目标导向性护理干预对脓毒血症休克患儿的心理状况及预后的影响

Effect of goal oriented nursing intervention on psychological status and prognosis of children with septic shock

目的分析目标导向性护理干预对脓毒血症休克儿童的心理状况及预后的影响。方法选择2014年1月至2016年1月期间本院重症监护室接诊的60例脓毒血症休克儿童进行研究,按照随机数字表法分为观察组(n=34)和对照组(n=26)。对照组给予常规护理干预,观察组在对照组基础上给予目标导向性护理干预。比较干预前后两组患儿心理状况,观察并分析两组患儿并发症发生情况。结果干预前,两组患儿的SAS评分和SDS评分比较差异均无统计学意义。干预后,两组患者的SAS评分和SDS评分水平均下降,且观察组低于对照组,两组比较差异具有统计学意义(P<0.05)。观察组总不良反应发生率为8.82%,明显低于对照组的29.17%,两组比较差异具有统计学意义(P<0.05)。结论目标导向性护理的脓毒血症休克患儿心理状况改善良好,不良反应发生率低,预后效果好,值得临床应用。

Objective To analyze the influence of goal oriented nursing intervention on the psychological status and prognosis of children with septic shock. Methods 60 cases of septic shock children received from January 2014 to January 2016 were studied and divided into the observation group (n=34) and the control group (n=26) according to the random digital table method. The control group was given routine nursing intervention, and the observation group was given goal oriented nursing intervention on the basis of the control group. The psychological state of the two groups before and after intervention was compared, and the complications of the two groups were observed and analyzed. Results There was no significant difference in SAS score and SDS score between the two groups before intervention. After intervention, the SAS score and SDS score of the two groups decreased, and the observation group was lower than the control group, the difference between the two groups was significant (P<0.05). The total incidence of adverse reactions in the observation group was 8.82%, which was significantly lower than that in the control group (29.17%). The difference between the two groups was statistically significant (P<0.05). Conclusion The psychological status of children with septic shock treated by goal-oriented nursing is improved well, the incidence of adverse reactions is low, and the prognosis is good. It is worthy of clinical application.