阶段性康复联合治疗性沟通系统模式对先天性心脏病术后患儿的临床护理  

Clinical nursing effect of stage-based rehabilitation combined with therapeutic communication system model on postoperative children with congenital heart disease

作　　者：王晨瑛 WANG Chenying(Wuxi Children's Hospital,Wuxi,214000,China)

机构地区：[1]江苏省无锡市儿童医院心血管内科,214000

出　　处：《护理实践与研究》2023年第15期2313-2318,共6页Nursing Practice and Research

摘　　要：目的 探讨阶段性康复联合治疗性沟通系统(TCS)模式在先天性心脏病术后患儿临床护理中的应用效果及对其炎性应激指标的影响。方法 选取2021年8月—2022年8月于医院接受手术治疗的先天性心脏病患儿80例为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组40例。对照组患儿给予阶段性康复干预+常规护理,观察组患儿给予阶段性康复干预+TCS模式干预,比较两组患儿超敏C-反应蛋白(hs-CRP)及3-双加氧酶(IDO)等炎症应激指标、依从程度、儿童焦虑性情绪障碍筛选量表(SCARED)、儿童抑郁障碍自评量表(DSRSC)评分和家属疾病知识掌握评分。结果 护理干预前,两组患儿hs-CRP、IDO水平和SCARED、DSRSC评分的比较,差异无统计学意义(P>0.05);护理干预后,观察组患儿hs-CRP、SCARED、DSRSC评分以及IDO水平均低于对照组差异有统计学意义(P<0.05);依从程度高于对照组差异有统计学意义(P<0.05)。护理干预前,两组患儿家属疾病知识掌握评分的比较,差异无统计学意义(P>0.05),干预后,观察组患儿家属疾病知识掌握评分高于对照组差异有统计学意义(P<0.05)。结论 先天性心脏病术后患儿选用阶段性康复联合TCS模式护理方案,可提升患儿家属疾病知识掌握评分,缓解患儿负性情绪,促使其积极配合康复治疗与护理,从而能有效改善预后,降低炎症应激反应,获得更理想康复效果。Objective To explore the application eff ect of stage-based rehabilitation combined with therapeutic communication system(TCS)model in the clinical nursing care of postoperative children with congenital heart disease and the effect on their inflammatory stress indicators.Methods 80 cases of children with congenital heart disease who underwent surgery in the hospital from August 2021 to August 2022 were selected as the study objects,they were divided into a control group and an observation group according to the principle of comparability of basic characteristics between the groups,with 40 cases in each group.The children in the control group were given the stage of rehabilitation intervention+routine care,and the children in the observation group were given the stage of rehabilitation intervention+TCS mode of intervention,and the two groups were compared with each other in terms of infl ammatory stress indicators such as ultrasensitive C-Reactive Protein(hs-CRP)and 3-double oxygenase(IDO),adherence,Screening Scale for Anxiety-Related Emotional Disorders in Children(SCARED),Depressive Disorders in Children(DSRSC),and family knowledge of disease scores.scores and family disease knowledge acquisition scores.Results Before the nursing intervention,there was no statistically significant difference in the comparison of hs-CRP,IDO level and SCARED and DSRSC scores between the two groups(P>0.05);after the nursing intervention,the hs-CRP,SCARED,DSRSC scores,and IDO level of the observation group were lower than those of the control group,the diff erence was statistically signifi cant(P<0.05);the degree of compliance was higher than that of the control group,the difference was statistically significant(P<0.05).Before the nursing intervention,the comparison of the two groups of children's family members'knowledge of disease scores,the diff erence was not statistically signifi cant(P>0.05),after the intervention,the observation group of children's family members'knowledge of disease scores were higher than the control group,

关 键 词：先天性心脏病 阶段性康复 TCS模式 炎性应激 依从率 负性情绪 

分 类 号：R473.72[医药卫生—护理学]