萨提尔治疗模式对农村脑卒中患者自尊及家庭关系的影响

Effect of the Satir model on self-esteem and family relationships of cerebral apoplexy patients

目的探讨萨提尔家庭治疗模式对农村脑卒中患者自尊水平及家庭关系的影响，以有助于其居家时的日常生活与康复治疗。方法将脑卒中患者60例随机分为实验组和对照组各30例，对实验组患者及家庭运用萨提尔模式进行干预，对照组无干预。在干预前及干预后对两组进行自尊量表及家庭环境量表的测评，比较两组效果。结果干预前两组患者自尊得分、家庭环境量表各因子得分比较差异无统计学意义（P〉0．05）。干预2个月后，实验组患者自尊得分（18．2±1．82）分，亲密度（4．00±1．05）分，矛盾性（1．80±0．99）分，对照组得分分别为（14．2±3．32），（3．20±0．92），（3．80±1．06）分，差异均有统计学意义（t=5．774，3．131，7．516；P〈0．01）；实验组情感表达、娱乐性、道德得分高于对照组（P〈0．05）；干预3个月后两组患者家庭环境量表得分（除组织性、控制性外）比较差异均有统计学意义（P〈0．05）；实验组亲密度、情感表达、娱乐性、道德及自尊得分干预后高于干预前，矛盾性、独立性得分低于干预前（P〈0．05）。结论家庭支持对脑卒中患者的康复治疗起着至关重要的作用，而萨提亚家庭治疗模式能明显改善患者的家庭关系、提高患者的自尊水平，使家庭成员共同为患者的身、心康复提供全面支持。

Objective To stucly the effect of the Satir model on self-esteem and family relationships of cerebral apoplexy patients. Methods Sixty stroke patients were randomly divided into experiment group （30 cases） and control group （30 cases）. The patients and their family in the experimental group underwent the intervention of the Satir model and the conventional rehabilitation. The patients in control group were given conventional rehabilitation only . Both two groups were followed-up for 8 weeks. Both groups were scored with self-esteem scale （SES） and Family Environment Scale （FES-CV） before the intervention and on the 1st day and in the third month after the intervention, the scores were compared between the two groups. Results Scores of the self-esteem, all factor of family environment in two group before intervention were not statistically significant （P 〉 0. 05 ）. After the intervention, the scores of the self-esteem in family environments （18.2 ± 1.82） , intimacy （4.00 ± 1.05 ）, and contradiction （ 1.80 ± 0.99 ） for intervention group, those scores in control group were （ 14.2 ± 3.32 ） , （ 3.20 ±0.92 ）, （ 3.80 ±1.06 ） , respectively, and the difference was significant （t =5. 774, 3. 131,7. 516;P 〈0. 01 ）. In the intervention group, after intervention, the score of the intimacy, emotion expressiveness, amusement, moral and self-esteem in family environments were higher than those before intervention ; the score of contradictory and independence were lower than those before intervention （P 〈 0. 05 ）. Conclusions The Satir model can not only improve family relationships of cerebral apoplexy patients obviously, but also raise patient＇ s self-respect level, which is helped to the rehabilitation of the stroke patients.