基于健康信念模式的干预对淋巴瘤患儿父母创伤后成长的影响

Effect of health belief model-based intervention on post-traumatic stress disorder and post-traumatic growth in parents with malignant lymphoma children

目的探讨健康信念模式对恶性淋巴瘤患儿父母创伤后应激障碍和创伤后成长的影响。方法将90例恶性淋巴瘤患儿父母按照随机数字表法分为研究组和对照组各45例,对照组给予常规护理,研究组实施基于健康信念模式的护理干预。采用创伤后应激障碍平民版量表(PCL-C)和中文版创伤后成长量表(PTGI)评价患儿父母干预前后创伤后应激障碍和创伤后成长水平。结果2组患者干预后PCL-C得分明显降低,PTGI得分明显升高。干预后研究组警觉增高、回避症状、反复重现反应维度得分及总分分别为(7.26±1.13)、(8.80±1.95)、(5.67±1.16)、(21.73±2.57)分,明显低于对照组的(8.09±1.63)、(9.92±3.05)、(6.10±0.68)、(24.10±3.78)分,差异有统计学意义(t值为2.070~3.484,P<0.05或0.01)。干预后研究组人的关系、个人力量维度得分及总分分别为(21.66±4.66)、(18.28±5.04)、(73.93±8.20)分,明显高于对照组的(18.39±4.39)、(16.43±2.71)、(66.46±6.20)分,差异有统计学意义(t值为3.415、2.161、4.877,P<0.05或0.01)。结论基于健康信念模式的护理干预可以减轻淋巴瘤患儿父母创伤后应激障碍症状和提高创伤后成长水平。

Objective To investigate the effect of health belief model-based intervention on post-traumatic stress disorder and post-traumatic growth of parents of children with malignant lymphoma.Methods A total of 90 malignant lymphoma children parents were randomly divided into study group and control group,with 45 cases in each group.The control group received routine nursing method,the study group carried out health belief model-based intervention.The Posttraumatic stress Checklist-Civilian version(PCL-C)and Post-traumatic Growth Inventory(PTGI)were used to evaluate the effect of intervention,respectively.Results After intervention,the scores of PLC-C were significantly decreased and PTGI were significantly increased both in the intervention group and control group.After intervention,the scores of arousal symptoms avoidance/numbing,re-experiencing symptoms and total PCL-C scores were(7.26±1.13),(8.80±1.95),(5.67±1.16),(21.73±2.57)points in the study group,which were significantly decreased compared to(8.09±1.63),(9.92±3.05),(6.10±0.68),(24.10±3.78)points in the control group(t values were 2.070-3.484,all P<0.05 or 0.01).After intervention,the scores of relating to others,personal strength and total PTGI scores were(21.66±4.66),(18.28±5.04),(73.93±8.20)points in the study group,which were significantly increased compared to(18.39±4.39),(16.43±2.71),(66.46±6.20)points in the control group(t values were 3.415,2.161,4.877,all P<0.05 or 0.01).Conclusion Health belief model-based intervention can effectively alleviate post-traumatic stress disorder and promote posttraumatic growth in parents with malignant lymphoma children.