高位截瘫患儿早期心理护理及预防对策.docxVIP

高位截瘫患儿早期心理护理及预防对策 杨乃辉 宜宾市第二人民医院四川宜宾644000 【摘 要】目的：探讨ICU高位截瘫患儿的心理护理及预防对策。方法：选 择我院于2011年7月到2015年1月所收治的意外车祸中30例高位截瘫患儿分 析其心理反应(各种不适带来的恐惧感；ICU特殊环境的不适应；呼吸机使用的 痛苦；孤独无助的心理等)，对其中15例患儿在治疗后进行常规心理护理(常规 组)，对另外15例患儿(早期组)做好早期的心理护理及预防对策(熟悉ICU的 环境；改善良好的ICU环境，创造良好的睡眠条件；做好与患儿的沟通)。结果： 经过ICU治疗护理，30例均脱离危险，基木功能恢复正常，经治疗护理好转出 院的患儿常规组有11例,总有效率73.33%；早期组有15例,总有效率为100.00%o 对比显著，PV0.05,差异有统计学意义。结论：护理人员的早期心理护理在治疗 整个过程中起了非常重要的作用。 【关键词】ICU；心理护理；预防对策 【中图分类号】R473 【文献标识码】B 【文章编号】1674-8999 ( 2015 ) 8?0321-02 [Abstract】Objective:To study the ICU paraplegic children with psychological nursing and prevention countermeasures. Methods: our hospital from July 2011 to January 2015, 30 cases treated by accident in the car accident paraplegic patients an a lyze the psychological reacti on (all kinds of fear caused by the discomfort of the ICU special dont adapt to the environment; the pain of breathing machine use; lonely helpless psychological, etc.), including 15 cases of children with routine psychological nursing after treatment (normal group), another 15 cases of children with early (group) do early psychological nursing and prevention countermeasures (familiar with ICU environment; improve good ICU environment and create a good nights sleep condition, do the communication with children)?Results:After treatment in the ICU nursin g,30 cases were out of dan ger, the basic function retur ned to normal,the group of children were care improved conventional in 11 cases,total effective rate was 73.33%; Early group have 15 cases, the total effective rate was 100.00%.Of the contrast group (Plt;0.05),the differenee was statistically significant. Conclusion:Nurses‘ psychological nursing in the treatment of early played a very important role in the whole process. 【Key words] ICU;Psychological care;Prevention countermeasures 根据医学心理学理论，人的健康和疾病受心理学和社会等多方面因素的影响。 ICU主要是接收危重或大手术后的患者，病情会给患者带来极大的身体痛苦和心 理刺激⑴，尤其是意外车祸后对年龄在3?5岁的患儿是种严重的心理应激源，直 接影响患儿正常的心理活动，其至可能影响恢复效果。因此，早期做好ICU高位 截瘫患儿的心理护理非常重要，笔者在实践中体会到护理人员的早期心理护理在 治疗整个过程中起了非常重要