心理行为干预配合家长心理辅导对尿道下裂患儿社会心理与社会生活质量的影响

Influence of psychological behavior intervention combined with parental psychological guidance on the social psychology and quality of social life of children with hypospadias

目的:探讨心理行为干预配合家长心理辅导对尿道下裂患儿社会心理及社会生活质量的影响。方法:抽取2013年11月-2015年4月行常规干预的200例尿道下裂患儿为对照组,选择2015年5月-2016年10月实施心理行为干预配合家长心理疏导的综合干预模式的200例尿道下裂患儿为观察组,比较两组不同时间点汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分、术后并发症、住院时间、术后3个月Achenbach儿童行为量表(CBCL)评分及主观生活质量满意情况。结果:观察组患儿家长干预后HAMA评分、HAMD评分均显著低于对照组(t=-9.708,-6.043;P<0.05);观察组患儿术后尿道裂开、尿瘘、尿道感染发生率均显著低于对照组(χ~2=4.092,14.414,6.926;P<0.05);观察组患儿平均住院时间显著短于对照组(t=-5.077,P<0.05);观察组患儿术后3个月抑郁、交往不良、社交退缩、多动及攻击性因子评分均显著低于对照组(t=-3.190,-9.474,-8.072,-9.226,-7.003,-12.789;P<0.01),社会生活质量满意率显著高于对照组,差异有统计学意义(χ~2=18.301,P<0.05)。结论:心理行为干预配合家长心理辅导能明显缓解尿道下裂患儿家长焦虑抑郁情绪,改善患儿心理行为及其社会生活质量。

Objective:To explore the influence of psychological behavior intervention combined with parental psychological guidance on the social psychology and quality of social life of children with hypospadias.Methods:A total of 200 children with hypospadias receiving routine intervention from November 2013 to April 2015 were included in the control group.Another 200 children with hypospadias receiving psychological behavior intervention and parental psychological guidance from May 2015 to October 2016 were included in the observation group.Scores of the Hamilton Anxiety Scale(HAMA)and the Hamilton Depression Scale(HAMD)at different time points,postoperative complications,the length of hospital stay,the score of Child Behavior Checklist(CBCL)in 3 months after operation and satisfaction with subjective quality of life were compared between the two groups.Results:Scores of HAMA and HAMD in the observation group after intervention were significantly lower than those in the control group(t=-9.708,-6.043;P<0.05).The incidence rates of postoperative urethral dehiscence,urinary fistula and urinary tract infection in the observation group were significantly lower than those in the control group(χ~2=4.092,14.414,6.926;P<0.05).The average length of stay of the observation group was significantly shorter than that of the control group(t=-5.077,P<0.05).Scores of depression,bad communication,social withdrawal,hyperactivity and aggression factors in the observation group in 3 months after operation were significantly lower than those in the control group(t=-3.190,-9.474,-8.072,-9.226,-7.003,-12.789;P<0.01),while the satisfaction rate of quality of social life was significantly higher than that in the control group(χ~2=18.301,P<0.05).Conclusion:Psychological behavior intervention combined with parental psychological guidance can relieve the anxiety and depression of parents of children with hypospadias,and improve the psychological behaviors and quality of social life of children.