治疗性抚触联合心理干预对重症肺炎患儿心理韧性、治疗依从性及智能发育指数的影响
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摘要
目的:探讨治疗性抚触联合心理干预对重症肺炎患儿心理韧性、治疗依从性及智能发育指数的影响。方法:选取104例重症肺炎患儿依照随机数字表法分为对照组和观察组各52例,均给予常规干预措施,对照组给予心理干预,观察组在对照组基础上给予治疗性抚触干预,观察患儿的焦虑、抑郁状态,心理韧性、治疗依从性及智能发育情况。结果:干预后,观察组儿童焦虑障碍自评量表(SCARED)评分(t=-10.228,P<0.05)、儿童抑郁障碍自评量表(DSRSC)评分(t=-8.628,P<0.05)显著低于对照组,慢性病儿童韧性量表(CICRS)[个性特征(t=5.401,P<0.05)、应对方式(t=5.872,P<0.05)及人际关系(t=7.052,P<0.05)]评分显著高于对照组,治疗依从性[治疗行为(t=2.676,P<0.05)、检查配合度(t=2.917,P<0.05)、活动量(t=5.030,P<0.05)、睡眠(t=6.813,P<0.05)、饮食(t=5.186,P<0.05)及总分(t=8.489,P<0.05)]评分显著高于对照组,小儿智能发育量表(CDCC)[智能发育指数(MDI)(t=2.762,P<0.05)及心理运动发育指数(PDI)(t=3.800,P<0.05)]评分显著高于对照组,组内不同时间点间差异均具有统计学意义。结论:治疗性抚触联合心理干预可显著改善患儿负性情绪,增强其心理韧性及提高治疗依从性,从而利于患儿智能发育良好及预后。
Objective:To explore the effects of therapeutic caress combined with psychological intervention on psychological resilience,treatment compliance and mental development index in children patients with severe pneumonia.Methods:A total of 104 cases of children patients with severe pneumonia were divided into control group(n=52)and observation group(n=52)according to the random number table method.All patients were given routine nursing,and control group was given psychological intervention,and observation group was given therapeutic caress intervention on the basis of the control group.Children's anxiety,depression,psychological resilience,treatment compliance and mental development were observed.Results:After intervention,the scores of screen for anxiety related emotional disorders(SCARED)and depression self-rating scale for children(DSRSC) in observation group were significantly lower than those in control group(t=-10.228,-8.628;P<0.05),and the scores of chronic illness children' s resilience scale(CICRS) were significantly higher than those in control group(t=5.401,5.872,7.052;P<0.05),and the scores of treatment compliance were significantly higher than those in control group(t=2.676,2.917,5.030,6.813,5.186,8.489;P<0.05),and the scores of child development center of china(CDCC)scale were significantly higher than those in control group(t=2.762,3.800;P<0.05),and the difference within-groups at different time points was statistically significant.Conclusion:Therapeutic caress combined with psychological intervention can significantly improve the negative emotions,and enhance the psychological resilience and treatment compliance,thereby helping children with mental development and prognosis.
Objective:To explore the effects of therapeutic caress combined with psychological intervention on psychological resilience,treatment compliance and mental development index in children patients with severe pneumonia.Methods:A total of 104 cases of children patients with severe pneumonia were divided into control group(n=52)and observation group(n=52)according to the random number table method.All patients were given routine nursing,and control group was given psychological intervention,and observation group was given therapeutic caress intervention on the basis of the control group.Children's anxiety,depression,psychological resilience,treatment compliance and mental development were observed.Results:After intervention,the scores of screen for anxiety related emotional disorders(SCARED)and depression self-rating scale for children(DSRSC) in observation group were significantly lower than those in control group(t=-10.228,-8.628;P<0.05),and the scores of chronic illness children' s resilience scale(CICRS) were significantly higher than those in control group(t=5.401,5.872,7.052;P<0.05),and the scores of treatment compliance were significantly higher than those in control group(t=2.676,2.917,5.030,6.813,5.186,8.489;P<0.05),and the scores of child development center of china(CDCC)scale were significantly higher than those in control group(t=2.762,3.800;P<0.05),and the difference within-groups at different time points was statistically significant.Conclusion:Therapeutic caress combined with psychological intervention can significantly improve the negative emotions,and enhance the psychological resilience and treatment compliance,thereby helping children with mental development and prognosis.
