新生儿监护室患儿家属的压力源及干预措施  

作　　者：董莉 李敬红 卢敏 

机构地区：[1]广东省佛山市顺德区妇幼保健院,佛山528300 [2]广东省佛山市顺德区伦教医院,佛山528300

出　　处：《当代护士（中旬刊）》2012年第8期123-125,共3页Modern Nurse

基　　金：2011年广东省佛山市科技局立项课题(项目编号201108245)

摘　　要：目的了解和识别新生儿监护室(NICU)患儿家属的压力源,为患儿家属心理护理提供科学依据。方法选取包括早产、新生儿黄疸、新生儿肺炎、新生儿窒息等的患儿家属,采用焦虑自评量表(SAS)及抑郁自评量表(SDS),对NICU患儿家属心理干预组90人及对照组50人进行问卷调查评估分析并实施干预措施。结果 NICU患儿家属文化程度越高,抑郁、焦虑指数越高(P<0.05);对照组焦虑、抑郁情绪指数高于心理干预组(P<0.01)。结论 NICU危重患儿多存在抑郁、焦虑、恐惧情绪、易激动,甚至不配合治疗,通过科学、系统、正规的心理干预,可帮助甚至解除患儿家属抑郁、焦虑、易激动、恐惧心理,有效地减少了医疗纠纷,和谐了医患关系,优化了服务,取得了较好的社会效益。Objective To find out and identify the stressors of families of children with neonatal intensive care unit, and to provide the psychological care for the children with their families. Methods chossing samples include preterm children, neonatal jaundice, neonatal pneumonia, neonatal asphyxia and the families of critically ill children and selecting self - rating anxiety scale （SAS） and self - rating depression scale （SDS）, 90 people of the psychological in terention group and 50 people of control group conducted a questionnaire survey to analyze and evaluate the implementation of interventions. Results NICU families of children with higher education level, the depression and anxiety index is much higher （P 〈 0.05 ） ; the anxiety and depression index of control group is higher than the intervention group （P 〈 0.01 ） ; Conclusion NICU high concentration in critically ill children, many of depression , anxiety, fears, irritability, even with treatment, the scientific, systematic, regular heart intervention can help children with their families or to lift depression, anxiety, irritability and fear effectively reduce medical disputes, make the harmonious physicianpatient relationship, and achieve good social benefits.

关 键 词：新生儿监护室患儿家属 压力源 心理护理 

分 类 号：R473.72[医药卫生—护理学]