先天性心脏病患儿父母术前需求及满足情况的调查

目的探讨先天性心脏病患儿父母术前需求状况及满足情况。方法选取105名先天性心脏病患儿父母为研究对象，采用急危重症患者家属需求量表（CCFNI）和急危重症患者家属需求满足程度量表（NMI）在术前1d对其进行问卷调查，统计其需求状况和满足状况并分析相关因素。结果回收有效问卷100份，有效回收率为95．2％；术前先天性心脏病患儿父母总体需求平均得分（3．24±0．46）分，总体满足程度平均得分（2．26±0．41）分；需求重要程度最高的3个维度分别是“增强信心和减轻焦虑需求”（3．70±0．29）分、“获取信息需求”（3．58±0．45）分和“接近患儿需求”（3．48±0．67）分，其中“获取信息需求”和“接近患儿需求”的满足程度平均得分较低，分别为（2．24±0．47）分和（2．28±0．46）分；多元逐步回归分析结果显示，患儿父母的年龄和文化程度是患儿父母术前需求的主要影响因素（r分别为0．196，0．248；P〈0．05）。结论先天性心脏病患儿父母术前需求程度较高，满足程度偏低。护理人员应了解先天性心脏病患儿父母术前需求情况，通过有效沟通和个体化的护理，及时满足患儿父母的需求，以提高护理质量。

Investigation of the preoperation requirements and its fulfillment of parents of congenital heart disease children

Objective To study the status of preoperation requirements and its fulfillment of parents of congenital heart disease children. Methods A total of 105 parents of congenital heart disease children were recruited and were investigated with the Critical Care Family Needs Inventory （ CCFNI ） and the Needs Met Inventory （NMI） on one day before children received the operation. Results Totals of 100 questionnaires were collected and the total average score of the patients＇ preoperation requirements was （3.24 ± 0.46） and the mean score of fulfillment was （2.26 ±0.41 ）. The high requirements dimensions were the requirement of enhancing the confidence and reducing anxiety （ 3.70 ± 0. 29 ）, the requirement of getting information （ 3.58 ± 0.45 ）, the requirement of accessing to children （ 3.48 ±0.67 ） , while the fulfillment score of the requirement of getting information and accessing to children was （ 2.24± 0.47 ） and （ 2.28 ± 0.46 ）. Multiple stepwise regression analysis showed that the patients＇ preoperation requirements was related with their age and education background （r=0. 196,0.248;P〈0.05）. Conclusions The requirements of parents of congenital heart disease children before operation is high and its fulfillment level is low. Nurses should know the needs of parents and support parents in time by effective communication and corresponding nursing to improve the nursing quality.