灵性照护模式对急诊患儿生理应激状态、 家属负性情绪及满意度的影响  

Effect of the spiritual care mode on the physiological stress,and negative emotion and degree of satisfaction of family members in emergency children

作　　者：陈枫[1] 王惠芬[1] 沈晓娟[1] 张晓路[2] 陈静华[1] CHEN Feng;WANG Hui-fen;SHEN Xiao-juan;ZHANG Xiao-lu;CHEN Jing-hua(Department of Emergency,Wuxi People′s Hospital,Wuxi Children′s Hospital Affiliated to Nanjing Medical University,Wuxi Jiangsu 214023;Department of Neurosurgery,Wuxi People′s Hospital Affiliated to Nanjing Medial University,Wuxi Jiangsu 214023,China)

机构地区：[1]南京医科大学附属无锡市人民医院儿童医院急诊科,江苏无锡214023 [2]南京医科大学附属无锡市人民医院神经外科,江苏无锡214023

出　　处：《蚌埠医学院学报》2019年第12期1690-1693,共4页Journal of Bengbu Medical College

基　　金：江苏省无锡市卫生局适宜卫生技术推广项目(T201403)。

摘　　要：目的:探究急诊病人引入灵性照护对其生理应激状态、家属负性情绪及护理满意度的影响。方法:选取84例急诊患儿,以随机数字表作为分组依据,将纳入对象划分为研究组和对照组,各42例。其中对照组实施传统护理模式,研究组则实施灵性照护模式。2组患儿于来院当时及出院当天均接受视觉模拟疼痛评估表测评;监测2组患儿于来院当时及出院当天的心率、收缩压值;以焦虑自评量表(SAS)和抑郁自评量表(SDS)作为负性情绪测评的工具,对2组患儿家属来院当天及出院当天进行测评;比较2组患儿家属护理满意度情况。结果:病人干预前的心率、收缩压、SAS和SDS评分差异均无统计学意义(P>0.05);干预后,研究组病人的心率、收缩压、SAS和SDS评分均低于对照组(P<0.05~P<0.01)。研究组患儿家属的护理满意度97.6%,高于对照组的80.9%(P<0.05)。结论:灵性照护模式应用于急诊患儿,则能减少机体的应激状态,且能缓解病人的焦虑、抑郁情绪,有助于提高患儿家属满意度。Objective:To explore the effects of the spiritual care mode on the physiological stress,and negative emotion and degree of satisfaction of family members in emergency children.Methods:Eighty-four emergency children were divided into the study group and control group according to the random number table(42 cases in each group).The control group and study group were intervened with the traditional nursing mode and spiritual care mode,respectively.Two groups were evaluated using the visual analogue pain assessment scale at the time of admission and on the day of discharge.The heart rate and systolic pressure in two groups were monitored at the time of admission and on the day of discharge.The negative emotion of patients′family members in two groups at the time of admission and on the day of discharge were evaluated using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS).The nursing satisfaction of the families between two groups was compared.Results:The differences of the heart rate and systolic pressure,and scores of SAS and SDS between two groups before intervention were not statistically significant(P>0.05).After intervention,the differences of the heart rate and systolic pressure,and scores of SAS and SDS in study group were lower than those in control group( P <0.05 to P <0.01).The nursing satisfaction of the families in study group(97.6%) was higher than that in control group(80.9%)( P <0.05). Conclusions: The application of spiritual care mode in emergency children can reduce the body′s stress state,alleviate the anxiety and depression of patients,and improve the nursing satisfaction of the families.

关 键 词：灵性照护 急诊 生理应激 负性情绪 护理满意度 

分 类 号：R47[医药卫生—护理学]