Mc Master模式家庭干预在肝母细胞瘤新生儿中的应用

Application of Mc Master model family intervention in neonates with hepatoblastoma

目的探讨Mc Master模式家庭干预在肝母细胞瘤(HB)新生儿中的应用效果。方法将20例HB新生儿依据干预方式的不同分为对照组(n=9)和观察组(n=11),对照组接受常规护理干预,观察组接受Mc Master模式家庭干预。比较两组家庭功能[家庭功能评定量表(FAD)]、家属应对方式[简易应对方式问卷(SCSQ)]、亲职压力[亲职压力指数简表(PSI-SF)]、患儿每日哭闹次数和哭闹持续时间。结果干预后,两组FAD、SCSQ消极应对维度评分均下降,SCSQ积极应对维度评分均升高,且观察组FAD、SCSQ消极应对维度评分均低于对照组,SCSQ积极应对维度评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组亲职愁苦、困难儿童、亲子互动失调评分及总分均较干预前下降,且观察组亲职愁苦、困难儿童、亲子互动失调评分及总分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患儿每日哭闹次数均减少,哭闹持续时间均缩短,且观察组患儿每日哭闹次数少于对照组,哭闹持续时间短于对照组,差异均有统计学意义(P﹤0.05)。结论Mc Master模式家庭干预应用于HB患儿中,能够提高家庭功能,降低亲职压力水平,促使家长采用积极应对方式,减少患儿哭闹,具有一定应用价值。

Objective To investigate the application effect of Mc Master model family intervention in neonates with hepatoblastoma(HB).Method A total of 20 cases of HB neonates were divided into control group(n=9)and observation group(n=11)according to different intervention methods.The control group received routine nursing intervention,and the observation group received Mc Master model family intervention.Family function[family assessment device(FAD)],family coping style[simplified coping style questionnaire(SCSQ)],parental stress[parenting stress index-short form(PSI-SF)],daily crying frequency and crying duration of the children were compared between the two groups.Result After intervention,the scores of FAD and SCSQ negative coping dimension decreased in both groups,while the scores of SCSQ positive coping dimension increased in both groups,and the scores of FAD and SCSQ negative coping dimension in the observation group were lower than those in the control group,while the score of SCSQ positive coping dimension was higher than that in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of parental distress,difficult children and parent-child interaction disorder and total score in both groups were lower than those before intervention,and the scores of parental distress,difficult children and parent-child interaction disorder and total score in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the daily crying frequency and crying duration of the two groups were reduced,and the daily crying frequency of the observation group was less than that of the control group,and the crying duration was shorter than that of the control group,the differences were statistically significant(P<0.05).Conclusion The application of Mc Master model family intervention in HB neonates can improve family function,reduce the level of parental stress,encourage parents to adopt active coping styles,and reduce the crying of children,which has certain application value.