AIDET沟通模式对小儿重症肺炎患儿纤维支气管镜肺泡灌洗术后创伤应激障碍的影响  

Effect of AIDET communication mode on traumatic stress disorder after fiberoptic bronchoscopy alveolar lavage in children with severe pneumonia

作　　者：张西嫔[1] 王英[1] 张玄[1] 姜宁霞 王杰民[1] ZHANG Xi-pin;WANG Ying;ZHANG Xuan(Department of Pediatrics,Shaanxi Provincial People's Hospital,Xi'an Shaanxi 710068,China)

机构地区：[1]陕西省人民医院儿科,陕西西安710068

出　　处：《临床和实验医学杂志》2021年第7期779-782,共4页Journal of Clinical and Experimental Medicine

基　　金：陕西省卫生计生科研基金(编号:2016E001);陕西省人民医院院内研究项目:项目(编号:2018HL-10)。

摘　　要：目的探讨AIDET沟通模式对小儿重症肺炎患儿纤维支气管镜肺泡灌洗术后创伤应激障碍(PTSD)的影响。方法前瞻性将2018年1月至2019年12月在陕西省人民医院接受治疗的80例小儿重症肺炎患儿纳入研究,并按随机数字表法分为对照组和观察组,每组各40例。在经纤维支气管镜肺泡灌洗并局部应用抗生素治疗的基础上,对照组给予优质护理常规措施,观察组给予AIDET沟通模式。通过家属照护行为评分量表评估两组患儿家属行为,调查出院前2组PTSD各维度评分和干预3 d后患儿生活质量。结果干预3 d后,观察组家属照护行为评分均优于对照组[(27.39±5.19)分vs.(22.24±4.06)分],差异有统计学意义(P<0.05)。出院前,观察组PTSD发生率低于对照组(0 vs.10.00%),且观察组PTSD各维度评分明显低于对照组,差异均有统计学意义(P<0.05)。干预3 d后,观察组生活质量评分均显著优于对照组,差异有统计学意义(P<0.05)。结论AIDET沟通模式应用于小儿肺炎患儿纤维支气管镜肺泡灌洗术后,有利于增强家属照护行为,同时对预防创伤应激障碍的发生有重要意义,临床应用价值较高。Objective To investigate the effect of Acknowledge-Introduce-Duration-Explanation-Thank you(AIDET)communication mode on traumatic stress disorder after fiberoptic bronchoscopy alveolar lavage in children with severe pneumonia.Methods Eighty children with severe pneumonia who were treated in Shaanxi Provincial People's Hospital from January 2018 to December 2019 were prospectively included in the study,and were randomly divided into a control group and an observation group according to the random number table method,each group with 40 cases.The control group was based on bronchoscopic alveolar lavage and topical antibiotic therapy combined with routine care.The observation group was given bronchoscopic alveolar lavage and topical antibiotic therapy combined with AIDET communication mode.The behaviors of the families of the two groups of children were evaluated by the family care behavior score scale;the PTSD scores before discharge and the quality of life of the children 3 days after intervention were investigated.Results After 3 days of intervention,the care behavior scores of the family members of the observation group were better than those of the control group[(27.39±5.19)points vs.(22.24±4.06)points],the difference was statistically significant(P<0.05).The incidence of PTSD in the observation group before discharge was lower than that in the control group(0 vs.10%),and the scores of all dimensions of PTSD in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).After 3 days of intervention,the quality of life scores of the observation group were significantly better than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of AIDET communication mode to children with pneumonia after fiberoptic bronchoscopy alveolar lavage is beneficial to enhancing family care behavior,and at the same time,it has important significance in preventing the occurrence of traumatic stress diso

关 键 词：小儿肺炎 经纤维支气管镜肺泡灌洗 局部应用抗生素 预警干预 AIDET沟通模式 创伤应激障碍 

分 类 号：R725.6[医药卫生—儿科]