摘要
目的探讨护士主导的家庭复原力干预方案在先天性巨结肠患儿主要照护者中的应用效果,为儿科慢性病家庭复原力护理干预措施制订提供参考。方法采用随机对照试验方法,便利抽样法选取郑州大学第一附属医院小儿外科病区2022年11月至2023年10月收治的60名首次确诊先天性巨结肠患儿的主要照护者作为研究对象。采用随机数字表法将患儿主要照护者分为对照组和观察组各30名。对照组实施常规护理干预,观察组实施基于护士主导的家庭复原力提升干预方案。比较2组患儿主要照护者干预前后的家庭复原力、抑郁、家庭关怀度和护理满意度得分状况。结果2组最终分别有30名患儿主要照护者完成研究。对照组患儿主要照护者男3名,女27名,年龄(28.61±3.16)岁;观察组患儿主要照护者男2名,女28名,年龄(29.43±3.48)岁。干预前,2组患儿主要照护者家庭复原力总分及其各维度得分、抑郁水平、家庭关怀度指数问卷得分比较差异均无统计学意义(均P>0.05);干预后,观察组患儿主要照护者家庭复原力总分(142.53±6.00)分,高于对照组的(128.27±5.06)分,差异有统计学意义(t=-9.95,P<0.05),观察组患儿主要照护者抑郁得分为(48.07±8.46)分,家庭关怀度指数问卷得分为(7.73±0.98)分,优于对照组的(50.77±9.35)、(6.97±1.00)分,差异均有统计学意义(t=2.49、-3.00,均P<0.05)。实施干预后,观察组患儿主要照护者对护理满意度为100.0%(30/30),高于对照组的83.3%(25/30),差异有统计学意义(χ^(2)=6.41,P<0.05)。结论护士主导的家庭复原力干预方案能够有效提升首次确诊的先天性巨结肠患儿主要照护者的家庭复原力和家庭关怀度状况,有助于改善患儿主要照护者的抑郁情绪,同时也提高了患儿主要照护者对护理服务的满意度。
ObjectiveTo explore the effect of a nurse-led family resilience intervention program on the primary caregivers of children with Hirschsprung′s disease,and provide reference for family resilience nursing intervention measures for pediatric chronic diseases.MethodsUsing a randomized controlled trial method,a convenience sampling method was used to select 60 primary caregivers of first-time diagnosed Hirschsprung′s disease who were admitted to the pediatric surgery ward of the First Affiliated Hospital of Zhengzhou University from November 2022 to October 2023.Random digital table method was used to divide the primary caregivers into control group and observation group,with 30 cases in each group.The control group received routine care intervention,while the observation group received a nurse-led intervention program to enhance family resilience.The family resilience,depression,Family APGAR Index,and nursing satisfaction scores of the two groups before and after the intervention were compared.ResultsTwo groups of 30 patients each completed this study.There were 3 males and 27 females in the control group.The age was(28.61±3.16)years old.There were 2 males and 28 females in the observation group.The age was(29.43±3.48)years old.Before intervention,there were no statistically significant differences(all P>0.05)in the total family resilience score and its various dimensions,depression level,and family care score between the two groups of children′s primary caregivers.After intervention,the total score of family resilience of the main caregivers in the observation group was(142.53±6.00)points,higher than(128.27±5.06)points in the control group,the difference was significant(t=-9.95,P<0.05).The depression score of the main caregivers in the observation group was(48.07±8.46)points,and the family care score was(7.73±0.98)points,which was better than the depression level of the main caregivers in the control group(50.77±9.35)and the family care score(6.97±1.00)(t=2.49,-3.00,both P<0.05).After implementing intervention,the satisfaction level of the main caregivers in the observation group was 100.0%(30/30),higher than 83.3%(25/30)in the control group,the difference was significant(χ^(2)=6.41,P<0.05).ConclusionsThe nurse-led family resilience improvement intervention program can effectively improve the family resilience and family care level of primary caregivers of children with Hirschsprung′s disease for the first time,which is helpful to improve the negative psychological emotions of primary caregivers and improve their satisfaction with nursing services.
作者
金亚丽
姜宗良
吴晓燕
尚飞利
金歌
Jin Yali;Jiang Zongliang;Wu Xiaoyan;Shang Feili;Jin Ge(Department of Pediatric Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Academic Affairs Office,Zhengzhou Health Vocational College,Zhengzhou 450100,China)
出处
《中国实用护理杂志》
2024年第34期2641-2648,共8页
Chinese Journal of Practical Nursing
基金
河南省高等学校重点科研项目计划(23A320054)。
关键词
抑郁
护士
家庭复原力
家庭关怀度
先天性巨结肠
Depression
Nurses
Family care level
Family APGAR index
Hirschsprung′s disease
