摘要
目的探讨童趣化沟通联合精细化护理应用于支原体肺炎患儿中的效果。方法选取2022年1—12月滨州医学院附属医院收治的112例支原体肺炎患儿为研究对象,按照随机数字表法将其分为对照组及观察组,每组56例。对照组采用精细化护理,观察组在此基础上采用童趣化沟通。比较两组患儿的负面情绪、治疗依从性、家属疾病认知度及护理满意度。结果干预后,观察组的儿童情绪障碍筛查量表中广泛性焦虑、分离性焦虑、社交恐惧、学校恐惧评分及总分分别为(3.15±0.73)分、(4.98±0.67)分、(6.06±1.07)分、(3.68±0.84)分、(23.52±5.26)分,均低于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的抗拒行为、哭闹不止、言语拒绝、焦躁不安、面部挣扎评分分别为(1.06±0.73)分、(0.89±0.11)分、(1.36±0.37)分、(1.45±0.63)分、(1.24±0.76)分,均低于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组对发病机制、临床症状、治疗方法、护理操作的认知评分分别为(17.72±1.84)分、(18.04±1.16)分、(17.53±1.67)分、(17.25±1.84)分,均高于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的纽卡斯尔护理满意度量表评分为(90.12±2.63)分,高于对照组,差异有统计学意义(P<0.05)。结论支原体肺炎患儿采用童趣化沟通及精细化护理干预的效果显著,可改善其负性情绪,提升治疗依从性,并提高家属对疾病的认知度及对护理的满意度,值得临床推广使用。
Objective To explore the effect of childlike communication combined with refined nursing in children with mycoplasma pneumonia.Methods 112 children with mycoplasma pneumonia admitted to Binzhou Medical College Affiliated Hospital from January to December 2022 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 56 cases in each group.The control group was treated with refined nursing,and the observation group was treated with childlike communication on this basis.The negative emotions,treatment compliance,family disease awareness and nursing satisfaction of the two groups were compared.Results After intervention,the general anxiety,separation anxiety,social fear,school fear and total score of the screen for child anxiety related emotional disorders in the observation group were(3.15±0.73)points,(4.98±0.67)points,(6.06±1.07)points,(3.68±0.84)points,(23.52±5.26)points,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of resisting behavior,crying,verbal rejection,agitation and facial struggle in the observation group were(1.06±0.73)points,(0.89±0.11)points,(1.36±0.37)points,(1.45±0.63)points and(1.24±0.76)points,respectively,which were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the cognitive scores of pathogenesis,clinical symptoms,treatment methods and nursing operations in the observation group were(17.72±1.84)points,(18.04±1.16)points,(17.53±1.67)points and(17.25±1.84)points,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the Newcastle Satisfaction with Nursing Service Questionnaire score in the observation group was(90.12±2.63)points,which was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of childlike communication combined with refined nursing on children with mycoplasma pneumonia is significant,which can improve their negative emotions and treatment compliance,improve family members'awareness of the disease and satisfaction with nursing,which is worthy of clinical promotion.
作者
邢秀桂
王沙沙
XING Xiugui;WANG Shasha(Department of Children's Respiratory,Binzhou Medical College Affiliated Hospital,Binzhou Shandong,256600,China)
出处
《反射疗法与康复医学》
2023年第19期158-161,共4页
Reflexology And Rehabilitation Medicine
关键词
支原体肺炎
童趣化沟通
精细化护理
负面情绪
家属疾病认知度
护理满意度
Mycoplasma pneumonia
Childlike communication
Refined nursing
Negative emotions
Family members'awareness of diseases
Nursing satisfaction
作者简介
邢秀桂(1986-),女,山东东营人,本科,主管护师,研究方向:儿科护理;通信作者:王沙沙(1987-),女,山东东营人,本科,主管护师,研究方向:儿科护理,邮箱:443182145@qq.com。
