对病毒性脑炎患儿家长实施心理护理后对患儿的影响

发布时间：2018-03-19 10:29

本文选题：病毒性脑炎　切入点：心理护理　出处：《国际精神病学杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨对病毒性脑炎患儿家长实施心理护理干预后,对患儿智力及运动功能的影响。方法选择我院儿科收治的86例病毒性脑炎患儿家长,依据随机分组的原则,将86例家长分为观察组与对照组,每组43例。对照组家长给予一般健康教育,观察组家长在一般健康教育的基础上给予心理干预,分别于两组患儿入院当日及出院前对家长进行焦虑抑郁评估,两组患儿均随访6个月,采取HDS智力测试量表及Fugl-Meyer运动功能测试量表评价两组患儿智力及运动功能恢复情况。结果干预前,两组家长的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分,两组患儿的HDS和Fugl-Meyer评分,组间比较无明显差异(P0.05)。干预后两组家长SAS和SDS评分均较入院时显著减少(P0.05),且观察组家长焦虑抑郁评分显著低于对照组(P0.05);随访6个月,两组患儿HDS、Fugl-Meyer评分均较入院当日均显著提高(P0.05),且观察组患儿的HDS、Fugl-Meyer评分均明显高于对照组(P0.05)。结论对病毒性脑炎患儿家长实施心理干预后,对患儿日后的智力及运动功能的恢复有明显影响,可以有效改善患儿预后。
[Abstract]:Objective to explore the effect of psychological nursing intervention on intelligence and motor function of children with viral encephalitis. Methods 86 parents of children with viral encephalitis were randomly divided into groups. 86 parents were divided into observation group (n = 43) and control group (n = 43). Parents in control group were given general health education, and parents in observation group were given psychological intervention on the basis of general health education. The parents of the two groups were evaluated for anxiety and depression on the day of admission and before discharge. The children in both groups were followed up for 6 months. The intelligence and motor function of the two groups were evaluated by HDS and Fugl-Meyer motor function test. Results before intervention, the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SAS), and HDS and Fugl-Meyer scores of the two groups were evaluated. There was no significant difference between the two groups (P 0.05). The scores of SAS and SDS in the two groups were significantly lower than those at admission, and the scores of anxiety and depression in the observation group were significantly lower than those in the control group (P 0.05), and were followed up for 6 months. The scores of HDSU Fugl-Meyer in both groups were significantly higher than those on the day of admission, and the scores of HDSv Fugl-Meyer in the observation group were significantly higher than those in the control group. Conclusion after psychological intervention, the patients with viral encephalitis were treated with psychological intervention. It has obvious influence on the recovery of intelligence and motor function, and can effectively improve the prognosis of children.
【作者单位】：陕西省西安市第九人民医院;
【分类号】：R473.72

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