家庭化护理模式对降低婴幼儿住院反应的效果观察

Observation of the effects of family-centered nursing in decreasing mental stress response of the hospitalized infant

目的 减少婴幼儿住院反应的发生,使婴幼儿顺利度过住院适应期。方法 选择2002年1～12月收治的北京市城区户口、父母均为大专以上学历、月龄在10～18月、首次住院的急性病独生子女80例,随机分成两组,常规组住普通病房,实施常规护理;家庭式护理组住单间温馨病房,实施家庭化护理模式,并观察记录两组患儿住院反应的发生情况。结果 两组婴幼儿均以惧怕治疗、惧怕陌生人、不离开最熟悉的人为主要的住院反应。常规组住院反应所得分值为(2.479±0.656),家庭式护理组为(1.319±0.727);常规组住院反应发生率为90％(36/40),家庭式护理组为30％(12/40),分别经统计学处理t=7.489,χ~2=30,P均<0.05,说明两组间的差异有统计学意义。结论 家庭化护理模式可减少婴幼儿住院反应的发生,使他们愉快、安全地度过住院适应期。

Objective To decrease the occurrence of mental stress response of hospitalized infants and help them to pass the hospitalization adaptation period smoothly. Methods From Jan to Dec, 2002, 80 infants ranged from 10～18 months were selected and divided into two groups at random. All these infants shared similar family background and hospitalized at the first time because of acute disease. The control group was given common nursing in ordinary wards while the test group was given family-centered nursing in mother-infant wards. Infants' mental stress response in both groups were observed and recorded. Results The score in control group was(2.479+0.656); the other score was(1.319±0.727). The occurrence rate of mental stress response was 90% in control group, and 30% in test group. The statistics operation (t=7.489, x^2=30,P<0.05) showed that the differences were significantly meaningful. Conclusion Family-centered nursing decreases the occurrence of mental stress response of hospitalized infants and helps them to pass the hospitalization adaptation period smoothly.