个性化康复辅导干预模式联合常规治疗对重症肺炎患儿心理状态和治疗依从性的影响观察

Individualized rehabilitation counseling intervention model with conventional therapy for children with severe pneumonia and the psychological state and the effect of treatment adherence observation

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

四川省南充市中心医院 ;

摘要
【摘要】目的:探讨个性化康复辅导干预模式联合常规治疗对重症肺炎患儿心理状态和治疗依从性的影响观察。方法:选取2013年12月至2015年12月期间在我院就诊的80例重症肺炎患儿作为研究主体,按照随机数字表的方法分为实验组(n=40)和对照组(n=40),对照组的患儿给予常规的对症治疗措施,观察组患者则采用个性化康复辅导干预模式联合常规对症治疗进行干预。在实施治疗和康复辅导干预前后采用儿童焦虑障碍自评量表(SCARED)和儿童抑郁障碍自评量表(DSRSC)对两组患儿的心理状态进行客观评定,同时对患儿的治疗依从性以及家属对工作满意度进行比较。结果:与干预前相比较,干预后患儿的SCARED和DSRSC评分明显更优(P<0.05),同时较对照组的患儿而言,实验组患儿的SCARED和DSRSC评分亦更优(P<0.05);干预后患儿的治疗依从性与干预前比较,差异显著(P<0.05),实验组患儿与对照组患儿的治疗依从性相比,差异显著(P<0.05)实验组患儿家属对工作满意度明显更优于对照组(P<0.05)。结论:多个性化康复辅导干预模式联合常规治可以有效改善患儿的不良心理状态,引导患儿培养正性的行为方式,同时加强了医患之间的关系,因而值得临床中推广实施。
Abstract
【Abstract】objective: to discuss individualized rehabilitation counseling intervention model with conventional therapy for children with severe pneumonia and the psychological state and the effect of treatment adherence. Methods: choose between December 2013 and December 2013 in our hospital during the period of 80 cases of children with severe pneumonia as the research subject, in accordance with the method of random number table is divided into the experimental group (n = 40) and the control group (n = 40), According to random number table method is divided into experimental group (n = 40) and the control group (n = 40), the control group of children given conventional symptomatic treatment, observation group of patients individualized rehabilitation counseling intervention model is adopted at the joint of conventional symptomatic treatment intervention. In the implementation of the treatment and rehabilitation guidance before and after the intervention by the self-assessment lists of childrens anxiety disorders (SCARED) and depression self rating scale for children (DSRSC) objective evaluation on the two groups of childrens psychological state, at the same time for compliance and nursing satisfaction in the families of children with care. Results: compared with before intervention, intervention DSRSC and SCARED after score significantly better (P < 0.05), compared with the control group of children at the same time, the experimental group of children with DSRSC and SCARED score is better (P < 0.05); After intervention in the treatment of children with adherence compared with before intervention, the significant difference (P < 0.05), the experimental group compared with the control group with treatment compliance, children families of children with significant difference (P < 0.05) in experimental group of job satisfaction is significantly more than the control group (P < 0.05). Conclusion: individualized rehabilitation counseling intervention model more routine joint governance can effectively improve the patients adverse psychological state, guide the children to develop positive behaviors, and strengthened the relationship between doctor and patient, and is worth popularizing in clinical implementation.
关键词
【关键词】个性化康复辅导干预;;重症肺炎; 心理状态; 依从性
KeyWord
Key words: individualized rehabilitation counseling; severe pneumonia; state of mind; compliance
基金项目
页码 750-753
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李娟*,田鹏,张雪霜,尚 彪. 个性化康复辅导干预模式联合常规治疗对重症肺炎患儿心理状态和治疗依从性的影响观察 [J]. 国际精神病学杂志. 2017; 44; (4). 750 - 753.

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