以家庭为中心的护理对重症患儿家属疾病不确定感及转科应激的影响  

Effect of Family-centered Nursing on the Illness Uncertainty and the Stress of Department Transfer in Family Members of Critically Ill Children

作　　者：刘媛娜 彭丹[1] 彭剑雄[1] Liu Yuanna;Peng Dan;Peng Jianxiong(Hunan Provincial Children′s Hospital,Changsha Hunan 410000,China)

机构地区：[1]湖南省儿童医院,湖南长沙410000

出　　处：《齐鲁护理杂志》2023年第21期1-5,共5页Journal of Qilu Nursing

摘　　要：目的:探讨以家庭为中心的护理对重症患儿家属疾病不确定感及转科应激的影响。方法:选取2019年1月1日~2020年6月30日儿科重症监护室(PICU)接受治疗的35名患儿家属纳入对照组,实施健康教育、病情告知等常规干预;选取2020年7月1日~2022年1月31日PICU接受治疗的35名患儿家属纳入观察组,在对照组基础上实施以家庭为中心的护理。比较两组家属干预前及干预7 d后疾病不确定感[采用患儿家属疾病不确定感量表(PPUS)]、压力状况[采用亲职压力指标量表(PSI-SF)]、心理状况[采用健康问卷抑郁症状群量表(PHQ-9)、广泛性焦虑量表(GAD-7)],比较两组家属转科应激(采用ICU转出患者家属转科应激压力评估量表)。结果:干预7 d后,两组患儿家属PPUS、PHQ-9、GAD-7、PSI-SF评分均低于干预前(P<0.01),且观察组低于对照组(P<0.01);观察组家属ICU转出患者家属转科应激压力评估量表各项维度评分均低于对照组(P<0.01)。结论:以家庭为中心的护理可帮助重症患儿家属降低疾病不确定感,改善转科应激反应,缓解家属心理压力,控制负性情绪。Objective:To explore the effect of family-centered nursing on the uncertainty of illness and stress of department transfer in family members of critically ill children.Methods:A total of 35 family members of children who were treated in pediatric intensive care unit(PICU)from January 1,2019 to June 30,2020 were included in the control group,The control group was given health education amd informed illness and other routine intervention and another 35 family members of children who received treatment in PICU between July 1,2020 and January 31,2022 were enrolled as the observation group while the observation group adopted family-centered nursing model.The uncertainty of illness by Parent′s Perception Uncertainty Scale(PPUS),stress status by Parenting Stress Index-Short Form(PSI-SF)and psychological status by Patient Health Questionnaire-9(PHQ-9),Generalized Anxiety Disorder 7-item scale(GAD-7)before intervention and after 7 days of intervention as well as stress of department transfer(scale of department transfer stress of family members of children transferred from ICU)were compared between the two groups.Results:After 7 days of intervention,the scores of PPUS,PHQ-9,GAD-7 and PSI-SF in the two groups were lower than those before intervention(P<0.01),and the scores in the observation group were lower than those in the control group(P<0.01).The scores of dimensions of scale of department transfer stress in family members of children transferred from ICU in the observation group were all lower than those in the control group(P<0.01).Conclusion:Family-centered nursing can help the family members of critically ill children to reduce the uncertainty of illness,improve the stress response of department transfer,relieve the psychological stress,and control the negative emotions.

关 键 词：家庭护理 疾病不确定感 儿童重症监护病房 转科应激 

分 类 号：R473.5[医药卫生—护理学]