Abstract:

Objective　To verify the application effect of graded psychological nursing intervention system in improving anxiety and depression in hospitalized children and adolescents. Methods　Totally 80 children and adolescents hospitalized in Deyang People's Hospital from June 2020 to June 2021 were randomly selected as the research objects and were divided into an experimental group and a control group with 40 cases in each group with the random number table. The control group received routine nursing intervention, and the experimental group received graded psychological nursing intervention. At the time of discharge, the scores of children's self-rating depression scale, children's anxiety disorder screening scale, and satisfaction evaluation scale were compared. Independent sample t test was used for the measurement data conforming to normal distribution, rank sum test was used for the measurement data conforming to abnormal distribution, and χ² test was used for the count data. Results　There were 40 children finally included in the experimental group and 39 children in the control group. In the experimental group, there were 21 males and 19 females, aged 10.0 (9.0, 17.0) years; there were 22 males and 17 females in the control group, aged 10.5 (8.0, 18.0) years. After intervention, there were statistically significant differences between the two groups in the scores of each item of children's self-rating depression scale except "liking to go out to play" and "stomach pain" (all P<0.05). After intervention, there were statistically significant differences in the scores of each item of children's anxiety disorder screening scale between the two groups (all P<0.05); the total score of the experimental group was lower than that of the control group [(14.33±1.93) points vs. (17.13±1.98) points] (P<0.05). After intervention, the total score of satisfaction evaluation scale in the experimental group was higher than that in the control group [(86.08±5.83) points vs. (73.28±14.65) points] (P<0.05). Conclusion　Graded psychological nursing intervention system can improve the anxiety and depression in hospitalized children and adolescents and improve their satisfaction, which is worthy of reference.

Key words: Children and adolescents, Anxiety, Depression, Graded psychological nursing

摘要： 目的　检验分级心理护理干预体系在改善儿童青少年住院患者焦虑抑郁情绪的应用效果。方法　随机选取于2020年6月至2021年6月入住德阳市人民医院的80例儿童青少年住院患者为研究对象，采用随机数字表法将其分为试验组与对照组各40例，对照组进行常规护理干预，试验组进行分级心理护理干预，于出院时比较儿童抑郁障碍自评量表、儿童焦虑性情绪障碍筛查表及满意度测评量表得分情况。计量资料符合正态分布采用独立样本t检验，计量资料不符合正态分布采用秩和检验；计数资料采用χ²检验。结果　试验组最终入选患儿40例，对照组最终入选患儿39例。试验组男性21例、女性19例，年龄10.0（9.0，17.0）岁；对照组男性22例、女性17例，年龄10.5（8.0，18.0）岁。干预后，除“喜欢出去玩”“肚子痛”两个条目得分差异无统计学意义外其余抑郁障碍自评量表各条目得分两组间差异均有统计学意义（均P<0.05）。干预后，两组焦虑性情绪障碍筛查表各项得分差异均有统计学意义（均P<0.05）；试验组总分低于对照组［（14.33±1.93）分比（17.13±1.98）分］（P<0.05）。干预后，试验组满意度测评量表总得分高于对照组［（86.08±5.83）分比（73.28±14.65）分］（P<0.05）。结论　分级心理护理干预体系可改善儿童青少年住院患者的焦虑抑郁情绪及提高患者的满意度，值得借鉴。

关键词: 儿童青少年, 焦虑, 抑郁, 分级心理护理