特发性矮小患儿的心理状态及护理对策

Psychological state and nursing countermeasures of children with idio-pathic short stature

目的探讨特发性矮小患儿的心理状态及护理对策。方法选择南方医科大学附属深圳市妇幼保健院2012年9月～2014年9月收治的72例特发性矮小患儿，随机分成两组，对照组实施常规护理，实验组实施临床护理干预，对比两组临床护理效果。结果①焦虑自评量表、抑郁自评量表评分：实验组护理后SAS[（43．03±9．47）比（50．68±10．47）分1、SDS评分[（42．39±9．44）比（51．06±10．42）分】明显低于对照组（P〈0．05）；②儿童行为评定量表评分：实验组活动能力[（4．81±1．30）比（2．37±1．01）分】、社交能力[（6．37±2．16）比（3．58±1．05）分】、交往不良[（5．82±0．76）比（3．50±0．94）分】及社交退缩评分[（4．36±1．37）比（2．15±1．16）分】明显高于对照组（P〈0．05）；③生活质量评分：与对照组比较，实验组生理【（14．88±1．32）比（13．23±1．02）分1、心理【（14．67±1．46）比（12．78±1．28）分1、社会管理[（13．89±1．39）、（12．56±1．21）分】、独立[（14．68±1．89）比（13．45±1．08）分】、环境【（11．39±1．76）比（10．79±1．30）分】及精神支柱领域评分【（11．35±3．68）比（10．02±2．79）分】均明显升高（P〈0．05）。结论强化特发性矮小患儿心理状态分析。重视临床护理干预，对调节患儿心理状态、改善其预后具有重要的应用价值，临床上应引起足够重视。

Objective To discuss the psychological state and nursing countermeasures of children with idiopathic short stature. Methods 72 cases of children with idiopathic short stature treated in Shenzhen Maternity and Child Healthcare Hospital Affiliated to Southern Medical University from September 2012 to September 2014 were selected and divided into two groups. Patients in the control group were given routine nursing, while patients in the experimental group were given clinical nursing intervention The clinical nursing effects between the two groups were compared. Results ①SAS, SDS scores： experimental group after nursing, SAS [（43.03±9.47） vs （50.68±10.47） points], SDS scores [（42.39±9.44） vs （51.06±10.42） points] were significantly lower than the control group （P 〈 0.05）. ②CBCL score： activity [（4.81±1.30） vs （2.37±1.01） points], social skills [（6.37±2.16） vs （3.58±1.05） points], communication [（5.82±0.76） vs （3.50±0.94） points] and social withdrawal scores [（4.36±1.37） vs （2.15±1.16） points] of the experimental group were significantly higher than those of the control group （P 〈 0.05）. ③Quality of life score： physiology [（14.88±1.32） vs （13.23±1.02） points], psychological [（14.67±1.46） vs （12.78±1.28） points], social management [（13.89±1.39） vs （12.56±1.21） points], independent [（14.68±1.89） vs （13.45±1.08） points], environment [（11.39±1.76） vs （10.79±1.30） points] and spiritual domain scores [（11.35±3.68） vs （10.02±2.79） points] of the experimental group were significantly higher than those of the control group （P 〈 0.05）. Conclusion It has important application value that strengthening the psychological status analysis of children with idiopathic short stature, and paying attention to the clinical nursing intervention for regulating chil- dren＇s psychological status and improving the prognosis, which should be caused enough attention in clinic.