正念注意-接纳的情绪管理联合灵性关怀对孤独症患儿父母心理压力的干预效果

Intervention effect of positive attention-acceptance emotion management with spiritual care on the psychological stress of autism spectrum disorder children's parents

目的探讨正念注意-接纳的情绪管理配合灵性关怀改善孤独症患儿父母心理压力的效果。方法选取2022年3月—2023年3月徐州医科大学附属医院就诊的孤独症患儿及其父母各90名为研究对象,按照组间基线资料均衡可比的原则将患儿及其父母分为观察组和对照组,每组45名。对照组行常规心理干预,观察组在对照组基础上实施正念注意-接纳的情绪管理配合灵性关怀。两组孤独症患儿的父母均持续干预3个月。采用照顾者压力量表、Zarit照顾者负担量表、疲劳评定量表、生活质量量表对两组患儿父母干预前后的心理压力、照顾负担、身心疲劳状况及生活质量进行比较。结果干预前两组患儿父母的照顾者压力量表、照顾者负担量表、疲劳评定量表、生活质量量表比较差异无统计学意义(P>0.05)。干预后观察组照顾者压力量表评分、照顾者负担量表评分及疲劳评定量表评分均低于对照组,差异有统计学意义(P<0.05)。干预后观察组的生活质量量表(SF-36)评分高于对照组,差异有统计学意义(P<0.05)。结论在护理干预过程中,采用正念注意-接纳的情绪管理配合灵性关怀能有效减轻孤独症患儿父母的心理压力、照顾负担及疲劳感,进而改善患儿父母的生活质量。

Objective To explore the effect of positive attention-acceptance emotion management with spiritual care on relieve the psychological stress of parents of autism spectrum disorder children's.Methods Ninety children with autism and their parents were selected from the Affiliated Hospital of Xuzhou Medical University from March 2022 to March 2023,and the children and their parents were divided into an observation group and a control group of 45 each according to the principle of balanced and comparable baseline data between the groups.In the control group,conventional psychological interventions were implemented,and in the observation group,positive attention-acceptance emotion management with spiritual care was implemented on the basis of the control group.Parents of autistic children in both groups continued the intervention for 3 months.The psychological stress,caregiving burden,physical and mental fatigue,and quality of life of the parents were compared before and after the intervention using the Caregiver Stress Scale,Zarit Caregiver Burden Scale,Fatigue Rating Scale,and Quality of Life Scale.Results Before the intervention,there was no statistically significant difference between the caregiver stress scale,caregiver burden scale,fatigue scale,and quality of life scale of the parents in the two groups(P>0.05).After the intervention,the caregiver stress scale,caregiver burden scale,and fatigue scale scores of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05).The Quality of Life Scale(SF-36)score of the observation group was higher than that of the control group after the intervention,and the difference was statistically significant(P<0.05).Conclusion During the nursing intervention,the application of positive attention-acceptance of emotional management with spiritual care could effectively reduce the psychological pressure,caregiving burden and fatigue of parents of children with autism,and improve the quality of life of autism spectrum disorder children's parents.