心理干预对重症手足口患儿康复及家属心理状态的影响研究
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摘要
目的探讨心理干预对重症手足口(HFMD)患儿康复及家属心理状态的影响。方法选取江西省儿童医院2016年6月～2017年12月收治的60例重症HFMD患儿及家属作为研究对象,随机分为对照组和研究组,每组各30例。对照组在临床治疗的基础上给予常规护理,研究组在对照组的基础上对患儿及家属进行心理干预。比较两组的住院时间,危重症转化率及干预前后家属焦虑自评量表(SAS)评分。结果研究组的住院时间均明显短于对照组(P<0.05);研究组危重症转化率明显低于对照组(P<0.05);两组干预后SAS评分明显低于干预前(P<0.05),且研究组明显低于对照组,差异均有统计学意义(P<0.05)。结论心理干预可缩短重症HFMD患儿住院治疗时间,降低危重症转化率,减轻患儿家属的焦虑情绪。
Objective To explore the effect of psychological intervention on rehabilitation of children with severe hand foot mouth disease(HFMD) and their family members′ psychological state. Methods A total of 60 children with severe HFMD and their family members admitted to Jiangxi Children′s Hospital from June 2016 to December 2017 were selected and randomly divided into control group and research group, 30 cases in each group. The control group was given routine nursing on the basis of clinical treatment, while the research group was given psychological intervention on the basis of the control group. The hospitalization time, critical illness conversion rate and family anxiety self-rating scale(SAS) scores before and after intervention were compared between the two groups. Results The hospitalization time of the research group was significantly shorter than that of the control group(P<0.05), the transformation rate of critical illness in the research group was significantly lower than that of the control group(P<0.05), and the SAS score of the two groups after intervention was significantly lower than that before intervention(P <0.05), and the research group was significantly lower than that of the control group, the differences were statistically significant(P <0.05).Conclusion Psychological intervention can shorten the hospitalization time of children with severe HFMD, reduce the conversion rate of critical illness, and alleviate the anxiety of family members of children with severe HFMD.
Objective To explore the effect of psychological intervention on rehabilitation of children with severe hand foot mouth disease(HFMD) and their family members′ psychological state. Methods A total of 60 children with severe HFMD and their family members admitted to Jiangxi Children′s Hospital from June 2016 to December 2017 were selected and randomly divided into control group and research group, 30 cases in each group. The control group was given routine nursing on the basis of clinical treatment, while the research group was given psychological intervention on the basis of the control group. The hospitalization time, critical illness conversion rate and family anxiety self-rating scale(SAS) scores before and after intervention were compared between the two groups. Results The hospitalization time of the research group was significantly shorter than that of the control group(P<0.05), the transformation rate of critical illness in the research group was significantly lower than that of the control group(P<0.05), and the SAS score of the two groups after intervention was significantly lower than that before intervention(P <0.05), and the research group was significantly lower than that of the control group, the differences were statistically significant(P <0.05).Conclusion Psychological intervention can shorten the hospitalization time of children with severe HFMD, reduce the conversion rate of critical illness, and alleviate the anxiety of family members of children with severe HFMD.
引文
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[14]叶丽华,易纪津,魏建彬,等.手足口病患儿中实施早期预警护理干预措施对患儿病情影响[J].黑龙江医学,2018,42(6):626-627.
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[16]邓锦玲,余景建,莫美女,等.心理护理在手足口病患儿家长护理中的应用[J].中外医学研究,2018,16(12):87-89.
[2]陈姣.综合护理对重症手足口患儿并发症及生活质量的影响[J].实用临床医药杂志,2014,18(8):69-72.
[3]何凤莉.护理干预对重症手足口病患儿并发症及生活质量的影响[J].实用妇科内分泌杂志(电子版),2016,3(16):3-4.
[4]陆萧萍.护理干预对重症手足口病重型患儿预后的影响评价[J].临床检验杂志(电子版),2018,7(1):66-67.
[5]周丽珍,赵雪频.重症手足口病患儿预后特点及影响因素分析[J].中国医院统计,2018,25(1):17-19.
[6]付玲丽.前瞻性早期护理在儿科重症手足口病患儿中的干预效果观察[J].实用临床护理学电子杂志,2018,3(8):112,118.
[7]钱美英.护理干预对重症手足口病患儿家属焦虑抑郁情绪的影响[J].实用临床医药杂志,2011,15(20):113-114.
[8]李瑞丹,石彩晓,马晓聪,等.浅析综合护理干预对小儿手足口病康复的效果影响[J].临床研究,2018,26(11):162-163.
[9]李明菊.探讨循证护理对小儿重症手足口病患儿的疗效和预后的影响[J].首都食品与医药,2018,25(19):94.
[10]费卫丽.舒适护理及健康教育在手足口病患儿中的应用效果分析[J].中西医结合心血管病电子杂志,2018,6(27):120-121.
[11]裴红艳.实施综合性、系统性护理对重症手足口病患儿治疗效果的影响[J].首都食品与医药,2018,25(17):113.
[12]曾藜.心理护理联合健康教育指导对小儿手足口病心理状态和治疗依从性的影响[J].医学理论与实践,2018,31(16):2522-2523.
[13]韩路遥.健康教育结合综合性护理在小儿手足口病护理中的应用效果评价[J].中国农村卫生,2018,10(13):76-77.
[14]叶丽华,易纪津,魏建彬,等.手足口病患儿中实施早期预警护理干预措施对患儿病情影响[J].黑龙江医学,2018,42(6):626-627.
[15]申爱萍.针对性护理对手足口病患儿康复进程及患儿家属护理满意度的影响[J].临床研究,2018,26(6):195-196.
[16]邓锦玲,余景建,莫美女,等.心理护理在手足口病患儿家长护理中的应用[J].中外医学研究,2018,16(12):87-89.