摘要
目的:探讨画本阅读对住院胃肠道疾病患儿焦虑抑郁和孤独感的影响.方法:选取2013-01/2014-11于天津医科大学第二医院收治的102例胃肠道疾病患儿为研究对象,按照随机数字表分为观察组和对照组,两组各51例.对照组患儿给予常规治疗和心理护理,观察组患儿在此基础上由经过专门培训的责任护士指导患儿进行画本阅读.比较干预前后两组患儿的儿童焦虑障碍自评量表(Screen for Children Anxiety Related Emotional Disorders,SEARED)、儿童抑郁自评量表(Depression Self-rating Scale for Children,DSRSC)、儿童孤独量表(Children's Loneliness Scale,CLS)评分及患儿家属的满意度.结果:干预后观察组的SEARED、DSRSC和CLS总分分别为17.63分±4.72分,10.09分±4.51分,21.54分±4.49分,均显著低于对照组(23.51分±4.93分,13.26分±4.78分,23.96分±4.58分),差异有统计学意义(t=6.152,3.445,2.695;P<0.05).观察组患儿家属满意度显著优于对照组,差异具有统计学意义(χ2=11.304,P<0.05).结论:将画本阅读引入对住院胃肠道疾病患儿的心理护理过程中可显著降低患儿的焦虑和抑郁水平,改善其孤独感,值得临床推广.
AIM： To investigate the effect of picture-book reading on anxiety, depression and loneliness in hospitalized children with gastrointestinal disease. METHODS： One hundred and two children with gastrointestinal disease treated from January 2013 and November 2014 at our hospital were selected and randomly divided into an observation group and a control group, with 51 cases in each group. Cases in the control group were given conventional treatment and psychological nursing. Based on these, children in the observation group were additionally guided by a trained nurse to conduct picture- book reading. The scores of Screen for Children Anxiety Related Emotional Disorders （SEARED）, Depression Self-rating Scale for Children （DSRSC）, Children＇s Loneliness Scale （CLS） and satisfaction of children＇s families were compared between the two groups before and after intervention. RESULTS： The total scores of SEARD, DSRSC and CLS were, respectively, 17.63 ± 4.72, 10.09 ± 4.51 and 21.54 ＋ 4.49 in the observation group after intervention, which were statistically lower than 23.51 ± 4.93, 13.26 ± 4.78 and 23.96 ± 4.58 in the control group （t = 6.152, 3.445, 2.695; P 〈 0.05）. The degree of satisfaction of children＇s families in the observation group was significant higher than that in the control group （χ^2 = 11.304, P 〈 0.05）. CONCLUSION： The picture-book reading introduced into the psychological nursing of hospitalized children with gastrointestinal disease could significantly reduce the levels of anxiety and depression and improve their sense of loneliness.
出处
《世界华人消化杂志》
CAS
2015年第13期2174-2179,共6页
World Chinese Journal of Digestology
关键词
画本
阅读疗法
胃肠道疾病
心理护理
Picture-book
Reading treatment
Gastrointestinal disease
Psychological nursing
