肢体语言沟通在小儿护理中的应用效果分析
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【摘要】 目的 研究肢体语言沟通在小儿护理中的应用效果。方法 100例二科门诊就诊患儿， 按照入院先后顺序分为对照组与观察组， 各50例。对照组患儿应用常规护理， 观察组患儿在对照组基础上应用肢体语言沟通。比较两组患儿依从性、护理相关不良事件发生情况及家长满意度。结果 观察组患儿依从性为92.00%， 明显高于对照组的72.00%， 差异具有统计学意义（P<0.05）。观察组治疗护理路径变异、患儿哭闹拒绝治疗、强制治疗护理操作、照料不周导致病情变化、护患纠纷发生率均明显低于对照组， 差异具有統计学意义（P<0.05）。观察组家长满意度为94.00%， 明显高于对照组的78.00%， 差异具有统计学意义（P<0.05）。结论 肢体语言沟通应用于患儿护理中有助于依从性、家长满意度的提高， 可减少护理相关不良事件发生， 具有较高的临床推广应用价值。
【关键词】 儿科;肢体语言沟通;依从性;不良事件;满意度
DOI：10.14163/j.cnki.11-5547/r.2019.22.070
【Abstract】 Objective To study the application effect of body language communication in pediatric nursing. Methods A total of 100 children in pediatric outpatient clinic were divided by admission order into control group and observation group， with 50 cases in each group. The control group received conventional nursing， and the observation group received body language communication on the basis of the control group. The compliance， occurrence of nursing related adverse events and degree of parental satisfaction were compared in two groups. Results The observation group had obviously higher compliance as 92.00% than 72.00% in the control group， and the difference was statistically significant （P<0.05）. The observation group had obviously lower incidence of variation of treatment and nursing pathway， crying refusal of treatment for children， compulsory treatment and nursing operation， poor care leading to changes in the condition of disease， and nurse-patient disputes than the control group， and the difference was statistically significant （P<0.05）. The observation group had obviously higher degree of parental satisfaction as 94.00% than 78.00% in the control group， and the difference was statistically significant （P<0.05）. Conclusion The application of body language communication in children’s nursing can help improve compliance and degree of parental satisfaction， and reduce the occurrence of nursing-related adverse events. It contains high clinical promotion and application value.
【Key words】 Pediatric department; Body language communication; Compliance; Adverse events; Satisfaction degree
儿科是医院护理投诉率、护患纠纷发生率均较高的科室之一[1， 2]， 小儿会因身体不适、环境陌生等情况出现不良情绪， 对治疗和护理存在抗拒心理， 加上小儿的沟通、配合能力均较差[3]， 且无法准确表达自己感受， 自主意识不强， 对医院治疗及护理的顺利开展产生了不良影响， 因此对护理工作的要求越来越高。通过与小儿有效沟通， 可促进其依从性提高， 故在小儿护理中应选择合适的沟通方法。本文研究肢体语言沟通在小儿护理中的应用效果， 现报告如下。
1 资料与方法
1. 1 一般资料 选取本院2017年8月～2018年7月儿科门诊就诊的100例患儿作为研究对象， 纳入标准：①病情轻微患儿;②患儿可在家长帮助下接受护理。排除标准：①手足口病患儿;②存在先天性疾病、器质性病变患儿;③监护人不明确， 或家长不同意参与本次研究。将患儿按照入院先后顺序分为对照组与观察组， 各50例。对照组患儿男27例， 女23例;年龄1～5岁， 平均年龄（3.20±1.02）岁。观察组患儿男26例， 女24例;年龄1～6岁， 平均年龄（3.30±1.08）岁。两组患儿一般资料比较， 差异无统计学意义（P>0.05）， 具有可比性。
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