个性化干预对儿科ICU患儿心理应激及生理应激反应的影响被引量：3

Effect of Individualized Intervention on Psychological and Physiological Stress Reactions of Pediatric ICU Patients

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摘要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 individualized nursing intervention on psychological and physiological stress reactions of pediatric ICU patients. Methods A total of 102 cases of pediatric ICU patients was randomly divided into observation group and control group,with 51 cases in each group. Patients in the control group were performed routine nursing,and based on this,patients in the observation group were performed individualized nursing intervention. The psychological stress,physiological stress and major therapy indexes of pediatric patients in the two groups were compared. Before and after intervention,the anxiety and depressive states of pediatric patients in the two groups were evaluated using screen for child anxiety related emotional disorders（SCARED）and depression self-rating scale for children（DSRSC）,besides,changes in physiological stress reactions of pediatric patients in the two groups were assessed using heart rate（HR）and mean arterial pressure（MAP）. Results The SCARED and DSRSC scores of pediatric patients in the observation group were significantly lower than those in the control group（P〈0.05,P〈0.01）;the levels of HR and MAP were significantly lower than those in the control group（P〈0.05）;the ICU treatment time,respirator use time and antibiotics use time were significantly shorter than those in the control group（P〈0.01）. Conclusion Individualized intervention is helpful for relieving the psychological and physiological stress reactions of pediatric ICU patients and promoting recovery of the patients.

作者邵建英杨璐李雅丹孙利郭园丽赵淑悦 SHAO Jianying, YANG Lu, Li Yadan, et al. （Department of Pediatric ICU, First Hospital of Qinhuangdao, Qinhuangdao 066000, China）

机构地区秦皇岛市第一医院儿科ICU

出处《国际精神病学杂志》 2017年第5期922-924,933共4页 Journal Of International Psychlatry

关键词个性化干预儿科ICU 焦虑/抑郁 Individualized intervention Pediatric ICU Anxiety / Depressive

分类号 R749 [医药卫生—神经病学与精神病学][医药卫生—临床医学]

作者简介 [通讯作者]邵建英（1969．05-），女，河北秦皇岛人，本科，副主任护师，研究方向：个性化干预在pieu中的应用。（Email：dn98592@163．com）。

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