家长心理干预对婴幼儿高压氧治疗不依从的影响

Affect of the psychological intervention on parents in lower compliance with hyperbaric oxygen treatment in infants

目的:评价家长心理干预对婴幼儿门诊高压氧治疗不依从的影响。方法:对67例高压氧治疗不依从患儿的家长进行心理干预,采用自编《婴幼儿高压氧治疗依从性评价表》进行评价,比较干预前后治疗依从性的变化。结果:干预前家长态度,犹豫不决11例,基本不接受34例,坚决不接受而离开22例;心理干预后,乐意接受12例,基本能接受13例,犹豫不决14例,基本不接受12例,坚决不接受而离开16例;两组比较差异有统计学意义(χ2=36.83,P<0.01);《婴幼儿高压氧治疗依从性评价表》干预前得分为(1.84±0.68)分,干预后为(2.90±1.44)分;两组比较差异有统计学意义(t=-5.4454,P<0.01),37.3%转变态度后接受治疗。结论:对家长进行心理干预是处理婴幼儿高压氧治疗中治疗不依从问题的有效手段之一。

Objective： To evaluate the effect of the psychological intervention on parents in the lower compliance with hyperbaric oxygen treatment（HBOT） in infants and young children＇s clinic. Methods： 67 parents of lower compliance in HBOT had psychological intervention. Measured with self-made compliance questionnaire, to compare the changes before intervention and after. Results： The attitude of the parents before the intervention, 11 cases of hesitation, 34 cases of not accepting generally, 22 cases of resolutely leaving. The attitude after the intervention, 12 cases of willing to accept, 13 cases of generally accepting, 14 cases of hesitation, 12 cases of resolutely leaving;there was a significant difference between the two groups （Х^2=36.83, P〈0.01）. According to seff-made compliance questionnaire, the score was （1.84±0.68） scores before intervention and （2.90±1.44） scores,there was a significant difference between the two groups（t=-5.445 4 ,P〈 0.01） after intervention. Conclusion： The psychological intervention on parents is effective to patients with low compliance in HBOT.