共情干预联合关怀行为对先天性胆管扩张症患儿家长心理状态的影响  

Effects of empathy intervention combined with care behavior on the psychological state of parents in children with congenital biliary dilatation

作　　者：孙瑛[1] 李丹[1] 刘琴[1] 李师 尹强[1] Sun Ying;Li Dan;Liu Qin;Li Shi;Yin Qiang(The First General Surgery,Hunan Children's Hospital,Changsha 410007,China)

机构地区：[1]湖南省儿童医院普外一科,长沙410007

出　　处：《中华现代护理杂志》2022年第31期4417-4421,共5页Chinese Journal of Modern Nursing

基　　金：湖南省卫生健康委2022年度科研立项课题(202214044057)。

摘　　要：目的探讨共情干预联合关怀行为对先天性胆管扩张症(CBD)患儿家长心理状态的影响。方法选取2020年6月—2022年5月湖南省儿童医院收治的116例CBD患儿及其主要看护家长116名作为研究对象,将2020年6月—2021年5月收治的58例患儿及其家长58名设为对照组,实施围手术期常规护理;将2021年6月—2021年5月收治的58例患儿及其家长58名设为研究组,在对照组的基础上实施共情干预联合关怀行为干预。采用症状自评量表(SCL-90)、广泛性焦虑量表(GAD-7)及医学应对方式问卷(MCMQ)评估两组干预前后患儿家长的心理应激反应、焦虑情绪及应对方式。结果干预后,两组SCL-90评分、MCMQ中的面对维度评分高于干预前,GAD-7评分、MCMQ中的回避及屈服维度评分低于干预前,差异均有统计学意义(P<0.05);干预后,研究组SCL-90评分、MCMQ中的面对维度评分均高于对照组,GAD-7评分低于对照组,差异均有统计学意义(P<0.05);干预后,两组MCMQ中的回避及屈服维度评分比较,差异均无统计学意义(P>0.05)。结论临床干预中实施共情干预联合关怀行为干预可有效改善CBD患儿家长的心理应激程度,降低其焦虑情绪并提高其应对能力,有利于降低医疗纠纷的发生风险,值得临床推广。Objective To explore the effect of empathy intervention combined with caring behavior on the psychological state of parents in children with congenital biliary dilatation(CBD).Methods From June 2020 to May 2022,116 children with CBD admitted to Hunan Children's Hospital and 116 main caring parents were selected as research subjects.The 58 children admitted from June 2020 to May 2021 and 58 parents were set up as the control group to implement routine perioperative intervention.The 58 children admitted from June 2021 to May 2022 and 58 parents were set up as the study group to implement empathy intervention combined with caring behavior on the basis of the control group.The Symptom Checklist 90(SCL-90),the Generalized Anxiety Disorder-7(GAD-7),and the Medical Coping Modes Questionnaire(MCMQ)were used to assess the psychological stress,anxiety and coping styles of parents before and after the intervention.Results After the intervention,the SCL-90 score and the confrontation dimension score in MCMQ in the two groups were higher than those before the intervention,and the GAD-7 score and the avoidance and resignation dimension scores in MCMQ were lower than those before the intervention,and the differences were statistically significant(P<0.05).After the intervention,the SCL-90 score and the confrontation dimension score in MCMQ in the study group were higher than those in the control group,and the GAD-7 score was lower than that in the control group,and the differences were statistically significant(P<0.05).After the intervention,there was no statistical difference in avoidance and resignation dimension scores in MCMQ between the two groups(P>0.05).Conclusions Empathy intervention combined with caring behavior can effectively improve the psychological stress of parents of children with CBD,reduce their anxiety and improve their coping ability,and is conducive to reducing the risk of medical disputes,which is worthy of clinical promotion.

关 键 词：先天性胆管扩张症 儿童 家长 共情干预 关怀行为 

分 类 号：R473.72[医药卫生—护理学]