青少年精神障碍患者家属压力状况及心理干预价值  

Investigation on the stress of family members of adolescents with mental disorders and the value of psychological intervention

作　　者：吴淑静 宋义珍 梁园园 Wu Shujing;Song Yizhen;Liang Yuanyuan(Department of Psychiatry,the Fourth People's Hospital of Liaocheng,Liaocheng 252000,China)

机构地区：[1]聊城市第四人民医院精神科,252000

出　　处：《国际护理学杂志》2023年第22期4095-4099,共5页international journal of nursing

摘　　要：目的分析精神障碍青少年患者家属压力状况及个性化心理干预对策。方法根据摸球法, 将2020年6月至2021年7月在聊城市第四人民医院治疗的青少年精神障碍患者的家属120名分为观察组和对照组, 每组各60例。对照组患者采用常规护理干预, 观察组患者在常规护理干预的基础上加入个性化心理干预。比较两组患者家属的负担感、心理状态评分、生活质量评分、乐观水平及护理满意度。结果护理后, 对照组及观察组Zarit照顾者负担表(Zarit Caregiver Burden Interview, ZBI)评分均下降, 且观察组下降更加明显, 差异有统计学意义(P<0.05)。护理后, 两组患者家属中文版抑郁焦虑压力量表21(Chinese Version of Depression Anxiety Stress Scale 21, DASS-21)评分均下降, 且观察组低于对照组, 差异均有统计学意义(均P<0.05)。护理后, 对照组及观察组受试者生活质量评分均上升, 且观察组高于对照组, 差异均有统计学意义(P<0.05)。护理后, 对照组及观察组受试者乐观水平评分均存上升, 且观察组高于对照组, 差异有统计学意义(P<0.05)。观察组受试者护理满意度高于对照组, 差异有统计学意义(P<0.05)。结论青少年精神障碍患者的家属均存在不同程度的压力, 辅以个性化心理干预, 可最大限度消除患者家属的负担感, 改善其心理状态和生活质量, 提升其乐观水平, 提高护理满意度。Objective:To analyze the stress status of family members of adolescents with mental disorders and individualized psychological intervention strategies.Methods:According to the touch ball method,120 family members of mental disorders who were treated in the Fourth People's Hospital of Liaocheng from June 2020 to July 2021 were divided into observation group and control group,with 60 cases in each group.The control group received routine nursing intervention,while the observation group received individualized psychological intervention on the basis of routine nursing intervention.Family burden,psychological state score,quality of life score,optimism level and nursing satisfaction were compared between the two groups.Results:After nursing,the Zarit Caregiver Burden Interview(ZBI)scores of the control group and the observation group decreased,and the observation group decreased more significantly,and the differences were statistically significant(P<0.05).After nursing,the scores of Chinese Version of Depression Anxiety Stress Scale 21(DASS-21)in the family members of the two groups decreased,and the scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the quality of life scores of the control group and the observation group increased,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After nursing,the optimism scores of the control group and the observation group both increased,and the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:Family members of adolescents with mental disorders have different degrees of pressure.Supplemented with personalized psychological intervention,it can maximally eliminate the burden of family members

关 键 词：精神障碍 青少年 家属压力 个性化心理干预 

分 类 号：R473.74[医药卫生—护理学]