以微信为媒介的延续护理在心外科手术患儿及其家长中的应用效果

Application Effect of Continuous Nursing with WeChat as the Medium in Children Undergoing Cardiac Surgery and Their Parents

目的探讨以微信为媒介的延续护理在心外科手术患儿及其家长中的应用效果。方法选取2020年3月至2021年9月于南阳市中心医院接受心外科手术治疗的97例患儿作为研究对象,应用随机数表法将其分为观察组(50例)与对照组(47例)。给予对照组常规护理与出院指导,观察组在对照组基础上增加以微信为媒介的延续护理。对比两组患儿家长护理前后心理状态、创伤后应激与成长情况,以及患儿的生存质量。结果护理前,两组患儿家长各评分差异无统计学意义(P>0.05)。护理后,观察组患儿家长焦虑自评量表(SAS)和抑郁自评量表(SDS)评分低于对照组(P<0.05),创伤后应激障碍检查量表平民版(PCL-C)评分低于对照组(P<0.05),创伤后成长量表(PTGI)评分高于对照组(P<0.05)。护理后观察组患儿生存质量测定量表中认知心理、沟通问题、治疗焦虑、感知身体外貌及心脏问题维度评分均高于对照组(P<0.05)。结论对心外科手术患儿应用以微信为媒介的延续性护理,可减轻患儿家长焦虑、抑郁等负面心理,减轻患儿家长创伤应激反应,促进其创伤后成长,提升患儿生存质量。

Objective To explore the application effect of continuing nursing with WeChat as the medium in children undergoing cardiac surgery and their parents.Methods A total of 97 children who received cardiac surgery in Nanyang Central Hospital from March 2020 to September 2021 were selected as the research objects,and they were divided into observation group(50 cases)and control group(47 cases)by random number table method.The control group were given routine nursing care and discharge guidance,and the observation group was given continued nursing through WeChat as a medium on the basis of the control group.The psychological state and post-traumatic stress and growth of the parents and the quality of life of the children were compared between the two groups before and after nursing care.Results Before nursing,there was no statistical difference in the scores of the parents of the two groups of children(P>0.05).After nursing,the parental self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the observation group were lower than those of the control group(P<0.05),the post-traumatic stress disorder cheeklist-civilian version(PCL-C)score was lower than that of the control group(P<0.05),and the post-traumatic growth scale(PTGI)score was higher than that of the control group(P<0.05).After nursing,the scores of cognitive psychology,communication problems,treatment anxiety,perceived physical appearance and heart problems in the quality of life measurement scale of the observation group were higher than those of the control group(P<0.05).Conclusion The application of continuous nursing with WeChat as the medium for children undergoing cardiac surgery can reduce the negative psychology of parents of children,such as anxiety and depression,reduce the traumatic stress reaction of parents of children,promote their post-traumatic growth,and improve the quality of life of children.