基于IKAP模式的个体化护理对白血病患儿家属焦虑抑郁状况的影响

Influence of Individualized Nursing Based on IKAP Model on Anxiety and Depression Status of Family Members of Children with Leukemia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(4)
作者
作者单位

哈尔滨医科大学附属第二医院 ;

摘要
【摘要】目的:探讨基于IKAP模式的个体化护理对白血病患儿家属焦虑抑郁状况的影响。方法:选择2015年9月-2016年9月于我院住院的83例白血病患儿及每位患儿的一名家属为研究对象,根据数字表法将其随机分为对照组(41例)与观察组(42例),对照组给予常规护理,观察组在对照组基础上采用基于IKAP模式的个体化护理,比较两组患儿家属的焦虑抑郁状况、生活质量及护理满意度。结果:(1)两组患儿家属干预前焦虑自评量表(SAS)及抑郁自评量表(SDS)评分比较无明显差异(P>0.05),干预后观察组评分明显高于对照组(P<0.05);(2) 观察组心理领域、社会领域、主观生活质量及生活质量总分均显著高于对照组(P<0.05),两组生理领域、环境领域及主观健康状况比较无明显差异(P>0.05);(3)观察组护理服务态度、健康宣教、技术水平、专业知识、情感支持、护理合作满意率均高于对照组(P<0.05)。结论:基于IKAP模式的个体化护理可有效缓解白血病患儿家属焦虑、抑郁等不良心理状况,对其生活质量及护理满意度均有良好的促进作用。
Abstract
[Abstract] Objective: To explore the influence of individualized nursing based on IKAP model on anxiety and depression status of family members of children with leukemia. Methods: 83 cases of leukemia children and a family member of a child in our hospital from September 2015 to September 2016 were selected as the study objects, and were divided into control group(41 cases) and observation group(42 cases), according to random number table method. The control group were given routine nursing, and the observation group were given individualized nursing based on IKAP model. Anxiety, depression, quality of life and nursing satisfaction of family members of children were observed in the two groups. Results: Before intervention, there were no significant differences in self-rating anxiety scale(SAS) and self-rating depression scale(SDS) scores. After intervention, the scores of the observation group were significantly higher than those of the control group (P < 0.05). Psychological domain, social domain, subjective quality of life and quality of life scores in the observation group were significantly higher than those of the control group (P < 0.05). There were no significant differences in physiological, environmental fields and subjective health between the two groups (P > 0.05). Nursing service attitude, health education, technical level, professional knowledge, emotional support, satisfaction rate of nursing cooperation were all higher than those in the control group(P < 0.05). Conclusion: Individualized nursing based on IKAP model can effectively relieve anxiety and depression of the family members of children with leukemia. It has a positive effect on their quality of life and nursing satisfaction.
关键词
【关键词】白血病;焦虑;抑郁;个体化护理;IKAP模式
KeyWord
[Keywords] Leukemia; Anxiety; Depression; Individualized nursing; IKAP model
基金项目
页码 765-768
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姜璎硕*,甄慧宇,张明慧, 赵真 , 罗慧,兰林茂. 基于IKAP模式的个体化护理对白血病患儿家属焦虑抑郁状况的影响 [J]. 国际精神病学杂志. 2018; 45; (4). 765 - 768.

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