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基于家庭需求的健康宣教模式对儿科ICU转出患儿家属转科应激压力情况的影响

The influence of family need-based health education mode on family members under stress caused by transferring their children out of pediatric ICU

摘要:

目的 探讨基于家庭需求的健康宣教模式对儿科重症监护病房(PICU)转出患儿家属转科应激压力情况的影响.方法 选取中国医科大学附属盛京医院PICU 2017年7-12月转出患儿家属40名为对照组,2018年4-9月转出患儿家属40名为观察组.对照组实施护士每天对家属进行常规健康宣教模式,观察组护士根据患儿家属入院24 h内及72~96 h的2次《重危患者家属需求量表》的填写结果,为患儿家属发放相应健康宣教的图文资料,并结合翻转课堂方法实施每天的健康宣教.比较2组患儿家属疾病不确定感水平、转科应激压力、以家庭为中心护理满意度.结果 观察组患儿家属疾病不确定感水平总分、转科应激压力总分分别为(80.05 ± 3.96)、(39.65 ± 2.41)分,均低于对照组的(99.70 ± 3.78)、(67.15 ± 2.38)分,差异均有统计学意义(t=-22.60、-50.21,P<0.01).观察组以家庭为中心护理满意度高于对照组,差异有统计学意义(P<0.05).结论 实施基于家庭需求的健康宣教模式有利于减少危重患儿转出PICU后患儿家属的疾病不确定感,降低其转科应激压力,从而提高PICU的以家庭为中心优质护理服务质量.

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abstracts:

Objective To explore the effect of family need-based health education mode on family members under stress caused by transferring their children out of pediatric intensive care unit(PICU). Methods A total of 40 family members of children transferred from PICU of Shengjing Hospital of China Medical University from July to December 2017 were selected as the control group, and 40 family members of children transferred from April to September 2018 were selected as the observation group. In the control group, daily routine health education mode were implemented by nurses on the relatives, while in the observation group, nurses provide the family members of children with corresponding graphic and text materials of health education according to the 2 copies of Critical Care Family Needs Inventory completed by their relatives within 24 hours and 72-96 hours of admission, and implement the daily health education combined with the Flipped Classroom method. The level of uncertainty in illness, stress in transfer and the satisfaction for family-centered nursing were compared between the groups. Results In the observation group, the total score of the family members′level of uncertainty in illness and stress in transfer were (80.05 ± 3.96) and (39.65 ± 2.41) points respectively, which were lower than those in the control group (99.70 ± 3.78) and (67.15 ± 2.38) points, and all the differences were statistically significant (t=-22.60,-50.21, P<0.01). The satisfaction for family-centered nursing in the observation group was higher than the control group, and the difference was statistically significant (P < 0.05). Conclusions The implementation of health education mode based on family needs is beneficial to reduce the level of uncertainty in illness of the family members of critically ill children transferred out of PICU, relieve the stress in transfer, and thus improving the family-centered high-quality nursing services in PICU.

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