| Objective:Investigation the present situation of severe hand foot and mouth disease in children’s parents anxiety and depression; Evaluate the intervention of “Family-Centered Care” mode in remission of severe hand foot and mouth disease,in parents of children with anxiety and depression; Evaluate the parents degree of satisfaction of “Family-Centered Care” mode. Methods: Experimental study, non synchronous control. By convenient sampling method to select children and their parents and 55 of severe hand foot mouth disease from June 1, 2013 to august31 st, who hospitalized in the ward of Lin Yi People’s Hospital, as control group,treatment and care in conventional way; select another group of 55 children and their parents hospitalized May 1, 2014 to July 31 st as the intervention group,implement the “Family-Centered Care” intervention, the intervention includes psychological support, information support, family involvement in the cooperative care of children, participate in the invasive treatment, establish a family exchange platform and so on. Using the general information questionnaire to collect demographic data of children and their parents. Using the SAS and SDS to measure anxiety, depression level of parents, the intervention effect evaluation before intervention, 2 weeks and 1 weeks intervention; using the MPOC-20 and the CSQ-8 to measure the parents’ satisfaction in the“Family-Centered Care” intervention. For statistical analysis using SPSS13.0. Results:(1) 110 cases of severe hand foot and mouth disease of children and their parents group completed the study, the two groups was not statistically significant differences in general information, comparable. Before the intervention of parents with self rating anxiety scale, self rating depression scale showed, SAS total score of(45.55±10.21)points, SDS total score was(48.39 ± 9.83) and are respectively connected with thedomestic norm value(29.78±10.01),(33.46±8.55) points difference was significant statistical significance(P=0.000<0.01), of which 36 cases(32.7%) had depression, a total of 37 patients(33.6%) had anxiety.(2) Before the intervention group of parents of children with SAS score(45.45±10.55), the intervention group score(45.64±9.96),the control group of parents of children with SDS score(48.31±9.55), intervention group was(48.47±10.19), more than two group had no statistical significance(P >0.05).(3) 1 weeks of intervention, the two group of parents of children with SAS scores were(44.43±9.38),(44.87±9.41), with no significant difference between two groups(P=0.829>0.05). The 2 week intervention, two groups of parents’ SAS scores were(42.2±9.04),(36.93±5.80), there was significant difference between two groups(P=0.000<0.01).(4) Intervention for 1 weeks, two groups of parents SDS scores were(45.55±8.39),(44.45±8.58), the two groups had no significant difference between the statistical significance(P=0.718>0.05). The 2 week intervention, two groups of parents SDS scores were(43.48±7.53),(39.23±8.3), there was significant difference between two groups(P=0.000<0.01).(5) Intervention care process evaluation group family scale(MPOC-20) total score as well as in the authorization and cooperation(EP), provides basic information(PGI), to provide for the children with PSI and special information, coordination and comprehensive care(CCC), respect and supportive care(RSC) in 5 dimensions the scores were significantly higher than those in the control group of parents of children(P<0.01). The intervention group family of customer satisfaction scale(CSQ-8) scores were significantly higher than those in the control group, the difference was statistically significant(P<0.01). Conclusion:(1)“Family-Centered Care” intervention to alleviate the severe hand foot and mouth disease in parents of children with anxiety and depression; improve the children comfort, promoting recovery from illness.(2)“Family-Centered Care” mode can improve the parents with satisfaction to the nursing service. |
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