二次复发手足口病患儿家属的心理特征及心理护理研究

目的分析二次复发手足口病患儿家属的心理特征,探讨心理护理干预效果。方法将2013年1月—2014年1月期间在温州医科大学附属第二医院就诊的二次复发手足口病患儿的家属60例纳入研究对象,采用数字表法随机分为对照组和观察组各30例,对照组给予常规护理干预,观察组联合心理护理干预,采用HAMA、HAMD、SAS、SDS、症状自评量表SCL90评估患儿及家属的心理状态、全身症状。结果二次复发手足口病患儿家属的HAMA、HAMD、SAS、SDS评分均高于健康儿童家属;观察组患儿家长的HAMA、HAMD、SAS、SDS评分以及躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性、附加项目评分均低于对照组患儿家属;观察组护理满意度（90.00%）明显高于对照组的73.33%（χ2=6.458,P〈0.05）。结论二次复发手足口病患儿家属存在焦虑和抑郁情绪,给予心理干预可以缓解负面情绪、控制全身症状,具有积极的临床价值。

Study of psychological characteristics and psychological nursing in family members of children with two relapse in hand foot mouth disease

Objective To investigate the psychological characteristics of family menbers of children with two relapse in hand foot mouth disease, and explore psychological nursing intervention effect. Methods 60 cases family members of children with two relapse in hand foot mouth disease from Jan. 2013 to Jan. 2014 were enrolled and randomly divided in- to observation group given routine nursing combined with psychological intervention and control group given routine nursing care. HAMA and HAMD, SAS, SDS and SCL90 scale were used to evaluate psychological state and systemic symp- toms. Results HAMD, HAMA, SAS, and SDS score of family members of children with two relapse in hand foot mouth disease were higher than health children family members ; HAMA, HAMD, SAS, SDS score and somatization, obsessive- compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, terror, paranoid, psychotic, additional item scores of observation group were lower than those of control group. Nursing satisfaction （90%） in observation group was significantly higher than that of control group （χ5 = 6. 458, P 〈 0. 05 ）. Conclusion Family members of children with two relapse in hand foot mouth disease had anxiety and depression, psychological intervention had positive clinical value for it can alleviate negative emotions and control systemic symptoms.