上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（临床研究） • 上一篇    下一篇

尿道下裂患儿父母焦虑的个性化心理干预效果评价

李爱求1，张 磊2，陈 方2，龚 梅1，谢 华2   

  1. 上海交通大学附属儿童医院1.护理部， 2.泌尿外科， 上海 200040
  • 出版日期:2013-10-28 发布日期:2013-10-31
  • 通讯作者: 谢 华, 电子信箱: xieh@shchildren.com.cn。
  • 作者简介:李爱求（1966—），女， 副主任护师，学士；电子信箱: liaiqiu817@hotmail.com。
  • 基金资助:

    上海交通大学医学院科研基金（Jyh1020）；上海市公共卫生体系建设三年行动计划

Effect of individualized psychological intervention on anxiety of parents of children with hypospadias

LI Ai-qiu1, ZHANG Lei2, CHEN Fang2, GONG Mei1, XIE Hua2   

  1. 1.Department of Nursing, 2.Department of Urology, Shanghai Children's Hospital, Shanghai Jiaotong University, Shanghai 200040, China
  • Online:2013-10-28 Published:2013-10-31
  • Supported by:

    Shanghai Jiaotong University School of Medicine Foundation, Jyh1020； Shanghai Public Health System Construction Three-Year Plan

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摘要：

目的 探讨个性化心理干预对尿道下裂患儿父母焦虑程度改变的效果。方法 将2012年3月—2013年2月收入上海交通大学附属儿童医院泌尿外科进行手术治疗的尿道下裂患儿父母80名，随机分为实验组和对照组，每组40名。采用Zung氏焦虑自评量表系统（SAS）问卷（20项指标），患儿入院第1天对其父母进行前测评估，评估后进行不同心理干预。实验组在常规心理护理基础上进行个性化心理干预（按照患儿不同年龄给家长不同处理儿童心理问题的方法指导），对照组采用常规心理干预方法。心理干预后2周进行再次评估，比较两组父母心理干预前后焦虑情绪的改善程度，并计算患儿的住院时间。结果 心理干预2周后，实验组和对照组的焦虑情绪总分均显著低于干预前，差异有统计学意义（P<0.01）；实验组有11项指标评分明显低于对照组，差异有统计学性意义（P<0.05或P<0.01）。实验组患儿的平均住院天数为（11.13±2.85）d，显著短于对照组的（12.80±3.99）d，差异有统计学意义（P<0.05）。结论 个性化心理干预可以有效减轻患儿父母的焦虑程度，提高父母对患儿的照护效率，改善患儿心理行为及手术愈合，提高其生存和生活质量。

关键词: 尿道下裂, 父母, 个性化心理干预, 效果评价

Abstract:

Objective To investigate the effect of individualized psychological intervention on anxiety of parents of children with hypospadias. Methods Eighty parents of children undergoing surgery for hypospadias in Shanghai Children's Hospital affiliated to Shanghai Jiaotong University between March 2012 and February 2013 were randomly divided into experiment group and control group, with 40 parents in each group. Parents were evaluated with Zung's self-rating anxiety scale (SAS)(20 items) on the first day of hospital admission, and then different psychological interventions were performed. In experiment group, individualized psychological intervention was carried out on the basis of conventional psychological nursing, which guided parents to deal with psychological problems of children with different ages. However, only conventional psychological nursing intervention was conducted in control group. Parents were evaluated again two weeks after psychological intervention, the status of anxiety after intervention was determined in two groups, and the length of hospital stay was assessed. Results Two weeks after psychological intervention, the total scores of anxiety in both groups were significantly lower than those before intervention (P<0.01), and the scores of 11 items in experiment group were significantly lower than those in control group (P<0.05 or P<0.01). The length of hospital stay in experiment group was significantly shorter than that in control group [(11.13±2.85) d vs (12.80±3.99) d, P<0.05]. Conclusion The individualized psychological intervention can effectively reduce the anxiety of parents of children with hypospadias, increase the efficiency of nursing, and improve the outcome of surgery of children.

Key words: hypospadias, parents, individualized psychological intervention, effect evaluation