激励式心理干预联合理性情绪疗法在缓解骨折儿童的情绪困扰和疼痛管理中的应用效果  

Effect of Incentive Psychological Intervention Combined with Rational Emotive Therapy on Relieving Emotional Distress and Pain Management in Children with Fracture

作　　者：胡丹 袁莉莉 张鹏慧 HU Dan;YUAN Lili;ZHANG Penghui(Department of Pediatric Surgery(5),Zhengzhou University First Affiliated Hospital,Zhengzhou Henan 450000)

机构地区：[1]郑州大学第一附属医院小儿外科(5),河南郑州450000

出　　处：《医学临床研究》2024年第10期1533-1536,共4页Journal of Clinical Research

摘　　要：【目的】探讨激励式心理干预联合理性情绪疗法在缓解骨折儿童的情绪困扰和疼痛管理中的应用效果。【方法】选取2021年6月至2023年5月本院收治92例骨折患儿,按照随机数字表法分为对照组(实施常规护理干预)和观察组(在对照组的基础上实施激励式心理干预联合理性情绪疗法),每组46例。比较两组干预前后负性情绪[儿少心理健康量表(MHS-CA)]、应激反应[儿童应激障碍检查表(CSDC)]、疼痛程度及康复情况。【结果】干预后,观察组MHS-CA各维度评分均高于对照组,差异有统计学意义(P<0.05);干预后,观察组CSDC各维度评分均低于对照组,差异有统计学意义(P<0.05);干预后,观察组患儿中度、重度疼痛占比低于对照组,差异具有统计学意义(P<0.05);干预后,观察组患儿局部消肿时间、骨折愈合时间均短于对照组,差异有统计学意义(P<0.05)。【结论】激励式心理干预联合理性情绪疗法能显著改善骨折患儿负性情绪,减轻应激反应和疼痛程度,促进患儿康复。【Objective】To explore the effect of incentive psychological intervention combined with rational emotive therapy on relieving emotional distress and pain management in children with fracture.【Methods】A total of 92 children with fracture treated in our hospital from June 2021 to May 2023 were selected and divided into the control group(routine nursing intervention)and the observation group(incentive psychological intervention combined with rational emotive therapy on the basis of control group)according to random number table method,46 cases in each group.The negative emotions[Children's Mental Health Scale(MHS-CA)],stress response(CSDC),pain degree and recovery status of the two groups were compared before and after intervention.【Results】After intervention,the score of MHS-CA in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,CSDC scores in the observation group were lower than those in the control group,with statistical significance(P<0.05).After intervention,the proportion of moderate and severe pain in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).After intervention,the time of local detumescence and fracture healing in observation group were shorter than those in control group,and the difference was statistically significant(P<0.05).【Conclusion】Incentive psychological intervention combined with rational emotive therapy can significantly improve the negative emotions of children with fracture,reduce the stress response and pain degree,and promote the rehabilitation of children.

关 键 词：骨折/心理学 骨折/护理 疼痛管理 儿童 

分 类 号：R726.83[医药卫生—儿科]