自制帽式引流袋在预防小儿肠造口周围皮肤并发症中的应用[J].中华护理杂志,2016,51(9):1127-1129.
[12]黄莹,杨巧玲,梁丽君,等.肠造口患儿实施“以家庭为中心”护理模式的效果研究[J].护理研究,2016,(1):100-102.
[13]李妍妍.品管圈活动对小儿肠造口周围皮炎及家属负性情绪的影响[J].皮肤病与性病,2018,40(6):915-916.
[14]刘小琴,吉秋进,程晨,等.家属赋能模式在婴幼儿肠造口居家护理中的应用[J].江苏医药,2015,41(22):2789-2790.
[15]肖方,曾战东,李婉丽.以家庭为中心的护理指导在肠造口患儿家庭中的应用效果[J].蚌埠医学院学报,2017,42(3):402-404.
[16]刘显会,张罡.重症病毒性脑炎患儿家长情绪与社会支持的相关性分析[J].中国妇幼健康研究,2018,29(7):848-852.
[17]汪苗,朱小丽,汪翠云,等.直肠癌造口患者的心理控制源、生命质量和应对方式[J].中国心理卫生杂志,2013,27(10):750-753.
[18]黄莹,杨巧玲,梁丽君,等.肠造口患儿实施“以家庭为中心”护理模式的效果研究[J].护理研究,2016,30(1):100-101,102.
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