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住院肺炎患儿家属心理反应及需求的调查
Investigation on psychological reaction and needs of family members of hospitalized children with pneumonia

张伟芬 潘巧琴

Zhang Weifen, Pan Qiaoqin

【摘要】目的 调查住院肺炎患儿家属心理反应、需求,以采取针对性护理措施。方法 选择 2015 年5 月—2016 年4 月浙江省丽水市人民医院收治的200 例肺炎患儿及其家属,采用症状自评量表 (SCL-90)和急危重患者家属需求量表中文版对患儿家属进行心理状态及需求调查。结果 200 名患儿 家属均存在焦虑、抑郁、神经质、人际关系敏感、敌对等不良心理障碍反应,其中焦虑占85.5%。在需求 量表中各领域得分由高到低分别为:病情保证领域(3.67±0.31)分、接近患儿领域(3.25±0.28)分、获取 信息领域(3.12±0.25)分、获得支持领域(2.97±0.27)分、自身舒适领域(2.83±0.26)分;100% 的患儿家 属对其中“患儿能够得到最佳治疗”“每天能够及时了解患儿身体状况”2 个条目认为重要或非常重要。 结论 医务工作人员应当重视患儿家属的心理状态和需求,同时应加强与患儿家属沟通和交流,有利 于建立良好的医患关系,从而提高对护理工作的满意度。
【摘要】Objective To investigate the psychological response and demands of family of hospitalized children with pneumonia, in order to take specific nursing intervention measures. Methods From May 2015 to April 2016, a total of 200 cases of pneumonia children and their family members in Lishui People's Hospital were selected. Symptom Checklist-90( SCL-90) and Chinese version of Family Members Demands Scale in Critically Ill Patients were used to investigate the psychological status and needs of the families of children. Results Family members of hospitalized children were all in anxiety, depression, nervousness, interpersonal sensitivity, hostility and other adverse psychological disorders, among which anxiety accounted for 85.5%. In the Demand Scale, the fields with scores from high to low were disease assurance( 3.67±0.31), access to children( 3.25±0.28), access to information( 3.12±0.25), access to support( 2.97±0.27), and their own comfort( 2.83±0.26). 100% of children's families considered that "children can get the best treatment" and "to be able to understand the health conditions of children in a timely manner" were 2 important or very important items. Conclusions Medical staff should pay attention to the psychological status and needs of family members of hospitalized children and should strengthen communication with the families of children, which is conducive to the establishment of a good relationship between doctors and patients, so as to improve the satisfaction of nursing.

【关键词】肺炎; 家属; 心理反应; 需求
【关键词】Pneumonia; Family members; Psychological reaction; Needs