摘要
目的 探讨基于正面管教训练模式的家庭护理干预在儿童青少年情绪障碍患者中的应用.方法 采用便利抽样法,选取2016年6月-2017年12月无锡市精神卫生中心收治的儿童青少年情绪障碍患者74例作为研究对象,采用随机数字表法分为研究组(37例)和对照组(37例),两组均给予舍曲林治疗,研究组另给予基于正面管教训练模式的家庭护理干预,干预24周.对照组采用常规护理.比较两组患者干预前后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、父母养育方式评价量表(EMBU)、亲子关系诊断量表(PCRT)得分情况.结果干预前,两组的HAMA、HAMD、EMBU各因子得分、PCRT各分量表得分比较差异均无统计学意义(P>0.05);干预后,研究组的HAMA、HAMD得分均低于对照组,两组得分比较差异有统计学意义(P<0.05);干预后,研究组除偏爱被试因子外,其他父母养育方式因子得分与对照组相比差异均有统计学意义(P<0.05);干预后,研究组的PCRT各分量表得分均低于对照组,两组比较差异有统计学意义(P<0.05).相关性分析显示,PCRT的拒绝量表得分与父母的惩罚严厉和拒绝否认因子得分呈正相关(P<0.05),与情感温暖理解和偏爱被试因子得分呈负相关(P<0.05);支配量表得分与父母的惩罚严厉和过分干涉、保护因子得分呈正相关,与情感温暖理解因子得分呈负 相关(P<0.05);保护量表得分与父母的情感温暖理解、过分干涉、保护和偏爱被试因子得分呈正相关(P<0.05),与惩罚严厉因子得分呈负相关(P<0.05);服从量表得分与父母的情感温暖理解、偏爱被试因子得分呈正相关,与惩罚严厉、拒绝否认因子得分呈负相关(P<0.05).结论儿童青少年情绪障碍家庭存在父母教养方式不当和亲子关系不良的问题,两者具有相关性,基于正面管教训练模式的家庭护理干预可能通过改善父母教养方式,提升家庭沟通水平,融洽家庭氛围,和谐亲子关系,促进患者康复.
Objective To explore the effects of positive discipline training model-based family nursing in children and adolescents with emotional disorder. Methods From June 2016 to December 2017, we selected 74 children and adolescents with emotional disorder as subjects in Wuxi Mental Health Center by convenient sampling. All of the patients were divided into research group (n=37) and control group (n=37) with the method of the random number table. Two groups were all treated with Sertraline. Research group also carried out positive discipline training model-based family nursing for 24 weeks. Control group carried out rountine care. We compared the scores of Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Egma Minnen av Bardndosnauppforstran (EMBU) and Parent-child Relationship Test (PCRT) of patients between two groups. Results Before intervention, there were no statistical differences in the scores of HAMA, HAMD, factor scores of EMBU and subscale scores of PCRT (P>0.05). After intervention, the scores of HAMA and HAMD of research group were lower than those of control group with statistical differences (P< 0.05);there were statistical differences in the factor scores of EMBU except for preference factor between research group and control group (P<0.05);the subscale scores of PCRT of research group were lower than those of control group with statistical differences (P< 0.05). Correlation analysis showed that the score of rejection-scale of PCRT had positive correlations with the scores of mothers' punishment and sternness, and had negative correlations with the scores of emotional warmth and preference;the score of dominance-scale was positively correlated with the scores of mothers' punishment and sternness, over interference and protective factor, and was negatively related with the score of emotional warmth;the score of protective scale had positive correlations with the scores of emotional warmth, over interference, protection and preference, and had negative correlation with the score of mothers' punishment and sternness;the score of obedience-scale was positively correlated with the scores of mothers' emotional warmth and preference, and was negatively related with the scores of mothers' punishment and sternness as well as rejection. Conclusions There are improperly parental rearing pattern and bad parent-child relationship in family of children and adolescents with emotional disorder which has correlation with each other. Positive discipline training model-based family nursing can improve family communication, family atmosphere, parent-child relationship and patient's condition by improving parental rearing pattern.
作者
何黎艳
陆志新
苏旭江
卞樱芳
He Liyan;Lu Zhixin;Su Xujiang;Bian Yingfang(The Third Psychiatry Department,the Affiliated Wuxi Mental Health Center of Nanjing Medical University,Wuxi 214151,China;The Second Psychiatry Department,the Affiliated Wuxi Mental Health Center of Nanjing Medical University,Wuxi 214151,China)
出处
《中华现代护理杂志》
2019年第35期4600-4605,共6页
Chinese Journal of Modern Nursing
关键词
儿童
青少年
情绪障碍
亲子关系
家庭护理
Child
Adolescent
Emotional disorder
Parent-child relations
Family nursing
