以家庭为中心的整体干预对骨折患儿父母心理的影响

Effects of psychological interventions based on family-centered care in parents of fractured children

目的探讨以家庭为中心的整体干预模式对骨折患儿父母心理状况的影响。方法采用整群抽样的方法,收集2013年1月至2015年6月收治的196例单纯四肢骨折患儿的父母作为研究对象,对照组(n=100)给予常规治疗及护理措施,干预组(n=96)在常规治疗及护理的基础上采取以家庭为中心的整体干预模式。两组家长在干预前与出院前使用SCL90症状自评量表进行评估。结果两组患儿父母组间比较无明显差别(P>0.05),与全国SCL90常模比较有显著差别(P<0.01);经以家庭为中心的整体干预手段后,两组患儿家长的SCL90量表评分均下降,自身前后比较有统计学意义(P<0.05),且干预组与对照组比较有显著差别(P<0.05)。结论四肢骨折患儿父母入院后普遍存在负面心理情绪,经不同的护理模式干预后,患儿父母的心理状况逐渐好转,其中以家庭为中心的整体干预模式能够更有效的缓解四肢骨折患儿父母的负面情绪。

Objective To explore the necessity and effectiveness of psychological interventions based on family-centered care in parents of fractured children. Methods From January 2013 to June 2015, 196 parents of fractured children were recruited and divided into control （ n = 100 ） and intervention （ n = 96 ） groups via cluster sampling. The control group received convention treatment and nursing while the intervention group im- plemented additional psychological interventions based on family - centered care. Then parental psychological status was scored by Symptom Checklist 90 - Revised （SCL-90-R） at admission and discharge after at least 3 days＇interventions. Results Before interventions, scores of two groups are different from the national norm scores, there was no significant inter-group difference. At discharge, scores of two groups reduced, while the intervention group was less than control group. Conclusions Parental negative psychological status is common when arrival, after interventions, it will get better. Our interventions based on family-centered care can effec- tively alleviate the negative emotions of parents with children of limb fracture.