缺血性脑病患儿高压氧疗疗法对SAS、SDS影响分析

摘要

Objective:To study and analyze the effect of early psychological intervention on the scores of SAS and SDS in children with hypoxic-ischemic encephalopathy undergoing hyperbaric oxygen therapy.Methods: A total of 64 children with hypoxic-ischemic encephalopathy enrolled in our hospital from July 2015 to July 2016 and their parents were selected as study subjects.The patients were treated with hyperbaric oxygen therapy, while their parents were given early psychological intervention.Various methods such as increasing parents' awareness of the disease, helping parents build confidence in their children's treatment, and encouraging them to participate in daily training for their children were adopted to relieve their anxiety and depression.The parents' cognition of disease, the effect of hyperbaric oxygen therapy and the scores of SAS and SDS were observed before and during the treatment.Results: After effective intervention, the scores of SAS and SDS of 64 parents were significantly lower than those before treatment.After 1 course of intervention, the score of SAS was (43.36±1.27), and the score of SDS was (45.22±8.13).After 2 courses of intervention, the score of SAS was (41.07±1.21) and the score of SDS was (42.35±7.44).Moreover, parents' awareness of hypoxic-ischemic encephalopathy was significantly increased, and the differences between the two groups were statistically significant (P <0.05).Conclusions: Early psychological intervention on parents of children with hypoxic-ischemic encephalopathy can effectively enhance the awareness of parents on the disease, so as to improve their acceptance of hyperbaric oxygen therapy, and significantly reduce the scores of parents' SAS and SDS.It is beneficial to build a good doctor-patient and nurse-patient relationship, improve the treatment effect and shorten the treatment time.%目的:研究分析家长早期心理干预对接受治高压氧疗缺氧缺血性脑病患儿SAS、SDS评分的影响.方法:选取2015年7月至2016年7月间我院64例缺氧缺血性脑病患儿家长为研究对象,对患儿应用高压氧疗进行治疗,同时对家长进行早期心理干预,通过增加家长对疾病的认识高度、帮助家长建立治疗的信心、鼓励其一起参与对患儿每日的训练等方式缓解家长的焦虑、抑郁情绪,观察治疗前与治疗期间家长对疾病的认知情况、对高压氧疗治疗能力以及SAS与SDS的评分变化.结果:经过有效的心理干预,64例家长的SAS、SDS评分较之干预前均明显下降,干预1个疗程后其SAS评分为(43.36±1.27)分、SDS评分为(45.22±8.13)分,干预2个疗程后其SAS评分为(41.07±1.21)分、SDS评分为(42.35±7.44)分,家长对于缺氧缺血性脑病的认识程度则有了明显的上升,组间数据对比差异均具有统计学意义(P<0.05).结论:对缺氧缺血性脑病患儿家长进行早期心理干预,可以有效的提高家长对疾病的认识程度,从而提高其对高压氧疗治疗的接受能力,显著降低了家长SAS、SDS评分,利于构建良好的医患、护患关系,同时利于提高对患儿的治疗效果并缩短治疗时间.