优质护理服务对HIE恢复期患儿家长心理焦虑的改善

Influence of quality care on psychological anxiety of parents of hospitalized children in HIE convalescence

目的探讨优质护理服务对缺氧缺血性脑病（HIE）恢复期患儿家长心理焦虑的影响。方法随机抽取优质护理服务前后我科住院的HIE恢复期患儿家长各30例作为研究对象，将实施优质护理服务后的家长作为试验组，优质护理服务前的家长作为对照组，在入院时及住院第7天均采用汉密尔顿焦虑量表（HAMA）采集2组家长焦虑的相关信息，了解两组家长心理焦虑的情况。结果研究对象在入院时均有不同程度的焦虑，且入院时HAMA评分及焦虑心理发生率均无显著差异，均P〉0．05。接受优质护理服务的家长HAMA评分为14．0±2．1（对照组为9．2±2．9），t=2．492，P〈0．05；焦虑心理发生率低于对照组，差异有统计学意义,χ2=3．86，P〈0．05。结论优质护理服务活动的开展可减轻HIE恢复期住院患儿家长的心理焦虑，值得推广。

Objective To explore the influence of quality care on psychological anxiety of parents of hospitalized children in convalescence of hypoxic-ischemic encephalopathy（HIE）. Methods Thirty parents of children hospitalized in department of child care and rehabilitation and in HIE recovery period were randomly chosen as study objects. Parents whose children were given quality care were recruited in experimental group, and parents whose children were not given quality care were recruited in control group. At the time of admission and 7th day of hospitalization, Hamilton Anxiety Scale （HAMA） was used to understand the situation of psychological anxiety of two groups. Results At the time of admission, parents in two groups had anxiety of different degree, and the scores of HAMA and the incidence of anxiety showed no significant difference between two groups （ all P 〉 0.05 ）. Seven days later HAMA score of experimental group was 9.2 ± 2.9, which was lower than that of control group （ 14.0 ±2. 1 ） （ t = 2. 492, P 〈 0.05 ）. The incidence of anxiety was lower in experimental group than that in control group, and the difference was significant （χ2 = 3.86, P 〈 0.05 ）. Conclusion Quality care can reduce the psychological anxiety of parents of hospitalized children in HIE convalescence, and it is worth promoting.