心理护理干预对小儿肾病综合征患者心理状况影响分析

Effect of psychological nursing intervention on psychological status of children with nephrotic syndrome

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(4)
作者
作者单位

鹤壁市人民医院急诊科 ;

摘要
目的:探讨针对小儿肾病综合征患者重视开展心理护理干预对负性情绪及预后的影响。方法:选择小儿肾病综合征患者80例,均为我院儿科2017年3月至2018年2月收治,随机分组,就积极开展心理护理干预(观察组,n=40)与单纯施以常规护理(对照组,n=40)行为问题评分、心理状况评分、韧性程度、生活质量评分、并发症率、复发率展开对比。结果:观察组干预后,行为问题各维度即品行问题、冲动-多动、学习问题、心身障碍评分均低于对照组,差异具有统计学意义(P<0.05);两组干预前,心理状况即焦虑、抑郁评分经评估无差异(P>0.05);干预后,各项评分均有降低,且观察组患儿分值下降程度较对照组更为显著,差异具有统计学意义(P<0.05);两组干预前,韧性评分无差异(P>0.05),干预后,评分值均有升高,观察组升高程度强于对照组,差异具有统计学意义(P<0.05);两组干预前,生活质量评分无差异(P>0.05),干预后,评分均有升高,且观察组升高程度强于对照组(P<0.05);观察组并发症率、复发率均低于对照组,差异具有统计学意义(P<0.05)。结论:针对小儿肾病综合征患者积极开展心理护理干预,可有效改善生活行为,消除负性情绪,提高韧性水平及生活质量,且可规避并发症及复发事件,具有非常重要的开展价值。
Abstract
Objective: To explore the effect of psychological nursing intervention on negative emotion and prognosis of children with nephrotic syndrome. Methods: 80 cases of children with nephrotic syndrome were randomly divided into observation group (n=40) and control group (n=40), and the scores of behavioral problems, psychological status, resilience, quality of life, complication rate and recurrence rate were compared. Result: After intervention, the scores of behavioral problems in the observation group were lower than those in the control group (P < 0.05). Before intervention, the scores of anxiety and depression had no difference between the two groups (P > 0.05). After intervention, all the scores were reduced, and the scores of children in the observation group were lower than those in the control group (P < 0.05). There was no difference in toughness score between the two groups before intervention (P > 0.05). After intervention, the score of the observation group was higher than that of the control group (P < 0.05). There was no difference in quality of life score between the two groups before intervention (P > 0.05). After intervention, the score of the observation group was higher than that of the control group (P < 0.05). The degree of complication and recurrence in the observation group were lower than those in the control group (P < 0.05), and the difference was statistically significant (P < 0.05). Conclusion: Active psychological nursing intervention for children with nephrotic syndrome can effectively improve life behavior, eliminate negative emotions, improve the level of resilience and quality of life, and avoid complications and recurrence events, which has very important value.
关键词
小儿;肾病综合征;心理护理;行为问题评分;心理状况评分;韧性程度
KeyWord
Children; Nephrotic Syndrome; Psychological Nursing; Behavior Problem Score; Psychological Status Score; Resilience Degree
基金项目
页码 765-768
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邵凤珍*. 心理护理干预对小儿肾病综合征患者心理状况影响分析 [J]. 国际精神病学杂志. 2019; 46; (4). 765 - 768.

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