诺丁斯关怀理论对先天性并指畸形患儿心理健康及生活质量的影响  

Impact of Noddings care theory on the mental health and quality of life of children with congenital syndactyly

作　　者：盛超 王青玉 钟文耀 田文 SHENG Chao;WANG Qingyu;ZHONG Wenyao;TIAN Wen(Department of Hand Surgery,Beijing Jishuitan Hospital Affiliated to Capital Medical University,Beijing,100035)

机构地区：[1]首都医科大学附属北京积水潭医院手外科,北京100035

出　　处：《实用临床医药杂志》2024年第2期96-100,共5页Journal of Clinical Medicine in Practice

基　　金：科技创新2030—“新一代人工智能”重大项目(2022ZD0116000)。

摘　　要：目的探讨诺丁斯关怀理论护理对先天性并指畸形患儿心理健康、生活质量的影响。方法选取136例先天性并指畸形患儿作为研究对象,采用随机数字表法分为对照组和干预组,每组68例。对照组采用常规护理,干预组采用诺丁斯关怀理论护理。观察2组患儿并发症发生情况,比较2组患儿干预前后生活质量[世界卫生组织生活质量测定量表简表(QOL-BREF)评分]、心理健康状况[少儿心理健康量表(MHS-CA)评分]。结果干预组并发症发生率(2.94%)低于对照组(13.24%),差异有统计学意义(P<0.05)。干预后,2组QOL-BREF各维度(心理、生理、生活环境、社会关系)评分均高于干预前,且干预组评分高于对照组,差异有统计学意义(P<0.05);干预后,2组MHS-CA各维度(思维语言、认知功能、意志行为、个性特征、情绪体验)评分均高于干预前,且干预组评分高于对照组,差异有统计学意义(P<0.05)。结论诺丁斯关怀理论护理可改善先天性并指畸形患儿心理健康状况,提高生活质量,并减少并发症。Objective To investigate the impact of the nursing theory of Noddings care on the mental health and quality of life of children with congenital syndactyly.Methods A total of 136 children with congenital syndactyly were selected as study subjects,and were randomly divided into control group and intervention group,with 68 children in each group.The control group received routine nursing,and the intervention group received nursing theory of Noddings care.The occurrence of complications in the two groups was observed,and the quality of life[World Health Organization Quality of Life Scale(QOL-BREF)score]and mental health status[Mental Health Scale for Children(MHS-CA)score]of the two groups before and after intervention were compared.Results The incidence of complications in the intervention group was lower than that in the control group(2.94%versus 13.24%,P<0.05).After intervention,the scores of QOL-BREF dimensions(psychological,physiological,living environment,social relations)in both groups were higher than those before intervention,and the scores in the intervention group were higher than those in the control group(P<0.05).After intervention,the scores of MHS-CA dimensions(thinking language,cognitive function,will behavior,personality characteristics,emotional experience)in both groups were higher than those before intervention,and the scores in the intervention group were higher than those in the control group(P<0.05).Conclusion Noddings care theory nursing can improve the mental health status,enhance quality of life of children with congenital syndactyly,and reduce their complications.

关 键 词：先天性并指畸形 诺丁斯关怀理论 心理健康 生活质量 

分 类 号：R682.1[医药卫生—骨科学] R473.72[医药卫生—外科学] R319[医药卫生—临床医学]