威廉姆斯生活技能训练对白血病患儿父母创伤后成长和照顾能力的影响  

Effect of Williams life skills training on posttraumatic growth and care ability for parents of children with leukemia

作　　者：汪清 戴谦[1] 刘文静 韩勤 Wang Qing;Dai Qian;Liu Wenjing;Han Qin(Department of Hematology,Children's Hospital Affiliated to Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京医科大学附属儿童医院血液肿瘤科,210000

出　　处：《中国实用护理杂志》2021年第36期2831-2836,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨威廉姆斯生活技能训练对白血病患儿父母创伤后成长和照顾能力的影响。方法选择2019年1—12月南京医科大学附属儿童医院住院就诊的86例白血病患儿父母作为研究对象,按照入组时间分为试验组和对照组,每组43例。对照组给予常规护理,试验组在常规护理基础上进行为期4周的威廉姆斯生活技能训练。采用创伤后成长评定量表(PTGI)和家庭照顾者照顾能力测量表(FCTI)评价疗效。结果最终试验组纳入41例,对照组纳入40例。干预后,试验组PTGI中个人力量、与他人关系、自我转变维度得分及总分分别为(21.10±4.47)、(19.95±6.18)、(5.12±0.95)、(73.41±8.37)分,明显高于对照组的(18.38±4.50)、(17.60±3.30)、(4.65±1.05)、(66.13±6.31)分,2组比较差异有统计学意义(t值为2.117~4.420,均P<0.05或0.01)。试验组FCTI中疾病认知能力、基础照护技能、情感管理能力、寻求利用支持资源能力维度得分和总分分别为(5.41±1.76)、(4.10±1.09)、(6.71±1.12)、(5.56±1.16)、(38.00±3.92)分,明显低于对照组的(6.60±1.58)、(4.63±1.10)、(7.58±1.74)、(6.33±1.53)、(41.18±4.72)分,差异有统计学意义(t值为2.164~3.286,P<0.05或0.01)。结论威廉姆斯生活技能训练能有效提高白血病患儿父母创伤后成长水平和照顾能力。Objective To explore the effect of Williams life skills training on posttraumatic growth and care ability for parents of children with leukemia.Methods A total of 86 parents of children with leukemia were assigned to Children′s Hospital Affiliated to Nanjing Medical University from January to December 2019 who were devided into experimental group and control group according to the enrolled time,there were 43 cases in each group.The parents in the control group recieved routine nursing,the experimental group carried out 4-week Williams life skills training.The effect was assessed by Posttraumatic Growth Inventory(PTGI)and Family Caregiver Task Inventory(FCTI),respectively.Results Finally,41 cases were included in the experimental group and 40 cases in the control group.After intervention,the personal strength,relating to others,spiritual change scores and total scores in PTGI were(21.10±4.47),(19.95±6.18),(5.12±0.95),(73.41±8.37)points in the experimental group,significantly higher than(18.38±4.50),(17.60±3.30),(4.65±1.05),(66.13±6.31)points in the control group,the differences were statistically significant(t values were 2.117-4.420,P<0.05 or 0.01).The disease cognitive ability,basic care skills,emotional management ability,ability to seek support scores and total scores in FCTI were(5.41±1.76),(4.10±1.09),(6.71±1.12),(5.56±1.16),(38.00±3.92)points in the experimental group,significantly lower than(6.60±1.58),(4.63±1.10),(7.58±1.74),(6.33±1.53),(41.18±4.72)points in the control group,the differences were statistically significant(t values were 2.164-3.286,P<0.05 or 0.01).Conclusions Williams life skills training can effectively promote posttraumatic growth and care ability in parents of children with leukemia.

关 键 词：威廉姆斯生活技能训练 父母 白血病 创伤后成长 照顾能力 

分 类 号：R473.73[医药卫生—护理学]