医疗游戏护理在住院患儿中的应用效果

Application effects of medical game nursing in hospitalized children

目的:观察医疗游戏护理在住院患儿中的应用效果。方法:选取2020年1-12月500例住院患儿进行前瞻性研究,按照随机数字表法分为观察组与对照组各250例。对照组给予常规护理,观察组在对照组基础上给予医疗游戏护理,比较两组护理前后负性情绪[斯宾思儿童焦虑量表(SCAS)、儿童抑郁量表(CDI)]评分,慢性病儿童应对方式量表(CODI)评分,总体幸福感量表(GWB)评分,以及患儿家长护理满意度。结果:护理后,观察组SCAS、CDI评分均低于对照组,GWB评分高于对照组,差异有统计学意义(P<0.05);护理后,观察组接受、自我安慰、幻想和远离等CODI分量表评分高于对照组,负性情绪反应和逃避等CODI分量表评分低于对照组,差异有统计学意义(P<0.05);观察组家长护理满意度为96.80%,明显高于对照组的92.40%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用医疗游戏护理可提高住院患儿GWB评分和患儿家长护理满意度,改善CODI分量表评分,以及降低负性情绪评分,效果优于单纯常规护理。

Objective: To observe application effects of medical game nursing in hospitalized children. Methods: A prospective study was conducted on 500 hospitalized children from January to December 2020. They were divided into observation group and control group according to the random number table method, 250 cases in each group. The control group was given routine nursing, while the observation group was given medical game nursing on the basis of that of the control group. The scores of negative emotions [Spence children’s anxiety scale(SCAS), children’s depression inventory(CDI)], coping with a disease(CODI) and general well-being scale(GWB), and the parental nursing satisfaction were compared between the two groups before and after the nursing. Results: After the nursing, the SCAS and CDI scores of the observation group were lower than those of the control group the GWB score was higher than that of the control group, and the differences were statistically significant(P<0.05). After the nursing,the scores of CODI subscales such as acceptance, self-comfort, fantasy and distance in the observation group were higher than those in the control group, the scores of CODI subscales such as negative emotional response and escape were lower than those in the control group, and the differences were statistically significant(P<0.05). Further, the parental nursing satisfaction of the observation group was 96.80%, which was obviously higher than 92.40% in the control group, and the difference was statistically significant(P<0.05). Conclusions: On the basis of the routine nursing, the medical game nursing for the hospitalized children can improve the GWB scores, the CODI subscale scores and the parental nursing satisfaction, and reduce the negative emotion scores. Moreover, it is superior to single routine nursing.