摘要
目的:探讨安抚与触摸在减少眼外伤患儿医疗恐惧和配合治疗方面的有效性。方法:选取2018年6月至2019年6月我院眼科120例首次接受眼科手术治疗患儿,随机分为实验组和对照组两组,每组各60例。实验组给予安抚与触摸护理和常规护理,对照组给予常规护理。评价患儿接受裂隙灯检查、非接触性眼压测量和眼药治疗时的恐惧心理、治疗配合情况和家长满意度。结果:干预后,实验组患儿对裂隙灯检查、非接触性眼压测量和使用眼药3种检查治疗方法的恐惧度较对照组均明显降低,差异具有统计学意义(t=4.519,3.869,4.255;P<0.001)。实验组患儿对裂隙灯检查、非接触性眼压测量和使用眼药3种检查治疗中配合度均更高,差异具有统计学意义(χ^2=4.621,9.405,4.903;P<0.05)。实验组患儿家长满意度为83.3%,对照组患儿家长满意度为71.7%,组间比较差异具有统计学意义(χ^2=5.215,P<0.05)。结论:安抚与触摸可减少眼外伤患儿医疗恐惧并提高治疗配合度。该研究可作为临床护理的参考。
Objective:To explore the effectiveness of appeasement and touch in reducing medical fear and treatment coordination in children with ocular trauma.Methods:Enrolled from June 2018 to June 2019,120 children with ophthalmologic surgery were enrolled in our hospital for ophthalmology.They were randomly divided into experimental group and control group,with 60 cases in each group.The experimental group was given appeasement and touch care and routine care.The control group was given routine care.We evaluated the medical fear,treatment coordination,and parental satisfaction of children undergoing slit lamp examination,non-contact intraocular pressure measurement,and eye drops treatment.Results:After the intervention,the children in the experimental group had significantly lower fears of the three examination treatments for crack lamp examination,non-contact eye pressure measurement and the use of eye medicine,and the difference was statistically significant(t=4.519,3.869,4.255;P<0.05).The children in the experimental group had higher coordination and statistical significance in the three examination treatments of crack lamp examination,non-contact eye pressure measurement and the use of eye medicine(χ^2=4.621,9.405,4.903;P<0.05);The parents satisfaction of the children in the experimental group was 83.3%,the parents satisfaction of the children in the control group was 71.7%,and the difference between the groups was statistically significant(χ^2=5.215,P<0.05).Conclusion:Appeasement and touch can reduce the medical fear and improve the degree of treatment coordination of children with ocular trauma.
作者
杨艳露
张楠楠
孙晓敏
YANG Yanlu;ZHANG Nannan;SUN Xiaomin(Department of Nephrology,The First Affiliated Hospital of Zhengxzhou University,Zhengzhou 450052,China)
出处
《中国健康心理学杂志》
2020年第7期1048-1052,共5页
China Journal of Health Psychology
基金
河南郑州市科技攻关项目(编号:141PPTGG464)。
关键词
儿童
安抚与触摸
医疗恐惧心理
治疗配合度
Children
Appeasement and touch
Medical fear
Treatment coordination
