摘要
目的探讨动机性访谈在反复喘息患儿照护者的心理健康疏导及管控能力中的应用效果。方法选取2023年5月至2024年5月杭州市儿童医院接诊的反复喘息患儿照护者120名,采用随机数字表法分为对照组和观察组,每组60名。对照组患儿照护者采用常规方式进行知识培训和健康宣教,观察组在对照组基础上采用动机性访谈。比较两组干预前后患儿喘息控制水平与患儿照护者的焦虑、抑郁程度、家庭管理测量量表各维度评分及满意度。结果干预后观察组患儿喘息再发次数低于对照组,差异有统计学意义(P<0.05)。两组患儿照护者家庭管理量表评分干预前后比较,差异有统计学意义(P<0.05)。观察组患儿照护者满意度高于对照组,差异有统计学意义(P<0.05)。结论通过动机性访谈干预,可有效缓解反复喘息患儿的喘息次数,改善患儿家庭照护情况,降低患儿照护者的焦虑、抑郁情绪。
Objective To explore the effect of motivational interview in the psychological counseling and management abilities of family caregivers of children with recurrent wheezing.Methods A total of 120 children with recurrent wheezing who were treated in Hangzhou Children’s Hospital from May 2023 to May 2024 were selected.The family caregivers of children were randomly divided into control group and observation group,with 60 people in each group.The control group received conventional knowledge training and health education,while the observation group received motivational interviews based on control group.Compare the asthma control level,anxiety and depression levels of family caregivers of children,scores of various dimensions of the family caregivers of children management measurement scale,and satisfaction between two groups before and after intervention.Results After intervention,the frequency of recurrent wheezing in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).There was a statistically significant difference(P<0.05)in family management measure scores between two groups before and after intervention.The satisfaction of family caregivers of children in observation group was significantly higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion Motivational interview intervention can effectively alleviate the wheezing frequency of children with recurrent wheezing,improve the response of family care,reduce anxiety and depression of family caregivers of children.
作者
黄小慧
陈俊松
张开京
赵青青
HUANG Xiaohui;CHEN Junsong;ZHANG Kaijing;ZHAO Qingqing(Beikang Ward 1,Hangzhou Children’s Hospital,Hangzhou 310000,Zhejiang,China;Department of Respiratory Medicine,Hangzhou Children’s Hospital,Hangzhou 310000,Zhejiang,China;Department of Pediatrics,Hangzhou Children’s Hospital,Hangzhou 310000,Zhejiang,China)
出处
《中国现代医生》
2024年第32期25-28,60,共5页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2021KY929)。
关键词
儿童喘息
动机性访谈
焦虑
抑郁
家庭照护
Children’s wheezing
Motivational interview
Anxiety
Depression
Family care