引文
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[7]李晶晶.目标性心理护理应用于小儿肺炎的效果观察[J].三峡大学学报(自然科学版),2017,39(1):256-257
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[12]苏林雁,王凯,朱焱,等.儿童抑郁障碍自评量表的中国城市常模[J].中国心理卫生杂志,2003,17(8):547-549
[13]大维,李旭.儿童抑郁量表(CDI)在中国儿童中的初步运用[J].中国心理卫生杂志,2000,14(4):225-227
[14]范存仁.CDCC婴幼儿智能发育测验手册[M].北京:团结出版社,1988:9-24
[15]唐晓燕.个性化全程护理干预在小儿麻疹合并重症肺炎中的应用效果[J].检验医学与临床,2017,14(6):846-847
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[17]宫翠风,王惠萍,尉秀峰,等.童年期创伤性经历与青少年抑郁症的关系[J].中国健康心理学杂志,2016,24(7):1076-1079
[18]施剑芳.治疗性抚触护理对甲状腺切除患者围术期应激反应的综合影响[J].中国乡村医药,2016,23(22):74-76
[19]冉塬钰,于静蕊,李雁林,等.治疗性抚触对妇科腹部手术患者术前焦虑的影响[J].医学与哲学,2012,33(9):52-54
[20]李传红.心理诱导在毛细支气管炎患儿行氧气雾化吸入时的应用价值[J].中国健康心理学杂志,2017,25(12):1901-1903
[21]马静,唐云飞,董浩娟,等.抚触护理对新生儿肺炎患者的心理运动功能及智能发育指数的影响[J].中国煤炭工业医学杂志,2016,19(1):116-119
[22]夏冬晴,陈梦莹,李晓南.新生儿疼痛对儿童行为发育的影响和机制研究进展[J].中国儿童保健杂志,2016,24(2):149-152
[23]孙淑英.抚触联合心理干预对小儿肺炎患儿的治疗依从性及心理发育影响[J].医学理论与实践,2017,30(9):1394+1400
[24]石翠萍,庞红艳,罗斌,等.早期抚触对早产低出生体质量儿神经心理发育的影响研究[J].检验医学与临床,2017,14(7):1033-1035
[2]张凯,张召,成云云.降钙素原、C反应蛋白、前清蛋白及白细胞计数在小儿重症肺炎诊断中的应用评价[J].中国实验诊断学,2016,20(7):1128-1130
[3]刘小波.小儿重症肺炎的护理[J].检验医学,2016,31(9):270-270
[4]张婷,ZhangTing.实验室监测指标对评估儿童重症肺炎病情及预后意义的研究进展[J].中国小儿急救医学,2015,22(12):865-868
[5]韩艳,徐玲玲,刘婷.双因素理论在小儿重症肺炎护理管理中的应用[J].国际护理学杂志,2016,35(3):395-398
[6]王晓燕,周义文,李小玉.优质护理在小儿肺炎护理中的应用及效果研究[J].重庆医学,2017,46(1):61-62
[7]李晶晶.目标性心理护理应用于小儿肺炎的效果观察[J].三峡大学学报(自然科学版),2017,39(1):256-257
[8]肖蒙,刘丽丹,宫伟.罗杰斯生命过程模式理论在脑卒中患者护理评估中的应用[J].中华现代护理杂志,2011,17(5):506-507
[9]迟春昕,侯海萍,陆丽华,等.经络抚触对新生儿高胆红素血症患儿治疗依从性和生长发育的影响[J].海南医学,2018,29(4):589-592
[10]胡亚美,江载芳.诸福棠实用儿科学[M].7版.北京:人民卫生出版社,2002:596-597
[11]王凯,苏林雁,朱焱,等.儿童焦虑性情绪障碍筛查表的中国城市常模[J].中国临床心理学杂志,2002,9(4):270-272
[12]苏林雁,王凯,朱焱,等.儿童抑郁障碍自评量表的中国城市常模[J].中国心理卫生杂志,2003,17(8):547-549
[13]大维,李旭.儿童抑郁量表(CDI)在中国儿童中的初步运用[J].中国心理卫生杂志,2000,14(4):225-227
[14]范存仁.CDCC婴幼儿智能发育测验手册[M].北京:团结出版社,1988:9-24
[15]唐晓燕.个性化全程护理干预在小儿麻疹合并重症肺炎中的应用效果[J].检验医学与临床,2017,14(6):846-847
[16]刘焕叶,林治平.治疗性抚触在儿科护理中的沟通作用[J].临床和实验医学杂志,2008,7(9):207-207
[17]宫翠风,王惠萍,尉秀峰,等.童年期创伤性经历与青少年抑郁症的关系[J].中国健康心理学杂志,2016,24(7):1076-1079
[18]施剑芳.治疗性抚触护理对甲状腺切除患者围术期应激反应的综合影响[J].中国乡村医药,2016,23(22):74-76
[19]冉塬钰,于静蕊,李雁林,等.治疗性抚触对妇科腹部手术患者术前焦虑的影响[J].医学与哲学,2012,33(9):52-54
[20]李传红.心理诱导在毛细支气管炎患儿行氧气雾化吸入时的应用价值[J].中国健康心理学杂志,2017,25(12):1901-1903
[21]马静,唐云飞,董浩娟,等.抚触护理对新生儿肺炎患者的心理运动功能及智能发育指数的影响[J].中国煤炭工业医学杂志,2016,19(1):116-119
[22]夏冬晴,陈梦莹,李晓南.新生儿疼痛对儿童行为发育的影响和机制研究进展[J].中国儿童保健杂志,2016,24(2):149-152
[23]孙淑英.抚触联合心理干预对小儿肺炎患儿的治疗依从性及心理发育影响[J].医学理论与实践,2017,30(9):1394+1400
[24]石翠萍,庞红艳,罗斌,等.早期抚触对早产低出生体质量儿神经心理发育的影响研究[J].检验医学与临床,2017,14(7):1033-1035