| 摘要 |
摘要：目的：探讨个性化护理干预对儿科ICU患儿心理应激及生理应激反应的影响。方法：选择我院2014年7月-2015年7月儿科ICU收治的102例患儿为研究对象，采用随机数字表法分为观察组和对照组各51例，对照组给予儿科ICU常规护理干预，观察组联合应用个性化护理干预，比较两组患者心理应激、生理应激、治疗主要指标等。干预前及干预结束后，采用儿童焦虑性情绪障碍筛查表(SCARED)、儿童抑郁障碍自评量表(DSRSC)了解两组患儿焦虑、抑郁状，同时用心率（HR）和平均动脉压（MAP）评估两组患儿护理前后生理应激反应的变化。结果：观察组儿童焦虑性情绪障碍筛查表(SCARED)、儿童抑郁障碍自评量表(DSRSC)评分均明显低于对照组（t=6.132~13.401, P<0.05, P<0.01）；清皮质醇（Cor）、肾上腺素（E）、去甲肾上腺素（NE）含量以及心率（HR）、平均动脉压（MAP）等均明显低于对照组（t=3.996~11.887, P<0.05, P<0.01）；ICU治疗时间、呼吸机使用时间、抗生素使用时间均明显低于对照组（t=6.950~9.478, P<0.05）。结论：个性化护理干预有助于缓解儿科ICU住院患儿心理应激与生理应激，促进患儿早日康复。
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| Abstract |
Abstract: objective: to study the individual nursing children with Pediatric ICU intervention on psychological stress and effects of physiological stress response. Methods: our July 2014 to July 2015 for the study of 102 cases of children admitted to Pediatric ICU, using a random number table divided into 51 cases in each group and the control group, the control group given paediatric ICU nursing intervention to observe specific nursing group combined, compared two groups of patients with psychological stress, physiological stress, treatment of major indicators. Interventions before and after intervention, used for screening anxiety related emotional disorders in children (SCARED), child depression self-rating scale (DSRSC) for two groups of children with anxiety, depression, and heart rate (HR) and mean arterial pressure (MAP) assessment of two groups of nursing before and after changes in the physiological stress response. Results: observation group children anxiety sex mood obstacles screen check table (SCARED), and children depression obstacles since assessment volume table (DSRSC) score are obviously below control group (t=6.132~13.401, P<0.05, P<0.01); clear cortex alcohol (Cor), and adrenaline (e), and to methyl adrenaline (NE) content and heart rate (HR), and average artery pressure (MAP), are obviously below control group (t=3.996~11.887, P<0.05, P<0.01), ICU treatment time, ventilator, antibiotics were significantly lower than in the control group (t=6.950~9.478, P<0.05). Conclusion: the specific nursing help to alleviate Pediatric ICU hospitalized mental stress and physical stress, promote a speedy recovery.
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