精神状态方面剖析_非语言沟通对小儿患者综合治疗状态的影响研究
[摘要] 目的 分析研究非语言沟通对小儿患者综合治疗状态的影响。 方法 将2009年6月～2011年8月我院儿科110例患者根据随机数字表法分为对照组（常规沟通干预组）和观察组（加强非语言沟通组），每组各55例。将两组患儿干预前和干预后1周及2周内的服药情况、静脉穿刺及检查过程中的遵从性、舒适度及患儿家长满意率进行比较。 结果 观察组干预后1周及2周内的服药情况、静脉穿刺及检查过程中的遵从性和舒适度均好于对照组，家长满意率高于对照组，差异均有统计学意义（均P ＜ 0.05）。 结论 加强非语言沟通对于改善小儿患者综合治疗状态发挥着积极的作用，患儿住院期间的舒适度也更高，受到家长广泛欢迎。
[关键词] 非语言沟通；小儿患者；治疗遵从性；影响
[中图分类号] R473 [文献标识码] A [文章编号] 1673-7210（2012）07（a）-0124-03
Study of influence of nonverbal communication for the comprehensive treatment state of pediatric patients
LI Xuejuan1 XU Fengmei1 WANG Jianping1 MA Ming1 LI Xuefeng2 MAN Shengnan3
1.Hospital Management Office, General Hospital of Daqing Oil Field, Heilongjiang Province, Daqing 163000, China; 2. Second Affiliated Hospital of Red Flag Hospital of Mudanjiang City, Heilongjiang Province, Mudanjiang 157100, China
[Abstract] Objective To study the influence of nonverbal communication for the comprehensive treatment state of pediatric patients. Methods 110 pediatric patients in our hospital from June 2009 to August 2011 were divided into control group (routine communication intervention group) and observation group (intensive nonverbal communication group) with 55 cases in each group according to the random number table, and the treatment compliance during taking medicine, venipuncture and examination before and after the intervention at first and second week, comfort degree and parents′ satisfaction degree of two groups were compared. Results The treatment compliance during taking medicine, venipuncture, examination and comfort of observation group after the intervention at first and second week were better than those of control group, parents′ satisfaction rate was higher than that of control group, there were all significant differences (all P ＜ 0.05). Conclusion The intensive nonverbal communication plays an active role in improving the comprehensive treatment state of pediatric patients, the comfort degree during hospitalization is better, so it is welcomed to parents.
[Key words] Nonverbal communication; Pediatric patients; Treatment compliance; Influence
临床治疗护理过程中患者对于治疗护理的认同性及遵从性一直是研究重点之一，尤其是小儿患者，因对治疗的认同性较低，加之对治疗干预的恐惧，故治疗遵从性较差，而患儿对于治疗遵从性较差甚至抗拒的现状对于治疗检查措施的顺利进行极为不利[1-2]，因此对于治疗效果和速度也产生不良影响。本文中笔者就非语言沟通对小儿患者综合治疗状态的影响进行研究，研究结果分析如下：
1 资料与方法
1.1 一般资料
将2009年6月～2011年8月我院儿科的110例患者根据随机数字表法分为对照组（常规沟通干预组）和观察组（加强非语言沟通组），每组各55例。对照组中，男25例，女30例；年龄1.0～11.5岁，平均（6.2±1.7）岁；病程1.5～4.5 d，平均（2.7±0.4）d；疾病种类：肺炎15例，腹泻13例，肾病综合征10例，哮喘9例，其他8例。观察组中，男26例，女29例；年龄1.0～12.0岁，平均（6.3±1.6）岁；病程1.5～5.0 d，平均病程（2.8±0.3）d；疾病种类：肺炎15例，腹泻14例，肾病综合征9例，哮喘9例，其他8例。两组患儿一般情况比较差异均无统计学意义（P ＞ 0.05），具有可比性。