摘要
目的:分析心理行为干预对小耳畸形外耳再造术患儿依从性与心理应激的影响。方法:回顾性分析2019年3月-2022年2月南京医科大学附属儿童医院耳鼻咽喉科收治的64例小耳畸形外耳再造术患儿临床资料,依据围术期患儿护理干预方式不同,将其中接受心理行为干预的35例患儿作为观察组,接受常规护理干预的29例患儿作为对照组,比较两组患儿的心理应激情况[儿童焦虑性情绪障碍筛查量表(Scores of screen for child anxiety related emotional disorders,SCARED)评分、儿童抑郁障碍自评量表(Depression self-rating scale for children,DSRSC)评分、儿童医疗恐惧量表(Child medical fear scale,CMFS)、心理弹性量表(Connor-davidson resilience scale,CD-RISC)评分],依从度及家属护理满意度[纽卡斯尔护理满意度量表评分(Newcastle satisfaction with nursing scale,NSNS)]。结果:观察组患儿的SCARED评分及DSRSC评分均低于对照组(P<0.05);观察组患儿的CMFS评分低于对照组,CD-RISC评分高于对照组(P<0.05);观察组患儿的依从度为91.43%高于对照组的68.97%(P<0.05);观察组患儿的家属护理满意度高于对照组(P<0.05)。结论:给予小耳畸形外耳再造术患儿心理行为干预护理措施,可有效改善患儿心理应激,提高患儿依从性,并提升护理满意度。
Objective To analyze the effects of psychological behaviors intervention on compliance and psychological stress in children with microtia undergoing external ear reconstruction.Methods A retrospective analysis was performed on the clinical data of 64 children with microtia undergoing external ear reconstruction in Otolaryngology Department of Children's Hospital Affiliated to Nanjing Medical University between March 2019 and February 2022.According to different perioperative nursing methods,they were divided into observation group(35 cases,psychological behaviors intervention)and control group(29 cases,routine nursing intervention).The psychological stress situation[scores of screen for child anxiety related emotional disorders(SCARED),depression self-rating scale for children(DSRSC),child medical fear scale(CMFS),Connor-davidson resilience scale(CD-RISC)],compliance and nursing satisfaction of family members[score of Newcastle satisfaction with nursing scale(NSNS)]were compared between the two groups.Results SCARED and DSRSC scores in observation group were lower than those in control group(P<0.05).CMFS score in observation group was lower than that in control group,while CD-RISC score was higher than that in control group(P<0.05).The compliance rate in observation group was higher than that in control group(91.43%vs 68.97%,P<0.05),and nursing satisfaction of family members was higher than that in control group(P<0.05).Conclusion Psychological behaviors intervention can effectively relieve psychological stress,improve compliance and nursing satisfaction of family members in children with microtia undergoing external ear reconstruction.
作者
向清
黄正华
李琦
尚婉媛
XIANG Qing;HUANG Zhenghua;LI Qi;SHANG Wanyuan(Department of Otolaryngology,Children's Hospital Affiliated to Nanjing Medical University,Nanjing 210008,Jiangsu,China)
出处
《中国美容医学》
CAS
2023年第12期168-171,共4页
Chinese Journal of Aesthetic Medicine
关键词
心理行为
小耳畸形
外耳再造术
护理满意度
依从性
psychological behavior
microtia
external ear reconstruction
nursing satisfaction
compliance
