中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
12期
1392-1396
,共5页
邹桂娟%刘军%金梅保%惠勤
鄒桂娟%劉軍%金梅保%惠勤
추계연%류군%금매보%혜근
焦虑%抑郁%心理护理%急性白血病%Orem自理理论
焦慮%抑鬱%心理護理%急性白血病%Orem自理理論
초필%억욱%심리호리%급성백혈병%Orem자리이론
Anxiety%Depression%Mental nursing%Acute leukemia%Orem self-care theory
目的:探讨Orem自理理论在儿科急性白血病患儿心理护理中的临床应用价值。方法将55例急性白血病患儿按入院单双序号半随机分为对照组( n=27)和观察组( n=28)。对照组采用常规护理,观察组在常规护理基础上应用Orem自理理论进行护理,采用症状自评量表( SCL-90)、汉密尔顿焦虑量表( HAMA)、汉密尔顿抑郁量表( HAMD)及护理工作满意度调查表比较两组患儿的心理状态变化和对护理的满意度。结果白血病患儿SCL-90症状分布特点以抑郁和焦虑为主。干预1周后,观察组患儿HAMA评分从(18±6)分减少到(12±5)分,且低于对照组的(16±3)分,HAMD评分从(23±8)分减少到(17±3)分,且低于对照组的(20±4)分,差异均有统计学意义( t分别为3.50,2.39,2.68,1.87;P<0.05)。观察组对护理工作满意度为96.4%,高于对照组的85.2%,差异有统计学意义(χ2=3.47,P<0.05)。结论应用Orem自理理论能明显减轻急性白血病患儿住院后焦虑和抑郁情绪,并对临床护理工作更为满意。
目的:探討Orem自理理論在兒科急性白血病患兒心理護理中的臨床應用價值。方法將55例急性白血病患兒按入院單雙序號半隨機分為對照組( n=27)和觀察組( n=28)。對照組採用常規護理,觀察組在常規護理基礎上應用Orem自理理論進行護理,採用癥狀自評量錶( SCL-90)、漢密爾頓焦慮量錶( HAMA)、漢密爾頓抑鬱量錶( HAMD)及護理工作滿意度調查錶比較兩組患兒的心理狀態變化和對護理的滿意度。結果白血病患兒SCL-90癥狀分佈特點以抑鬱和焦慮為主。榦預1週後,觀察組患兒HAMA評分從(18±6)分減少到(12±5)分,且低于對照組的(16±3)分,HAMD評分從(23±8)分減少到(17±3)分,且低于對照組的(20±4)分,差異均有統計學意義( t分彆為3.50,2.39,2.68,1.87;P<0.05)。觀察組對護理工作滿意度為96.4%,高于對照組的85.2%,差異有統計學意義(χ2=3.47,P<0.05)。結論應用Orem自理理論能明顯減輕急性白血病患兒住院後焦慮和抑鬱情緒,併對臨床護理工作更為滿意。
목적:탐토Orem자리이론재인과급성백혈병환인심리호리중적림상응용개치。방법장55례급성백혈병환인안입원단쌍서호반수궤분위대조조( n=27)화관찰조( n=28)。대조조채용상규호리,관찰조재상규호리기출상응용Orem자리이론진행호리,채용증상자평량표( SCL-90)、한밀이돈초필량표( HAMA)、한밀이돈억욱량표( HAMD)급호리공작만의도조사표비교량조환인적심리상태변화화대호리적만의도。결과백혈병환인SCL-90증상분포특점이억욱화초필위주。간예1주후,관찰조환인HAMA평분종(18±6)분감소도(12±5)분,차저우대조조적(16±3)분,HAMD평분종(23±8)분감소도(17±3)분,차저우대조조적(20±4)분,차이균유통계학의의( t분별위3.50,2.39,2.68,1.87;P<0.05)。관찰조대호리공작만의도위96.4%,고우대조조적85.2%,차이유통계학의의(χ2=3.47,P<0.05)。결론응용Orem자리이론능명현감경급성백혈병환인주원후초필화억욱정서,병대림상호리공작경위만의。
Objective To explore the clinical application value of Orem self-care theory in the mental nursing of children with acute leukemia .Methods Fifty-five children with acute leukemia were randomly divided into the control group ( n=27 ) and the experimental group ( n=28 ) according to single and double number .The control group received the routine nursing , and the experimental group received the nursing intervention according to Orem self -care theory on the basis of the routine nursing .The changes of mental status and the nursing satisfaction were evaluated and compared between two groups through the Symptom Checklis-90 ( SCL-90 ) , Hamilton Anxiety Scale ( HAMA ) , and Hamilton Depression Scale ( HAMD ) . Results The anxiety and depression were mainly dominated in children with leukemia .One week after the intervention, the score of HAMA in the experimental group decreased from (18 ±6)to (12 ±5),and was lower than (16 ±3)in the control group; the score of HAMD in the experimental group decreased from (23 ±8) to (17 ±3), and was lower than (20 ±4) in the control group, and the differences were statistically significant (t=3.50, 2.39, 2.68, 1.87, respectively;P<0.05).The nursing satisfaction in the experimental group was 96.4%, and was higher than 85.2%in the control group, and the difference was statistically significant (χ2 =3.47, P<0.05).Conclusions The application of Orem self-care theory in children with acute leukemia can obviously alleviate their anxiety and depression , and improve clinical nursing satisfaction .