儿童医疗辅导对重症肺炎患儿舒适度及心理状态的影响

黄丽; 邵梦云; 朱雷禹; 诸海燕; 姚欢迎

doi:10.16766/j.cnki.issn.1674-4152.003139

儿童医疗辅导对重症肺炎患儿舒适度及心理状态的影响

doi: 10.16766/j.cnki.issn.1674-4152.003139

1.
绍兴市人民医院儿内科，浙江绍兴 312000
2.
绍兴市人民医院社工部
3.
绍兴市人民医院护理部

基金项目:

浙江省医药卫生科技计划项目 2023KY363

详细信息

通讯作者:
黄丽，E-mail：13157505649@163.com

中图分类号: R473.72 R725.6
计量
- 文章访问数: 161
- HTML全文浏览量: 42
- PDF下载量: 9
- 被引次数: 0
出版历程
- 收稿日期: 2023-04-13
- 网络出版日期: 2023-09-13

Effect of medical counseling on the comfort and psychological status of children with severe pneumonia

1.
Department of Pediatrics, Shaoxing People' s Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的分析儿童医疗辅导在重症肺炎患儿中的应用效果及对患儿舒适度及心理状态的影响。方法选取2018年3月—2022年9月绍兴市人民医院收治的100例重症肺炎患儿作为研究对象，根据随机数字表法将其分为对照组(50例)和观察组(50例)。对照组患儿应用常规护理，观察组在对照组基础上应用儿童医疗辅导。采用儿童舒适度问卷、儿童焦虑性情绪障碍筛查表(SCARED)及抑郁障碍自评量表(DSRSC)比较2组患儿干预前后舒适度、心理状态，统计2组患儿治疗依从性及家长满意度。结果干预后，观察组患儿舒适度总分为(8.79±0.85)分，低于对照组[(13.83±1.54)分]，差异有统计学意义(P < 0.05)；干预后，观察组患儿SCARED、DSRSC量表得分分别为(18.72±2.41)分、(12.37±1.64)分，均低于对照组[(21.35±3.91)分、(15.48±2.10)分]，差异有统计学意义(均P < 0.05)。观察组患儿治疗依从性高于对照组(P < 0.05)。观察组患儿家长护理满意度高于对照组(P < 0.05)。结论儿童医疗辅导能有效提高重症肺炎患儿的舒适度，缓解患儿焦虑、抑郁情绪，提高患儿治疗依从性及家长满意度。
- 儿童医疗辅导 /
- 重症肺炎 /
- 舒适度 /
- 心理状态
Abstract: Objective To analyze the application effect of pediatric medical counseling in children with severe pneumonia and its impact on their comfort and psychological state. Methods A total of 100 children with severe pneumonia, who admitted to Shaoxing People' s Hospital from March 2018 to September 2022, were divided into a control group and an observation group with 50 cases each according to a random number table method. The children in the control group received routine care, while the observation group received medical guidance for children based on the control group. The comfort and psychological status of the two groups of children were compared before and after intervention using the children' s comfort questionnaire and (the screen for child anxiety related emotional disorders, SCARED) and (depression self-rating scale for children, DSRSC), and the treatment compliance and parental satisfaction of the two groups of children were calculated. Results After intervention, the total comfort score of the observation group was (8.79±0.85) points, which was lower than that in the control group [(13.83±1.54) points], P < 0.05; after intervention, the scores of SCARED and DSRSC in the observation group were (18.72±2.41) points and (12.37±1.64) points, which were less than that in the control group [(21.35±3.91) points and (15.48±2.10) points], all P < 0.05. The compliance of the children in the observation group was higher than that in the control group (P < 0.05). The care satisfaction rate of the observation group was higher than in the control group (P < 0.05). Conclusion The pediatric medical guidance can effectively improve the comfort of children with severe pneumonia, alleviate their anxiety and depression, improve their treatment compliance and parents' satisfaction with their care.
- Medical counseling for children /
- Severe pneumonia /
- Comfort /
- Mentality

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表 1 2组重症肺炎患儿一般资料比较

Table 1. Comparison of general data between 2 groups of children with severe pneumonia

组别	例数	性别(例)		年龄 (x±s，岁)	病程 (x±s，d)	疾病类型(例)
组别	例数	男	女	年龄 (x±s，岁)	病程 (x±s，d)	细菌性肺炎	病毒性肺炎	支原体及衣原体肺炎
对照组	50	27	23	8.14±2.38	7.01±2.30	16	18	16
观察组	50	29	21	7.96±2.21	6.87±1.93	14	21	15
统计量		0.162^a		0.392^b	0.330^b	0.369^a
P值		0.687		0.696	0.742	0.820
注：^a为χ²值，^b为t值。

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表 2 2组重症肺炎患儿干预前后舒适度比较(x±s，分)

Table 2. Comparison of comfort level between 2 groups of children with severe pneumonia before and after intervention(x±s, points)

组别	例数	疼痛		饮食障碍		睡眠障碍		娱乐活动缺乏		恐惧		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	50	2.96±0.42	2.08±0.37	2.88±0.73	2.31±0.51	2.61±0.60	2.01±0.39	3.13±0.58	2.88±0.44	3.28±0.35	2.37±0.43	16.91±2.68	13.83±1.54
观察组	50	3.10±0.57	1.61±0.24	2.79±0.81	1.84±0.30	2.68±0.71	1.53±0.42	3.06±0.45	1.29±0.23	3.33±0.41	1.32±0.26	16.87±2.52	8.79±0.85
t值		1.398	7.536	0.584	5.617	0.532	5.922	0.674	22.645	0.656	14.776	0.077	20.260
P值		0.165	< 0.001	0.561	< 0.001	0.596	< 0.001	0.502	< 0.001	0.513	< 0.001	0.939	< 0.001

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表 3 2组重症肺炎患儿干预前后心理状态比较(x±s，分)

Table 3. Comparison of psychological state of 2 groups of children with severe pneumonia before and after intervention(x±s, points)

组别	例数	SCARED量表		DSRSC量表
组别	例数	干预前	干预后	干预前	干预后
对照组	50	25.81±4.18	21.35±3.91	18.77±2.75	15.48±2.10
观察组	50	26.02±4.46	18.72±2.41	19.13±2.83	12.37±1.64
t值		0.243	4.049	0.645	8.253
P值		0.809	< 0.001	0.520	< 0.001

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表 4 2组重症肺炎患儿治疗依从性比较[例(%)]

Table 4. Comparison of treatment compliance between 2 groups of children with severe pneumonia[cases(%)]

组别	例数	完全依从	部分依从	不依从	治疗依从性
对照组	50	20(40)	15(30)	15(30)	35(70)
观察组	50	34(68)	10(20)	6(12)	44(88)
注：2组治疗依从性比较，χ²=4.882，P=0.027。

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表 5 2组重症肺炎患儿家长护理满意度比较[例(%)]

Table 5. Comparison of nursing satisfaction of parents of children with severe pneumonia in 2 groups[cases(%)]

组别	例数	非常满意	满意	一般	不满意	护理满意度
对照组	50	18(36)	24(48)	6(12)	2(4)	42(84)
观察组	50	27(54)	21(42)	2(4)	0	48(96)
注：2组护理满意度比较，χ²=4.000，P=0.046。

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