摘要
目的探讨综合护理干预对重度烧伤患儿照护者的影响。方法笔者科室2016年11月-2017年11月收治的80例重度烧伤患儿符合人选标准纳入本研究，采用随机数字表法分为综合组和对照组各40例，另将每例患儿各1名照护者同前入组。对照组仅对患儿和照护者给予常规护理，综合组在常规护理基础上实施综合护理干预，包括对患儿和照护者全面的心理护理、对照护者贯穿全程的康复指导、对照护者针对患儿病情进行个体化的知识宣传教育、完善社会支持系统、对患儿持续关注的出院随访。在2组患儿入院时（干预前）及患儿出院后的第2个月即第3次随访（干预后）时分别采用焦虑自评量表、社会支持评定量表评定其照护者焦虑水平和社会支持水平，于患儿出院当日采用笔者科室制订的护理服务满意度调查表评定其照护者对护理服务的满意度。对数据行X2验，独立样本t检验。结果（1）干预前对照组患儿照护者的焦虑评分和社会支持评分分别为（64．5±3．8）、（40．4±2．5）分，与综合组的（63．5±4．9）、（40．5±2．6）分均相近（t=0．988、0．177，P〉0．05）。干预后综合组患儿照护者的焦虑评分为（47．2±1．9）分，明显低于对照组的（57．6±4．3）分（t=13．917，P〈0．01）；社会支持评分为（45．3±1．9）分，明显高于对照组的（35．9±2．1）分（t=-21．282，P〈0．01）。干预后综合组患儿照护者的社会支持评定量表中客观支持、主观支持、社会支持利用度评分均明显高于对照组（t=12．678、-11．079、-10．031，P〈0．01）。（2）出院时，综合组患儿照护者的护理服务满意度调查表中临床护理、宣传教育内容及宣传教育形式评分均明显高于对照组（t：-14．757、-15．627、-33．221，P〈0．01）。结论综合护理干预方法可以有效降低重度烧伤患儿照护者的焦�
Objective To explore the influences of comprehensive nursing intervention on the care- givers of severely burned children. Methods Eighty severely burned children, admitted to our department from November 2016 to November 2017 and conforming to the study criteria, were included in this study. They were divided into comprehensive group and control group according to the random number table, with 40 children in each group. One caregiver for each child was included in the same group. Children and care- givers in control group had routine nursing care while children and caregivers in comprehensive group had comprehensive nursing care on the base of routine nursing care, including comprehensive psychological nurs- ing of children and caregivers, guidance of rehabilitation for caregivers throughout the entire recovery process, individualized propaganda and education for caregivers on account of disease of children, perfecting social support system, sustained attention of children during follow-up. Anxiety self-rating scale and social support rating scale were used to assess the levels of anxiety and social support of caregivers of children in the two groups at the time of admission （ before intervention） and the second month after discharge （ the third time follow-up, after intervention）. On the day of discharge, the nursing service satisfaction questionnaire of our department was used to evaluate the nursing service satisfaction of caregivers of children. Data were pro- cessed with chi-square test and independent sample t test. Results （ 1 ） Before intervention, the anxiety and social support scores of caregivers of children in control group were respectively （64.5±3.8） and （40.4±2.5） points, similar to （63.5±4.9） and （40.5±2.6） points in comprehensive group （ t = 0. 988, 0. 177, P 〉 0.05）. After intervention, the anxiety score [ （47.2±1.9） points] of caregivers of children in comprehensive group was significantly lower than that of control group [ （57.6±4.3 ） points, t
作者
罗旭芳
张敏
赵杜娟
雷艳
刘娟
白晨
周琴
胡雪慧
Luo Xufang;Zhang Min;Zhao Dujuan;Lei Yah;Liu Juan;Bai Chen;Zhou Qin;Hu Xaehui(Burn Center of PLA,Department of Burns and Cutaneous Surgery,Xijing Hospital,Air Force Medical University,Xi＇an 710032,China)
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2018年第9期648-652,共5页
Chinese Journal of Burns
关键词
烧伤
护理
儿童
焦虑
社会支持
照护者
Burns
Nursing care
Child
Anxiety
Social support
Caregivers
