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目的探讨小儿过敏性紫癜认知障碍的心理干预护理效果。方法选择我院2012年4月-2016年2月小儿过敏性紫癜认知障碍患儿75例作为对象,将上述纳入的患儿随机分为常规组和心理干预组。常规组采取常规护理;心理干预组在常规组基础上强化心理干预护理。比较两组患儿家长满意度;护理前后精神焦虑评分、躯体焦虑评分、腹部疼痛评分;小儿过敏性紫癜认知评分、遵医行为评分。结果心理干预组患儿家长满意度显著比常规组高(P<0.05);两组患儿护理前精神焦虑评分、躯体焦虑评分、腹部疼痛评分无显著差异(P>0.05);心理干预组护理后精神焦虑评分、躯体焦虑评分、腹部疼痛评分显著比常规组好,(P<0.05);心理干预组小儿过敏性紫癜认知评分、遵医行为评分显著比常规组高(P<0.05)。结论小儿过敏性紫癜认知障碍的心理干预护理效果确切,可有效减轻患儿焦虑情绪,提高过敏性紫癜认知和遵医行为,缓解腹痛,提升家长对护理服务的满意度,值得推广。
Objective To investigate the effect of psychological intervention nursing care on children with Henoch-Schonlein purpura cognitive impairment. Methods Seventy-five children with cognitive impairment in children with allergic purpura from April 2012 to February 2016 in our hospital were selected as subjects. The above-mentioned children were randomly divided into routine group and psychological intervention group. The conventional group took the routine nursing; the psychological intervention group strengthened the psychological intervention nursing based on the conventional group. Parental satisfaction was compared between the two groups. Mental anxiety scores, physical anxiety scores, abdominal pain scores before and after nursing, cognitive scores of children with Henoch-Schonlein purpura, and scores of compliance with medical practice. Results The parents’ satisfaction in the psychological intervention group was significantly higher than that in the conventional group (P <0.05). There was no significant difference in pre-care mental anxiety scores, physical anxiety scores and abdominal pain scores between the two groups (P> 0.05) (P <0.05). Psychological anxiety score, physical anxiety score and abdominal pain score were significantly higher than those in the conventional group (P <0.05). Cognitive score and compliance score were significantly higher in the psychological intervention group than those in the conventional group (P <0.05). Conclusion Psychological intervention for children with Henoch-Schonlein purpura is effective in relieving anxiety, improving cognition and compliance of allergic purpura, relieving abdominal pain and improving parents’ satisfaction with nursing services. It is worth promoting.