硬化剂治疗颌面部血管瘤和脉管畸形患儿时家属的心理分析及干预  

Psychological analysis of family members of patients and nursing intervention effects in children patients with maxillofacial hemangioma and vascular malformation treated by sclerotherapy

作　　者：李芳芳[1] 王乐[1] 王英娜 薛磊[1] LI Fangfang;WANG Le;WANG Yingna(Hebei Provincial Children’s Hospital,Hebei,Shijiazhuang 050031,China)

机构地区：[1]河北省儿童医院,石家庄市050031

出　　处：《河北医药》2022年第11期1706-1708,共3页Hebei Medical Journal

基　　金：河北省医学科学研究课题计划(编号:20190856)。

摘　　要：目的分析硬化剂治疗颌面部血管瘤和脉管畸形的患儿家属心理分析及护理干预体会。方法回顾性分析2018年3月至2021年3月收治的颌面部血管瘤和脉管畸形患儿家属240例为观察组,另纳入同期体检健康患儿家属240例为对照组,2组患儿家属均接受心理状态问卷调查表调查,分析检查结果,并根据结果针对性提出护理干预措施。结果观察组患儿家属过度依赖和期望过高率65%、恐惧愤怒率71.67%、焦虑和抑郁率85.42%,高于对照组家属过度依赖和期望过高率0.83%、恐惧愤怒率0.42%、焦虑和抑郁率0.42%,差异有统计学意义(P<0.05),2组正性事件刺激量评分差异无统计学意义(P>0.05),观察组负性事件刺激量评分、生活事件总刺激量评分均高于对照组,差异有统计学意义(P<0.05)。结论颌面部血管瘤和脉管畸形患儿接受硬化剂治疗时,患儿家属心理均存在不同程度的负性情绪,医护人员较早加大对此方面的重视,以提升患儿家属对患儿疾病治疗的配合度,从而营造良好的生活氛围,促进患儿疾病康复。Objective To investigate the psychological status of family members of patients and nursing intervention effects in children patients with maxillofacial hemangioma and vascular malformation treated by sclerotherapy.Methods The clinical data about 240 children patients with maxillofacial hemangioma and vascular malformation treated by sclerotherapy in our hospital from March 2018 to March 2021 were retrospectively analyzed,the 240 patients and their family members were enrolled as observation group,at the same time,the other 240 healthy children who underwent physical examination and their family members were enrolled as control group.The family members of patients in both groups were surveyed by the mental state questionnaire,the results of the examination were analyzed,and nursing intervention measures were proposed.Results The over-dependence and excessive expectation rate of family members in observation group was 65%,and fear and anger rate was 71.67%,and anxiety and depression rate was 85.42%,which were significantly higher than those(0.83%,0.42%,0.42%)in control group(P<0.05).There were no significant differences in the positive event stimulus scores between the two groups(P>0.05).Moreover the scores of negative events and the scores of total stimuli of life events in observation group were significantly higher than those in control group(P<0.05).Conclusion When patients with maxillofacial hemangioma and vascular malformations are treated by sclerosing agents,their family members have different levels of negative emotions,thus,medical personnel should pay much attention to it as early as possible to improve the cooperation degree of the family members of patients,so as to create a good living atmosphere and promote the recovery of patients.

关 键 词：硬化剂 颌面部血管瘤 脉管畸形 家属 心理 护理 

分 类 号：R726.2[医药卫生—儿科]