心理护理对介入治疗先天性心脏病患儿的效果分析

论文编号:HL084  论文字数:11071.页数:17

论文题目：心理护理对介入治疗先天性心脏病患儿的效果分析
摘 要
 目的:探讨护理干预对先心患儿介入治疗效果的影响。
 方法:选择需住院接受手术治疗的先天性心脏病患儿80例，随机分为两组，即实验组(n=40)和对照组(n=40)，术前准备及常规护理两组相同，实验组在术前3d给予心理干预。观察两组患儿的心理状态、术前的血压和心率、术后呼吸机应用时间及被动卧床天数。
 结果:实验组与对照组比较，紧张、恐惧情况明显好转、术前血压和心率稳定、术后平均呼吸机应用时间及被动卧床天数缩短（P＜0.05）。
 结论:护理干预能改善先天性心脏病患儿介入治疗过程中的不良心理行为，使其以最佳心理状态接受手术治疗，并且有利于患儿的顺利康复。

关键词:介入治疗；心理干预；先天性心脏病

论文类型：应用性研究

 Title: The influence of the psychological nursing in congenital heart diseases of children
ABSTRACT
 Objective：To investigate the effect of psychological intervention in perioperative operation nursing for elder children with Congenital Heart Disease(CHD).
 Methods：Selected 80 patients who were accepted operation treatment in the central hospital of Zhumadian，an 80 case were randomly divided into experimental group(n=40)and control group(n=40)，two groups using the same eonventionnal nursin before and after operation.3 days before operation，in experimental group were given psychological intervenetion，To observe psychological states，blood pressure and heart rate before operation，the mean time of using ventilator in ICU and the mean days of passive bedbound afterperation.
 Results：The result shows that the stress and fear situation，blood pressure and heart rate were recovered normal basically in experimental group，it was better than in control group.
 Conclusion：The psychological intervenetion in perioperative nursing may impmve the ill psyehologyeal behavior of CHD，let them to accept operation with the best metation and promoting rehabilitation after operation.

Keywords：Perioperative operation；Psychological intervention；Congenital Heart Disease

目  录
摘 要 IV
ABSTRACT V
1 绪论 1
1.1背景及意义 1
1.2目的及目标 3
1.3关键词定义 3
1.3.1  介入治疗 3
1.3.2  心理干预 4
1.3.3  先天性心脏病 4
1.4文献回顾 4
1.4.1  先心病儿童的智能发育 4
1.4.2  情绪和行为问题 5
1.4.3  自我意识和社会适应 5
1.4.4  亲子关系及对家庭的影响 6
1.4.5  干预现状和展望 6
2 研究设计 8
2.1研究设计 8
2.2研究对象 8
2.3研究方法 8
2.4研究步骤 9
2.5统计分析 9
3.结果 10
3.1一般资料 10
3.2两组患儿护理前后的心理状态比较(表1) 10
3.3进人手术室后5min两组患儿心率、血压比较(表2) 10
3.4两组患儿术后呼吸机应用时间、被动卧床天数比较（表3） 10
4.讨论 11
4.1手术前的心理干预 11
4.2手术后的心理干预 11
5.推论与建议 12
参考文献 13
致谢 14