实用临床医药杂志2024,Vol.28Issue(2) :96-100.DOI:10.7619/jcmp.20232860

诺丁斯关怀理论对先天性并指畸形患儿心理健康及生活质量的影响

Impact of Noddings care theory on the mental health and quality of life of children with congenital syndactyly

盛超 王青玉 钟文耀 田文
实用临床医药杂志2024,Vol.28Issue(2) :96-100.DOI:10.7619/jcmp.20232860

诺丁斯关怀理论对先天性并指畸形患儿心理健康及生活质量的影响

Impact of Noddings care theory on the mental health and quality of life of children with congenital syndactyly

盛超 1王青玉 1钟文耀 1田文1
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作者信息

  • 1. 首都医科大学附属北京积水潭医院手外科,北京,100035
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摘要

目的 探讨诺丁斯关怀理论护理对先天性并指畸形患儿心理健康、生活质量的影响.方法 选取136例先天性并指畸形患儿作为研究对象,采用随机数字表法分为对照组和干预组,每组68例.对照组采用常规护理,干预组采用诺丁斯关怀理论护理.观察2组患儿并发症发生情况,比较2组患儿干预前后生活质量[世界卫生组织生活质量测定量表简表(QOL-BREF)评分]、心理健康状况[少儿心理健康量表(MHS-CA)评分].结果 干预组并发症发生率(2.94%)低于对照组(13.24%),差异有统计学意义(P<0.05).干预后,2组QOL-BREF各维度(心理、生理、生活环境、社会关系)评分均高于干预前,且干预组评分高于对照组,差异有统计学意义(P<0.05);干预后,2组MHS-CA各维度(思维语言、认知功能、意志行为、个性特征、情绪体验)评分均高于干预前,且干预组评分高于对照组,差异有统计学意义(P<0.05).结论 诺丁斯关怀理论护理可改善先天性并指畸形患儿心理健康状况,提高生活质量,并减少并发症.

Abstract

Objective To investigate the impact of the nursing theory of Noddings care on the mental health and quality of life of children with congenital syndactyly.Methods A total of 136 chil-dren with congenital syndactyly were selected as study subjects,and were randomly divided into control group and intervention group,with 68 children in each group.The control group received routine nurs-ing,and the intervention group received nursing theory of Noddings care.The occurrence of complica-tions in the two groups was observed,and the quality of life[World Health Organization Quality of Life Scale(QOL-BREF)score]and mental health status[Mental Health Scale for Children(MHS-CA)score]of the two groups before and after intervention were compared.Results The incidence of com-plications in the intervention group was lower than that in the control group(2.94%versus 13.24%,P<0.05).After intervention,the scores of QOL-BREF dimensions(psychological,physiological,living environment,social relations)in both groups were higher than those before intervention,and the scores in the intervention group were higher than those in the control group(P<0.05).After inter-vention,the scores of MHS-CA dimensions(thinking language,cognitive function,will behavior,per-sonality characteristics,emotional experience)in both groups were higher than those before interven-tion,and the scores in the intervention group were higher than those in the control group(P<0.05).Conclusion Noddings care theory nursing can improve the mental health status,enhance quality of life of children with congenital syndactyly,and reduce their complications.

关键词

先天性并指畸形/诺丁斯关怀理论/心理健康/生活质量

Key words

congenital syndactyly/Noddings care theory/mental health/quality of life

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基金项目

科技创新2030—"新一代人工智能"重大项目(2022ZD0116000)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
参考文献量22
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