心理处方干预对初诊肉瘤儿童照顾者心理应激反应的影响  

Effect of psychological prescription intervention on psychological stress in caregivers of children with newly diagnosed sarcoma

作　　者：熊沙沙 彭丽娟 彭历[1] Xiong Shasha;Peng Lijuan;Peng Li(Cancer Center,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院肿瘤中心,湖北武汉430022

出　　处：《护理学杂志》2024年第15期78-81,91,共5页Journal of Nursing Science

基　　金：湖北省自然科学基金项目(2020CFB782)。

摘　　要：目的探讨心理处方干预降低初诊肉瘤儿童照顾者心理应激反应的效果。方法将2021年5月至2022年5月住院的50名初诊肉瘤儿童照顾者作为对照组,给予常规心理护理及干预;2022年6月到2023年5月住院的49名初诊肉瘤儿童照顾者作为观察组,在常规心理护理基础上接受心理处方干预,包括深度访谈、正念冥想、静心呼吸、亲子沙盘、亲子芳香疗愈、家长座谈会6个单元,持续4周。结果两组各48名照顾者完成研究。干预后,观察组广泛性焦虑评分、应激(压力)反应各维度评分及总评分显著低于对照组(均P<0.05)。结论心理处方干预有利于降低初诊肉瘤儿童照顾者的焦虑及应激(压力)反应,调整照顾者心理应激状态,满足照护需求,改善照护体验。Objective To explore the effect of a psychological prescription intervention on reducing the psychological stress in caregi-vers of children with newly diagnosed sarcoma.Methods Fifty caregivers of children with newly diagnosed sarcoma hospitalizing from May 2021 to May 2022 were allocated to a control group and received routine psychological care and intervention,while 49 caregivers of children with newly diagnosed sarcoma hospitalizing from June 2022 to May 2023 were regarded as an experimental group and additionally received a psychological prescription intervention,which consisted of 6 psychological component:in-depth interviews,mindfulness meditation,mindfulness breathing,parent-child sand play therapy,parent-child aromatherapy,and pa-rents group discussion,lasting for 4 weeks.Results Forty-eight caregivers in each group completed the study.After the intervention,the total scores of the Generalized Anxiety Disorder-7 and the Stress Response Questionnaire and its three subscale scores of the experimental group were significantly lower than those of the control group(all P<0.05).Conclusion The psychological prescription intervention is conducive to reducing the anxiety and stress response of the caregivers of children with newly diagnosed sarcoma,adjusting their psychological stress state,meeting their care needs,and improving their care experience.

关 键 词：肉瘤 儿童 初诊 照顾者 心理处方 焦虑 应激 心理护理 

分 类 号：R473.73[医药卫生—护理学] R473.72[医药卫生—临床医学]