系统放松疗法对烧伤患儿家长创伤后应激障碍的影响

Influence of system relaxation training on the posttraumatic stress disorder for the families of burned children

目的探讨系统放松疗法对烧伤患儿家长创伤后应激障碍的改善效果, 为患儿家长的健康支持提供依据。方法选择南京医科大学附属儿童医院收治的80例烧伤患儿及对应的80名家长作为研究对象, 其中2019年1-5月入院的患儿及家长作为对照组, 2020年2-6月入院的患儿及家长作为观察组, 每组40例。对照组给予常规护理, 观察组在对照组基础上对患儿家长实施系统放松疗法, 连续干预4 d。分别采用创伤后应激障碍平民版量表(PCL-C)、疾病不确定感家属量表(MUIS-FM)评估2组患儿家长干预前后创伤后应激障碍和疾病不确定感水平。结果 2组患儿家长干预前PLC-C、MUIS-FM各维度得分及总分比较差异无统计学意义(P >0.05)。干预后, 观察组反复体验、回避/麻木、警觉性增高维度得分和PCL-C总分分别为(8.40 ± 1.79)、(14.35 ± 2.85)、(8.25 ± 1.28)、(31.10 ± 3.52)分, 低于对照组的(11.28 ± 2.37)、(16.75 ± 2.09)、(9.10 ± 1.93)、(37.13 ± 4.40)分, 差异有统计学意义(t值为-6.76 ~ -2.32, 均P<0.05)。干预后, 观察组患儿家长不明确性、缺乏澄清维度得分及MUIS-FM总分分别为(37.08 ± 6.58)、(20.15 ± 4.38)、(84.38 ± 6.90)分, 低于对照组的(41.13 ± 6.54)、(22.05 ± 3.32)、(90.13 ± 7.85)分, 差异有统计学意义(t =-2.76、 -2.19、-3.48, 均P<0.05)。结论系统放松疗法可以减轻烧伤患儿家长创伤后应激障碍水平和降低患儿家长疾病不确定感。

Objective To investigate the application of system relaxation training on the posttraumatic stress disorder for the families of burned children,so as to provide a basis for the application of valid nursing in children families.Methods A total of 80 cases of burned children in Children′s Hospital of Nanjing Medical University and corresponding 80 households were recruited and divided into the observation group and the control group with 40 cases each group.The patients and households from January 2019 to May 2019 in the control group received routine care,while the patients and households from February 2020 to June 2020 in the observation group received system relaxation training based on the routine care for four days.The posttraumatic stress disorder and uncertainty in illness of children families before and after intervention were evaluated by Posttraumatic stress Checklist-Civilian version(PLC-C)and Mishel Uncertainty in Illness Scale-Family Member form(MUIS-FM)and compared between the two groups.Results There was no significant difference in the scores of PLC-C and MUIS-FM before intervention in the households between the two groups(P>0.05).After intervention,the scores of re-experiencing symptoms,avoidance/numbing,increased arousal symptoms and total PTSD scores in the households were(8.40±1.79),(14.35±2.85),(8.25±1.28),(31.10±3.52)points in the observation group and(11.28±2.37),(16.75±2.09),(9.10±1.93),(37.13±4.40)points in the control group,the differences were statistically significant(t values were-6.76--2.32,all P<0.05).After intervention,the scores of ambiguity,deficit information and total MUIS-FM scores of the households were(37.08±6.58),(20.15±4.38),(84.38±6.90)points in the observation group and(41.13±6.54),(22.05±3.32),(90.13±7.85)points in the control group,the differences were statistically significant(t=-2.76,-2.19,-3.48,all P<0.05).Conclusions System relaxation training can alleviate posttraumatic stress disorder and reduce uncertainty in illness of the families of burned children.