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正念注意-接纳护理在支气管肺炎患儿中的应用

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目的:探讨正念注意-接纳护理在支气管肺炎患儿中的应用效果。方法:选取 2022 年 2 月 1 日~12 月 31 日收治的 90例支气管肺炎患儿和 90 名照顾者,根据随机数字表法分为常规组和观察组各 45 例患儿和 45 名照顾者,常规组给予常规护理,观察组给予正念注意-接纳护理;比较两组患儿症状(发热、咳嗽、气促、精神不振)消失时间,干预前后照顾者压力[采用照顾者压力量表(CSI)]、正念水平[采用正念注意觉知量表(MAAS)]、照顾者应对方式[采用医学应对方式量表(MCMQ)]、家庭疾病管理能力[采用家庭管理测量量表(FaMM)]。结果:观察组患儿发热、咳嗽、气促、精神不振消失时间短于常规组(P<0。01);干预后,两组MAAS、MCMQ中面对维度、FaMM中疾病管理能力维度评分均高于干预前(P<0。05),CSI、MCMQ中回避维度和屈服维度、FaMM中疾病管理困难维度评分均低于干预前(P<0。05),且观察组优于常规组(P<0。01,P<0。05)。结论:正念注意-接纳护理可促进支气管肺炎患儿症状恢复,缓解照顾者的心理压力,提高照顾者正念水平,引导照顾者以积极心态应对患儿病情,提高其疾病管理能力。
Application of Mindfulness Attention-Acceptance Nursing in Children with Bronchopneumonia
Objective:To explore the application effect of mindfulness attention-acceptance nursing in children with bronchopneumonia.Methods:A total of 90 children with bronchopneumonia admitted from February 1,2022 to December 31,2022 and 90 caregivers were se-lected and divided into the conventional group group and the observation group by the random number table method,with 45 children and 45 caregivers in each group.The conventional group was given conventional nursing,and the observation group was given mindfulness atten-tion-acceptance nursing.The improvement time of symptoms(fever,cough,shortness of breath,and lethargy)as well as caregiver stress by Caregiver Stress Inventory(CSI),mindfulness level by Mindful Attention Awareness Scale(MAAS),caregiver coping styles by Medical Coping Modes Questionnaire(MCMQ)and family disease management ability by Family Management Measure(FaMM)before and after in-tervention were compared between the two groups.Results:The improvement time fever,cough,shortness of breath,and lethargy was shorter in the observation group than those in the conventional group(P<0.01).After intervention,the scores of MAAS,MCMQ facing dimension and FaMM disease management ability dimension were higher in both groups(P<0.05),while the scores of CSI,MCMQ avoidance dimen-sion and yielding dimension and FaMM disease management difficulty dimension were lower than those before intervention(P<0.05),and were lower in the observation group than those in the conventionsl group(P<0.01,P<0.05).Conclusion:Mindfulness attention-accept-ance nursing can promote the recovery of symptoms in children with bronchopneumonia,relieve the psychological stress of caregivers,im-prove the mindfulness level of caregivers,guide caregivers to face the disease with a positive attitude,and enhance the disease manage-ment ability.

Mindfulness attention-acceptance nursingBronchopneumoniaCaregiversMindfulnessEmotional management

董灵芝、周敏萍、顾晓燕

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苏州大学附属儿童医院 江苏苏州 215000

正念注意-接纳护理 支气管肺炎 照顾者 正念水平 情绪管理

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(1)
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