叶丽娟?程文娟?夏秋凤

[摘要] 目的 探究心理护理在儿童重症监护室护理中的应用效果。 方法 根据不同的护理方案，将2016年全年我院儿童重症监护室收治的88例患儿分为两组，对照组44例患儿实施常规ICU护理，观察组在此基础上辅以心理护理，应用焦虑自评量表（SAS）、抑郁自评量表（SDS）比较两组患儿及家长的焦虑、抑郁评分；应用我院自制问卷比较两组的护理满意度。 结果 观察组SAS评分（22.4±3.4）分、对照组SAS评分（43.2±5.1）分；观察组SDS评分（21.3±2.5）分、对照组SDS评分（43.6±4.8）分（P<0.05）；观察组护理满意度95.5%（42/44）、对照组护理满意度72.7%（32/44）（P<0.05）。 结论 在儿童重症监护室的临床护理中强调心理护理，可明显改善患儿及家属的焦虑、抑郁情绪，有助于提高重症患儿的配合程度，以达到最佳的临床效果，因此深受广大患儿家属认可，应在临床予以推广。

[关键词] 儿童；重症监护室；心理护理；应用效果

[中图分类号] R473.72 [文献标识码] A [文章编号] 2095-0616（2017）10-92-03

Analysis on application effect of psychological nursing on nursing in pediatric intensive care unit

YE Lijuan CHENG Wenjuan XIA Qiufeng

Nanhai Maternity and Child Healthcare Hospital of Foshan，Foshan 528200，China

[Abstract] Objective To explore application effect of psychological nursing on nursing in pediatric intensive care unit. Methods According to different nursing schemes，88 children who were admitted to pediatric intensive care unit in our hospital in 2016 were divided into two groups.44 children in the control group were given routine ICU nursing while the observation group was given psychological nursing at basis of it.Self-rating anxiety scale（SAS） and self-rating depression scale（SDS） were used to compare anxiety and depression scores of patients and parents in two groups.A self-designed questionnaire by our hospital was used to compare nursing satisfaction of two groups. Results SAS scores of the observation group and the control group were（22.4±3.4） and（43.2±5.1） respectively.SDS scores of the observation group and the control group were（21.3±2.5） and（43.6±4.8） respectively.Nursing satisfaction of the observation group and the control group was 95.5%（42/44） and 72.7%（32/44） respectively（P<0.05）. Conclusion Emphasis of psychological nursing on clinical nursing in pediatric intensive care unit can significantly improve anxiety and depression of children and family members and help to improve degree of coordination of children with severe diseases to achieve the best clinical effect.Therefore，it is widely recognized by family members of children， which should be of clinical promotion.

[Key words] Pediatric；Intensive care unit；Psychological nursing；Application effect

但凡在重癥监护室接受治疗的患儿，无一不是病情严重、危急、复杂、生命体征变化无常[1-2]。患儿年幼懵懂，认知能力、配合能力、耐受能力十分欠缺，在陌生的环境中接受治疗，身体的严重不适很容易引起患儿内心的应激反应[3-4]，以至于无法完全发挥出护理效果。鉴于患儿病情的复杂性、重症监护室的特殊性，为了防止院内交叉感染，治疗期间通常不允许家属陪伴患儿，这很大程度上加重了患儿父母的内心焦虑与痛苦[5]。如果在给患儿治疗的过程中，只是关注生命体征、病情、用药的护理，而忽略了患儿与家属的心理状态，在负面情绪的催化下，很容易激发护患矛盾[6]，引起医疗纠纷，给患儿、家属、医院三方造成负面影响[7-8]。

1 资料与方法

1.1 一般资料

本研究对象为2016年全年我院儿童重症监护室收治的88例患儿。纳入标准：研究者家属知情同意；均属于重症监护室患儿；……