首次住院儿童青少年精神障碍患儿父母压力调查及干预研究

An investigation and intervention of psychological stress in the parents of children and adolescents with psychotic disorders which became inpatient at first time

目的调查首次住院儿童少年精神障碍患儿父母的心理压力状况,并通过干预指导,改善父母心理状况。方法采用心理身体紧张松弛测试表(PSTRI)和自编问卷的方法,对121例患儿父母的心理压力及对精神障碍相关知识了解程度进行了调查,并对其实施有针对性地干预指导。结果通过干预,患儿出院时其父母心理压力状况明显优于患儿入院时,有显著性差异(χ2=147.02,P<0.01);患儿父母在精神疾病基本知识、药物治疗知识、护理知识、促进康复知识、预防知识掌握上,入院时与出院时相比具有显著性差异(χ2=144.39～171.68,P<0.01)。结论首次住院的儿童少年精神障碍患儿父母心理压力普遍较重,对其进行有针对性地干预指导,可有效改善父母心理状况,有助于精神障碍患儿的治疗及减少复发。

Objective To explore psychological stress in the parents of children and adolescents with psychotic disorders which became inpatient at the first time,and improve the stress of the parents through intervention. Methods A total of 121 parents of children and adolescents with psychotic disorders were assessed with Psycho Srmatie - Tension - Relaxation Inventory （PSTRI） and a self--designed questionnaire about psychotic knowledge and received pertinent intervention according to the results. Results After the intervention, the psychological stress of parents were improved significantly（X^2=147.02, P〈0.01） and there were significant differences of psychotic knowledge in hasic information, somatotherapy, nursing care, rehabilitation and prevention （X^2=144.39-171.68, P〈0.01）. Conclusion It＇s serious for psychological stress in the parents of children and adolescents with psychotic disorders which became inpatient at the first time. The pertinent intervention should effectively improve the sress of parents, help treatment and decrease relapse of the children.