Recognization and intervenation of the stress of paediatric patients's families in neonatal intensive care unit
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摘要:
目的 通过对新生儿监护室患儿家属的压力源进行的分析,给予实施干预。 方法 选择2013年6月~2014年6月我科住院的患儿家属300名为研究对象。心理因素用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行分析。针对压力源实施干预,干预前为对照组,干预后为实验组。干预后300例家属再进行前后的心理因素对比。 结果通过对患儿家属进行心理压力干预,增加患儿家属对疾病知识的认识,对新生儿监护病房环境和对我们医务人员工作的了解。使抑郁、焦虑等负性情绪均低于干预前,比较差异有统计学意义(P<0.05)。 结论了解和识别家属的压力源,减少其压力应激,实施护理干预及情感支持有利于满足家属需求,优化服务,减少医患纠纷,和谐医患关系,提高了患儿家属的满意度。 Abstract:Objective To analyze the stress of paediatric patients's families in neonatal intensive care unit and implementing intervention. Methods A total of 300 paediatric patients's families during hospitalization between 2013. 06 and 2014. 06 were selected as object. Psychological factors was analysed with self-rating anxious scale(SAS) and self-rating depression scale(SDS). Implement intervention were performed on stressors. Families pre-intervention were performed as control group and post-intervention as experimental group. The psychological factors of 300 families of post-intervention with that pre-intervention were compared. Results By intervention to the stressors of paediatric patients's families, patients' families got an increased knowledge of disease, environment of neonatal intensive care unit and work of medical personnel. The negative emotions of anxiety and depression were significantly less than pre-intervention(P<0.05). Conclusion Recognization stressor of paediatric patients's families, decreasing stressors of families, implementing nursing care and providing emotional support, meeting relations' requirements, and optimizing the service will reduce doctor-patients' disputs, harmonize the doctor-patient relationship and elevate the degree of satisfaction of paediatric patients's families. -
Key words:
- intensive care unit /
- paediatric patients'families /
- stressors /
- intervention
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表 1 患儿亲属希望了解患儿住院期间的基本情况的分布表(n=300)
项目 很需要例数(%) 一般需要例数(%) 不需要例数(%) 患儿病情的严重程度 300(100.00) 0(0) 0(0) 治疗药物的药理作用 221(73.67) 56(18.67) 23(7.67) 治疗药物的不良反应 286(95.33) 8(2.67) 6(2.00) 疾病的基本保健知识 270(90.00) 19(6.33) 11(3.67) 表 2 心理护理干预前后病人SDS、SAS评分变化(n=300,x±s,分)
类型 SDS评分 SAS评分 对照组 44.15±4.68 42.01±5.41 实验组 56.82±5.01* 53.81±4.35* *P<0.05 vs 对照组. -
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