构建“儿童亲情快乐护理模式”的临床研究  

A study on constructing a clinical nursing model of happiness and natural affection in children

作　　者：向小荣[1] 黄德霞[1] 郁立群[1] 

机构地区：[1]南京医科大学附属南京市儿童医院护理部,210008

出　　处：《中国实用护理杂志（中旬版）》2009年第6期19-21,共3页Chinese Journal of Practical Nursing

基　　金：基金项目：江苏省教研室卫生职业教育招标立项课题（J200518）

摘　　要：目的通过“儿童亲情快乐护理模式”临床构建，缩短或降低患儿就医过程中的不愉快程度，最大限度达到愉快状态。方法在设置适合儿童就诊、住院的环境和制造适合儿童心理需求快乐方法的临床构建过程中，观察、记录并分析患儿入院、出院以及致痛性操作（包括手术）前后生理反应指标和面部表情、动作反应、情绪等心理反应指标以及治疗依从性的变化来评估恐惧程度的变化，疾病康复时间，家长和医生满意度。结果患儿恐惧程度明显降低，治疗配合程度和依从性大大提高，疾病康复时间不同程度缩短，家长和医生满意度≥98％。结论“儿童亲情快乐护理模式”可以降低患儿就医过程中的不愉快程度，使其最大限度地达到愉快状态。Objective To decrease the unhappiness of children and make them happy to the utmost in their process of seeking medical help by constructing a clinical nursing model of happiness and natural affection. Methods During the clinical process of setting up a suitable surrounding for children＇s hospital visit and hospitalization, and finding a pleasant method to meet children＇s psychological needs, indexes of physiological response pre ancl post admission, discharge and painful operations including surgeries were recorded. Parameters of psychological reactions such as facial expressions, movement reactions and emotions were observed and changes of medical compliance were analyzed. We also evaluated variation of fear, time of disease rehabilitation, the satisfaction degree of parents and doctors. Results Child＇s fear was lowered obviously, cooperation and compliance of treatment were improved remarkably, time of disease rehabilitation was shortened to different degree, the satisfaction degree of patients and doctors had been improved to above 98%. Conclusions The clinical nursing model of happiness and natural affection for children can decrease the unhappiness of children and make them happy to the utmost in their process of seeking medical help.

关 键 词：儿童 快乐 护理 临床构建 恐惧 

分 类 号：R788[医药卫生—口腔医学] R47[医药卫生—临床医学]