汪培芬 王春艳 李飞燕

[摘要]目的 分析肢體语言沟通在小儿护理中的应用效果。方法 选取2018年1月～2019年7月我院收治的150例患儿作为研究对象，根据随机数字表法分为对照组与观察组，每组各75例。对照组实施常规护理，观察组施行肢体语言沟通护理。比较两组的治疗总依从性、护理不良事件发生情况及患儿家长对护理工作总满意度。结果 观察组治疗总依从性为92.00%，高于对照组的72.00%，差异有统计学意义（P<0.05）;观察组强制治疗护理操作率为4.00%，患儿哭闹拒绝治疗率为6.67%，治疗护理路径变异率为4.00%，照料不周致病情加重率为4.00%，护患纠纷率为1.33%，均低于对照组的18.67%、24.00%、16.00%、20.00%、14.67%，差异有统计学意义（P<0.05）;观察组家属护理总满意度为94.67%，高于对照组的78.67%，差异有统计学意义（P<0.05）。结论 肢体语言沟通在小儿护理的临床应用价值较高，可提高患儿治疗依从性，降低护理不良事件风险率，使患儿家长对护理工作的满意率提高，效果显著。

[关键词]小儿;肢体语言沟通;依从性;不良事件发生情况;护理满意度

[中图分类号] R473.72          [文献标识码] A          [文章编号] 1674-4721（2020）6（b）-0247-03

[Abstract] Objective To analyze the application effect of body language communication in pediatric nursing. Methods From January 2018 to July 2019， 150 patients treated in our hospital were selected as the research subjects. They were divided into control group and observation group according to the random number table method， 75 cases in each group. Patients in the control group received routine nursing. In the observation group， body language communication nursing was used. The treatment total compliance， occurrence of nursing adverse events， and total satisfaction from patient′s parents on nursing were compared in the two groups. Results The treatment total compliance of children in the observation group was 92.00%， higher than that in the control group accounting for 72.00%， and the difference was statistically significant （P<0.05）. The obligatory treatment rate of children in the observation group was 4.00%， the rate of refusal to treat in crying children was 6.67%， the variation rate of treatment and nursing path was 4.00%， and the rate of exacerbation caused by inadequate care was 4.00%， the rate of nursing disputes was 1.33%， which were all lower than those in the control group accounting for 18.67%， 24.00%， 16.00%， 20.00%， and 14.67%， with statistical differences （P<0.05）. The total satisfaction from children′s parents in the observation group was 94.67%， higher than that in the control group accounting for 78.67%， and the difference was statistically significant （P<0.05）. Conclusion Body language communication has high clinical application value in pediatric nursing， which can improve children′s treatment compliance and reduce the risk of adverse events in nursing， increase the nursing satisfaction from children′s parents and obtain a remarkable effect.

[Key words] Children; Body language communication; Compliance; Occurrence of adverse events; Nursing satisfaction

儿科是医院重要科室之一，具有高护患纠纷事件发生率、高护理投诉率的特点[1-2]。陌生的环境及自身的不适可使小儿产生不良情绪，进而对治疗、护理产生抗拒态度，加之小儿配合能力、沟通能力均较差，对自身感受无法准确表达，这严重影响医院治疗、护理的顺利进行[3-5]。通过主动和小儿有效交流，来提高患儿依从性。小儿护理中，采取恰当的沟通方法十分重要，利于提高其治疗、护理依从性，而降低护理不良事件发生率[6]。……