摘要
目的探讨双向综合心理干预配合健康教育对唇腭裂患儿的干预效果。方法选取2022年1月—2023年1月医院收治的60例唇腭裂患儿及其父母为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,每组30例。对照组行常规护理,观察组在常规护理基础上采用双向综合心理干预配合健康教育的模式。对比两组患儿希望水平及心理状态,评价父母的社会支持状况及其精神症状评分,以及患儿、父母的生活质量。结果干预前,两组患儿希望水平量表评分比较差异无统计学意义(P>0.05);干预后,观察组患儿希望水平量表评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患儿的汉密尔顿焦虑、抑郁评分及父母精神症状评分对比差异无统计学意义(P>0.05);干预后,观察组患儿汉密尔顿焦虑、抑郁量表评分及父母精神症状评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组父母社会支持评分对比差异无统计学意义(P>0.05);干预后,观察组患儿父母社会支持评分高于对照组,差异有统计学意义(P<0.05)。干预前,患儿、父母的生活质量评分对比差异无统计学意义(P>0.05);干预后,观察组患儿、父母的生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论双向综合心理护理配合健康教育可改善患儿、父母的生活质量,提升患儿的希望水平,改善心理健康;提升父母的社会支持状况,缓解精神症状,对患儿的持续治疗起到保障作用。
Objective To explore the effect of dual-way comprehensive psychological intervention with health education on children with cleft lip and palate.Methods 60 cases of children with cleft lip and palate and their parents admitted to the hospital from January 2022 to January 2023 were selected as research subjects,they were divided into observation group and control group according to the principle of comparability of basic characteristics between groups,with 30 cases in each group.In the control group,routine care was provided,in the observation group,dual-way comprehensive psychological intervention and health education were used on the basis of routine care.To compared the hope level and psychological status of the children in the two groups,evaluated the social support status of the parents and their psychiatric symptom scores,as well as the quality of life of the children and their parents.Results Before the intervention,there was no statistically signifi cant difference in the scores of hope level scale(P>0.05).After the intervention,the scores of positive attitudes toward the future,taking positive actions,and maintaining close relationships with others were higher than the scores of the control group in the hope level of the children in the observation group,the difference was statistically signifi cant(P<0.05).Before the intervention,there was no statistically signifi cant difference between the Hamilton anxiety and depression scores and the parents'psychiatric symptom score of the children in the two groups(P>0.05).After the intervention,the Hamilton anxiety and depression scale scores and the parents'psychiatric symptom score of the children in the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no statistically signifi cant difference in the comparison of the psychiatric symptom scores of the parents of the two groups(P>0.05);after the intervention,the psychiatric symptom scores of the parents in the observation group were lower than those of the control group,and the difference was statistically signifi cant(P<0.05).Before the intervention,there was no statistically signifi cant difference in the comparison of the quality of life scores of the children and parents(P>0.05).After the intervention,the quality of life scores of the children and parents in the observation group were higher than those in the control group,and the difference was statistically signifi cant(P<0.05).Conclusion Dual-way comprehensive psychological care with health education can improve the quality of life of children and parents,raise the level of hope of children and improve mental health;raise the social support status of parents,alleviate psychiatric symptoms,and play a role in guaranteeing the continuous treatment of children.
作者
郭洁
丁岩
张洁
郭琳琳
刘会云
GUO Jie;DING Yan;ZHANG Jie;GUO Linlin;LIU Huiyun(The First Affi liated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《护理实践与研究》
2024年第3期450-455,共6页
Nursing Practice and Research
基金
河南省高等学校重点科研项目计划(编号:22A320073)。
关键词
唇腭裂
双向综合心理护理
健康宣教
情感支持
精神健康
Cleft lip and palate
Dual-way comprehensive psychological care
Health education
Emotional support
Mental health
