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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(P>0.05)。干预后两组家长SAS和SDS评分均较入院时显著减少(P<0.05),且观察组家长焦虑抑郁评分显著低于对照组(P<0.05);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(P<0.05),且观察组患儿的HDS、Fugl-Meyer评分均明显高于对照组(P<0.05)。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。
Objective To investigate the effects of psychological nursing intervention on the intelligence and motor function of children with viral encephalitis. Methods Eighty-six cases of children with viral encephalitis admitted to our hospital were enrolled. According to the principle of randomization, 86 parents were divided into observation group and control group, with 43 cases in each group. The parents of the control group were given general health education. The parents of the observation group gave psychological intervention on the basis of general health education. The anxiety and depression of the parents were evaluated on the day of admission and before discharge. The children in both groups were followed up for 6 months, Take HDS intelligence test scale and Fugl-Meyer motor function test scale to evaluate the recovery of intelligence and motor function in both groups. Results Before intervention, there was no significant difference between HDS and Fugl-Meyer scores in both groups (P> 0.05). However, there was no significant difference between the two groups in SAS (anxiety self-rating scale and SDS) . After intervention, SAS and SDS scores of both groups were significantly decreased (P <0.05), and anxiety and depression scores in the observation group were significantly lower than those in the control group (P <0.05). After 6 months of follow-up, HDS, Fugl-Meyer scores were significantly higher than those on the day of admission (P <0.05). The HDS and Fugl-Meyer scores of the observation group were significantly higher than those of the control group (P <0.05). Conclusion Psychological intervention in children with viral encephalitis in children after the mental and motor function in the future recovery have a significant effect, can effectively improve the prognosis of children.