重症肺炎患儿家长创伤后成长与家庭功能的关系

Relationship Between Post-traumatic Growth and Family Function of Parents of Children with Severe Pneumonia

目的探讨重症肺炎患儿家长创伤后成长与家庭功能的关系。方法选取2018年5月至2020年6月柘城中医院收治的74例重症肺炎患儿家长。分别于入院次日(T_(0))、入院7 d(T_(1))、入院15 d(T_(2))时采用创伤后成长评定量表(PTGI)评估所有患儿家长创伤后成长水平,采用家庭功能评定量表(FAD)评估家庭功能。PTGI主要包含人生感悟、个人力量、新的可能性、与他人关系、自我转变5个维度。FAD包括情感介入、角色、沟通、问题解决、行为控制、情感反应、总的功能7个维度。分析重症肺炎患儿家长创伤后成长与家庭功能的关系。结果与T_(0)时比较,重症肺炎患儿家长T_(1)、T_(2)时PTGI各维度得分及总分均较高,且T_(2)时PTGI各维度得分及总分均高于T_(1)时(P<0.05)。与T_(0)时比较,重症肺炎患儿家长T_(1)、T_(2)时FAD各维度得分及总分均较低,且T_(2)时FAD各维度得分及总分均低于T_(1)时(P<0.05)。PTGI各维度得分及总分与FAD各维度得分及总分均呈负相关(r<0,P<0.05)。结论重症肺炎患儿家长创伤后成长水平与家庭功能有关,即家庭功能越好,家长创伤后成长水平越高。

Objective To explore the correlation between post-traumatic growth and family function of parents of children with severe pneumonia.Methods The parents of 74 children with severe pneumonia admitted to Zhecheng Hospital of Traditional Chinese Medicine from May 2018 to June 2020 were selected.Post-traumatic growth inventory(PTGI)was used to assess the post-traumatic growth level of the parents of all children on the second day of admission(T_(0)),7 days of admission(T_(1)),and 15 days of admission(T_(2)),and family assessment device(FAD)was used to assess family function.PTGI mainly included five dimensions of life perception,personal strength,new possibilities,relationship with others and self-transformation.FAD included 7 dimensions of emotional intervention,role,communication,problem solving,behavior control,emotional response and overall function.The correlation between post-traumatic growth and family function of parents of children with severe pneumonia was analyzed.Results The score of every dimension and total score of PTGI at T_(1) and T_(2) of the parents of children with severe pneumonia were higher than those at T_(0),and the score of every dimension and total score of PTGI at T_(2) were higher than those at T_(1)(P<0.05).The score of every dimension and total score of FAD at T_(1) and T_(2) of the parents of children with severe pneumonia were lower than those at T_(0),and the score of every dimension and total score of FAD at T_(2) were lower than those at T_(1)(P<0.05).The score of every dimension and total score of PTGI were negatively correlated with the score of every dimension and total score of FAD(r<0,P<0.05).Conclusion The post-traumatic growth level of parents of children with severe pneumonia is related to family function.The better the family function,the higher the parent’s post-traumatic growth level.