叙事干预为主的压力管理对艾滋病患儿情绪状态的影响  

Influence of stress management based on narrative intervention on emotional state of children with AIDS

作　　者：王艳[1] 刘排行 李素红 WANG Yan;LIU Paihang;LI Suhong(Department of Infectious Diseases,Zhengzhou University Affiliated Infectious Disease Hospital,Zhengzhou 450000,China;Obstetrics and Gynecology Outpatient Department of Zhengzhou University Affiliated Infectious Disease Hospital)

机构地区：[1]郑州大学附属传染病医院感染二科,450000 [2]郑州大学附属传染病医院妇科门诊

出　　处：《中国健康心理学杂志》2025年第4期529-533,共5页China Journal of Health Psychology

基　　金：2023年度河南省重点研发与推广专项科技攻关项目(编号:232102311081)。

摘　　要：目的:探究对艾滋病患儿实施以叙事干预为主的压力管理对其情绪状态的影响。方法:纳入2021年6月-2023年6月某传染病医院儿科90例艾滋病患儿,并通过盲选法随机将其分为两组,对照组使用常规干预,以对照组为基础,对观察组进行以叙事干预为主的压力管理方案,对比分析患儿心理情绪、依从性、睡眠质量及家属的满意度。结果:①干预后观察组患者在心理情绪方面SAS、SDS评分均优于对照组(t=0.315,2.092;P<0.05);②相较于对照组,观察组患儿的依从性更高(χ^(2)=5.075,P<0.05);③在睡眠质量方面,观察组入睡时间、睡眠质量、睡眠效率、睡眠时间、日间功能障碍、睡眠药物、睡眠紊乱均要优于对照组(t=0.16.749,13.305,12.958,9.096,29.833,12.700,55.176;P<0.001);④干预后,观察组满意度高于对照组(χ^(2)=4.444,P<0.05)。结论:对艾滋病患儿使用以叙事干预为主的压力管理,不仅能够让其心理状态得到改善,还一定程度上提高了患儿的治疗配合度、睡眠质量以及满意度等。Objective:To explore the influence of stress management based on narrative intervention on emotional state of children with AIDS.Methods:A total of 90 children with AIDS in the pediatrics department of the Affiliated Hospital of Infectious Diseases of Zhengzhou University from June 2021 to June 2023 were included and randomly divided into 2 groups by blind selection method.The control group was treated with routine intervention,and the observation group was treated with stress management program based on narrative intervention.The psychological emotion,compliance,sleep quality and family satisfaction of the children were compared and analyzed.Results:①After the intervention,patients in the observation group had better SAS and SDS scores than the control group in terms of psychoemotional well-being(t=0.315,2.092;P<0.05);②Compared with the control group,children in the observation group had higher adherence(χ^(2)=5.075,P<0.05);③In terms of sleep quality,the observation group was better than the control group in terms of time to sleep,sleep quality,sleep efficiency,sleep duration,daytime dysfunction,sleep medication,and sleep disorders(t=16.749,13.305,12.958,9.096,29.833,12.700,55.176;P<0.001);④After the intervention,the observation group was more satisfied than the control group(χ^(2)=4.444,P<0.05).Conclusion:The use of stress management based on narrative intervention for AIDS children can not only improve their psychological state,but also improve their treatment cooperation,sleep quality and satisfaction degree to a certain extent,which is worthy of clinical application.

关 键 词：压力管理 叙事干预 艾滋病 儿童应用效果 

分 类 号：R395.5[哲学宗教—心理学] B844.1[医药卫生—医学心理学]