对先天性心脏病患儿家庭照料者实施护理干预的研究

Study on Nursing Intervention for Family Caregivers of Children with Congenital Heart Disease

目的:分析先天性心脏病患儿家庭照料者实施护理干预价值。方法:选取儿外科2016年8月~2017年8月于某院择期进行先心病治疗的患儿家属64例,按照入院时间分组。对照组32例行常规家属管理,观察组32例对家庭照料者进行护理干预。结果:观察组主要照料者出现心理应激表现6例(18.8%),未出现需要治疗干预的对象,低于对照组46.9%(15/32)、15.6%,差异有统计学意义(P<0.05);观察组术前、出院前、出院后1个月、出院后3个月的感受负担评分低于对照组,差异具有统计学意义(P<0.05)。结论:护理干预可以减轻先心病家庭照料者的心理负担,降低心理应激发生风险。

Objective: To analyze the value of nursing intervention for family caregivers of children with congenital heart disease. Methods: A total of 64 cases of children’s family members who were selected for congenital heart disease treatment in a hospital from August 2016 to August 2017 in the department of pediatric surgery were selected and grouped by time of admission. 32 cases in the control group were treated with routine family management, and the observation group implemented nursing intervention for family caregivers. Results: The main caregivers of the observation group showed psychological stress in 6 cases(18.8%), and there was no patients requiring therapeutic intervention were identified, which was lower than that of the control group with 46.9%(15/32), 15.6%, and the difference was statistically significant(P<0.05). The score of perceived burden in the observation group before operation, before discharge, 1 months after discharge and 3 months after discharge was lower than that in the control group, the difference was statistically significant(P<0.05). Conclusion: Nursing intervention can reduce the psychological burden of family caregivers of congenital heart disease, reduce the risk of psychological stress.