多形式心理干预对急性呼吸道感染患儿康复及情绪的影响

Effects of multiple forms of psychological intervention on rehabilitation and mood of children with acute respiratory tract infection

目的探讨多形式心理干预对急性呼吸道感染患儿康复及情绪的影响。方法将100例急性呼吸道感染患儿按随机信封法分为对照组(50例)和观察组(50例)。两组均予以常规治疗及常规护理干预,观察组在此基础上联合多形式心理干预,观察2周。干预前后采用焦虑自评量表、抑郁自评量表评定患儿的焦虑、抑郁情绪,并统计两组临床疗效、恢复指标、家属满意度、紧急施救成功率、不良事件发生率,比较两组上述指标。结果观察组咳嗽、喘憋、肺啰音症状改善时间均显著短于对照组(P<0.01)。观察组患儿体温恢复时间、住院时间均显著短于对照组(P<0.01),住院费用显著少于对照组(P<0.01),患儿家属满意率显著高于对照组(P<0.01)。两组不良事件总发生率、紧急施救率及紧急施救成功率比较差异无统计学意义(P>0.05)。干预后两组焦虑自评量表、抑郁自评量表评分均较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。结论多形式心理干预能促进急性呼吸道感染患儿康复,缓解或消除其焦虑抑郁情绪,提高患儿家属满意度。

Objective To investigate the effect of multiple forms of psychological intervention on rehabilitation and mood of children with acute respiratory tract infection.Methods A total of 100 children with acute respiratory tract infection were divided into control group(50 cases)and observation group(50 cases)according to random envelope method.Both groups were given routine treatment and routine nursing.On this basis,the observation group was combined with multiple forms of psychological intervention for 2 weeks.Before and after the intervention,self-rating anxiety scale(SAS)and self-rating depressive scale(SDS)were used to evaluate the anxiety and depression of children.The clinical efficacy,recovery indicators,family satisfaction,success rate of emergency rescue and incidence of adverse events were counted and compared between the two groups.Results The improvement time of cough,wheezing and pulmonary rales in the observation group was significantly shorter than that in the control group(P<0.01),the temperature recovery time and hospitalization time of the children were significantly shorter than those of the control group(P<0.01),the hospitalization expenses were significantly lower than those of the control group(P<0.01),and the satisfaction rate of the children's family members was significantly higher than that of the control group(P<0.01).There was no significant difference in the total incidence of adverse events,rate of emergency rescuee and the success rate of emergency rescue between the two groups(P>0.05).After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the observation group was significantly lower than the control group(P<0.01).Conclusions Multiple forms of psychological intervention can promote the recovery of children with acute respiratory infection,relieve or eliminate their anxiety and depression,and improve the satisfaction of children's family members.