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中国科学引文数据库（CSCD）核心库期刊
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中国护理管理 ›› 2026, Vol. 26 ›› Issue (2): 285-291.doi: 10.3969/j.issn.1672-1756.2026.02.023

• 专科管理 • 上一篇    下一篇

儿童ICU后创伤后应激障碍预防管理的循证实践

张葆荣 张丹 赵晓霜 关汭昕 鞠丽婷 孙海瑞 朱光影 王伟   

  1. 吉林大学第一医院小儿ICU科，130021 长春市（张葆荣，张丹，关汭昕，孙海瑞）；护理部（赵晓霜）；心理卫生科（朱光影）；感染症科（王伟）；吉林大学护理学院（鞠丽婷）
  • 出版日期:2026-02-15 发布日期:2026-02-15
  • 通讯作者: 孙海瑞，本科，副主任护师，副护士长，E-mail:shy2017@jlu.edu.cn
  • 作者简介:张葆荣，本科，主任护师，护士长
  • 基金资助:
    吉林大学第一医院2024年循证护理专项课题（JDYY-XZHL202408）

Evidence-based practice in the prevention and management of Post-Traumatic Stress Disorder in children discharged from PICU

ZHANG Baorong, ZHANG Dan, ZHAO Xiaoshuang, GUAN Ruixin, JU Liting, SUN Hairui, ZHU Guangying, WANG Wei   

  1. Pediatric Intensive Care Unit, The First Hospital of Jilin University, Changchun, 130021, China
  • Online:2026-02-15 Published:2026-02-15
  • Contact: E-mail:shy2017@jlu.edu.cn

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摘要： 目的：将儿童ICU后创伤后应激障碍预防管理证据进行临床转化，并评价其应用效果，为改善患儿心理结局提供借鉴。方法：以Stetler研究应用模式为指导，系统检索国内外关于儿童ICU后创伤后应激障碍管理相关文献，结合专家建议、利益相关人员意见及临床情景筛选证据，依据证据应用方法、层次、类型3方面制定临床实施策略。于2024年4月1日至10月31日，选取吉林省某三级甲等医院儿童重症监护病房为研究场所，比较循证实践前后护士创伤后应激障碍预防措施执行率及患儿出院后1、3、6、12个月的创伤后应激障碍发生率。结果：通过循证实践，各项预防措施执行率得到提升（P<0.05），患儿出院后1个月创伤后应激障碍发生率由22.0%降低为9.6%（P<0.05）。结论：基于Stetler研究应用模式构建的儿童ICU后创伤后应激障碍预防管理循证实施策略可有效提高创伤后应激障碍预防措施执行率，降低患儿出院后创伤后应激障碍发生率，改善患儿心理结局。

关键词: 创伤后应激障碍；儿童重症监护病房；ICU后综合征；循证护理

Abstract: Objective: To conduct clinical transformation of the evidence on the prevention and management of Post-Traumatic Stress Disorder (PTSD) in children discharged from Pediatric Intensive Care Unit (PICU), and evaluate its application effects, so as to provide a reference for improving the psychological outcomes of children. Methods: Guided by the Stetler Model of Research Utilization, a systematic literature review on pediatric post-ICU PTSD management was conducted. Evidence was synthesized and integrated with expert opinions and stakeholder feedback to develop tailored clinical implementation strategies. The PICU in a tertiary hospital in Jilin province was selected as the research site from April 1st to October 31st, 2024. Nurse compliance with PTSD prevention measures before and after evidence-based practice and the incidence of PTSD at 1, 3, 6, and 12 months after discharge of children were compared. Results: Nurse compliance with preventive measures was improved after the practice program (P<0.05). The incidence of PTSD in children was decreased from 22.0% to 9.6% after discharge (P<0.05).Conclusion: The evidence-based implementation strategy for preventing and management of PTSD in children discharged from PICU based on the Stetler model can effectively increase adherence to preventive measures, reduce the incidence of PTSD, and improve the psychological outcomes of children.

Key words: Post-Traumatic Stress Disorder; Pediatric Intensive Care Unit; post-intensive care syndrome; evidence-based nursing

中图分类号:  R47；R197
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