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目的探讨个性化护理干预对儿科重症监护室(ICU)患儿心理应激及生理应激反应的影响。方法将102例儿科ICU患儿随机分为观察组和对照组各51例,对照组给予常规护理,观察组联合个性化护理干预,比较两组患儿心理应激、生理应激、治疗主要指标等。干预前后,采用儿童焦虑性情绪障碍筛查表(SCARED)、儿童抑郁障碍自评量表(DSRSC)评价两组患儿焦虑、抑郁状态,采用心率(HR)和平均动脉压(MAP)评估两组患儿生理应激反应变化。结果观察组患儿SCARED、DSRSC评分均明显低于对照组(P<0.05,P<0.01);HR、MAP均明显低于对照组(P<0.05);ICU治疗时间、呼吸机使用时间、抗生素使用时间均明显低于对照组(P<0.01)。结论个性化护理干预有助于缓解儿科ICU住院患儿心理应激与生理应激,促进患儿早日康复。
Objective To investigate the effect of personalized nursing intervention on psychological stress and physiological stress response in children with intensive care unit (ICU). Methods A total of 102 pediatric ICU children were randomly divided into observation group and control group, 51 cases in each group. The control group was given routine nursing and observation group combined with personalized nursing intervention. The psychological stress, physiological stress and treatment of main indicators Wait. Before and after the intervention, SCARED and DSRSC were used to evaluate the anxiety and depression status in both groups. The heart rate (HR) and mean arterial pressure (MAP) Group of children with changes in physiological stress response. Results The scores of SCARED and DSRSC in the observation group were significantly lower than those in the control group (P <0.05, P <0.01), HR and MAP were significantly lower than those in the control group (P <0.05); ICU treatment time, The use time were significantly lower than the control group (P <0.01). Conclusion Personalized nursing intervention can relieve the psychological stress and physiological stress in pediatric ICU hospitalized children and promote the early rehabilitation of children.