摘要
目的探究时机关怀结合焦点式心理干预对电子支气管镜检查患儿应对方式、心理应激情况的影响。方法选择2022年5月—2023年8月于山东大学第三人民医院接受电子支气管镜检查的患儿50例为研究对象,按随机数字表法将其分为对照组和观察组,每组25例。对照组在患儿检查时实行焦点式心理干预,观察组在对照组基础上采用时机关怀护理。对比两组患儿的心理应激情况、应对方式、治疗配合度、行为配合度及并发症发生情况。结果干预前,两组的儿童医疗恐惧量表(CMFS)中各项评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的CMFS各项评分均低于对照组,组间差异有统计学意义(P<0.05)。干预前,两组的简易应对方式量表(SCSQ)中各项评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的SCSQ中积极应对评分高于对照组,消极应对评分低于对照组,组间差异有统计学意义(P<0.05)。干预前,两组的Frankl治疗依从性量表、Houpt行为量表评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的Frankl治疗依从性量表评分、Houpt行为量表评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组的并发症发生率为0.00%,低于对照组的24.00%,差异有统计学意义(P<0.05)。结论将时机关怀结合焦点式心理干预应用于行电子支气管镜检查患儿中的效果良好,可缓解其心理应激,改善应对方式,提高患儿治疗配合度和行为配合度,减少并发症的发生,值得推广。
Objective To explore the effects of timing care combined with focused psychological intervention on coping style and psychological stress of children undergoing electronic bronchoscopy examination.Methods 50 children who received electronic bronchoscopy examination in Jinan Third People's Hospital from May 2022 to August 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 25 cases in each group.The control group received focused psychological intervention during the examination of children,and the observation group received timing care on the basis of the control group.The psychological stress,coping style,treatment cooperation,behavioral cooperation and complications were compared between the two groups.Results Before intervention,there were no significant differences in the scores of the Child Medical Fear Scale(CMFS)between the two groups(P>0.05);after intervention,the CMFS scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of Simplified Coping Style Questionnaire(SCSQ)between the two groups(P>0.05);after intervention,the positive coping score in SCSQ of the observation group was higher than that of the control group,and the negative coping score was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there were no significant differences in Frankl Treatment Compliance Scale and Houpt Behavior Scale scores between the two groups(P>0.05);after intervention,the Frankl Treatment Compliance Scale score and Houpt Behavior Scale score of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The complication rate of the observation group was 0.00%,which was lower than 24.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of timing care combined with focused psychological intervention in children undergoing electronic bronchoscopy examination has a good effect,which can alleviate psychological stress,improve coping style,improve treatment cooperation and behavioral cooperation of children,and reduce the occurrence of complications.
作者
陈建红
CHEN Jianhong(Pediatrics Ward,Jinan Third People's Hospital,Jinan Shandong,250000,China)
出处
《反射疗法与康复医学》
2024年第7期103-106,共4页
Reflexology And Rehabilitation Medicine
关键词
电子支气管镜
小儿
时机关怀
焦点式心理干预
应对方式
心理应激
Electronic bronchoscopy
Children
Timing care
Focused psychological intervention
Coping style
Psychological stress
