人文关怀对儿童手术患者焦虑、抑郁情绪的影响

Influence of Humanistic care on anxiety and depression in children undergoing surgeries

目的:探讨人文关怀对手术患儿焦虑、抑郁情绪的影响。方法:选取386例手术患儿作为研究对象,按照摸球法分为观察组(n=200)与对照组(n=186),两组围术期均接受常规护理,观察组在此基础上接受人文关怀,比较两组患儿汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAD)评分、术后并发症发生率以及患儿家属的护理度。结果:护理后,两组患儿评分均显著改善,且观察组改善程度明显大于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为1.0%(2/200),明显低于对照组的11.1%(22/198),差异有统计学意义(P<0.05);观察组家属对护理满意评分为(96.38±1.77)分,明显高于对照组的(89.67±3.72)分,差异有统计学意义(P<0.05)。结论:在常规护理基础上,采用人文关怀可有效缓解手术患儿的焦虑、抑郁情绪。

Objective： To explore influence of humanistic care on anxiety and depression in children undergoing surgeries. Methods： 386 patients were divided into two groups according to the ball touching method： the observation group and the control group. The two groups received routine nursing care during the perioperative period. Besides, the observation group received humanistic care. The scores of Hamilton anxiety scale （HAMA） and Hamilton depression scale （HAD）, incidence of postoperative complications and satisfaction with nursing care of the families were compared between the two groups. Results： After the nursing, the scores of the two groups were significantly improved, and the improvement of the observation group was significantly higher than that of the control group, and the differences were statistically significant （ P 〈0.05）. The incidence of complications in the observation group was 1.0% （2/200）, which was significantly lower than that in the control group of 11.1% （22/198）, and the difference was statistically significant （ P 〈0.05）. The satisfaction score on the nursing of the observation group was （96.38±1.77）, which was significantly higher than that of the control group of （89.67±3.72）, and the difference was statistically significant （ P 〈0.05）. Conclusions： On the basis of the routine nursing care, the humanistic care can effectively alleviate anxiety and depression in the children undergoing surgeries.