Effects of Family Empowerment Interventions on the Psychological State of Children with Chronic Kidney Disease and the Uncertainty in Illness among Their Families
Objective To study the effects of family empowerment intervention on children with chronic kidney disease(CKD)on their own mental state and their families disease uncertainty.Methods A total of 800 children with CKD and their main caregivers admitted to our hospital from August 2019 to August 2022 were selected as study subjects and randomly divided into the observation group and the control group with 400 patients in each group(each containing 1 child and 1 main caregiver).After enrollment,only health education was used in the control group,and the observation group added family empowerment intervention on the basis of the control group,and observed the scores of the Children's Anxiety Disorder Self-rating Scale,SCARED,and Child Depressive Disorder Self-rating Scale(DSRSC),as well as the Family Rating Scale for Disease Uncertainty of Primary Caregivers(MUIS-FM),Caring Ability Scale(FCTI),and Ease of Coping Scale(SCSQ)before and after the intervention.Results The scores of SCARED and DSRSC in the post-intervention observation group were(12.75±2.52)and(8.22±1.70),which were significantly lower than those in the control group(14.77±2.37)and(9.56±1.48)(P＜0.05).The scores of uncer-tainty,complexity,lack of information and unpredictability in the MUIS-FM scale of the primary caregivers in the post-intervention observation group were(30.25±2.86),(20.18±1.94),(9.27±1.71)and(8.05±2.14),which were significantly lower than those in the control group(34.04±3.15),(23.26±1.70),(10.99±1.84),and(10.37± 2.09)(P＜0.05).After the intervention,the positive response score of the primary caregiver SCSQ scale was(22.37± 4.05)higher than that of the control group(19.61±3.58)(P＜0.05),while the passive response score was(9.06± 2.15)and lower than that of the control group(10.37±2.70)(P＜0.05).After the intervention,the main caregiver FCTI scale of the children in the observation group was to adapt to the role of care,respond to and provide assis-tance,deal with personal emotional needs,assess family and community resources,and adjust personal life and care needs were(3.28±0.85),(2.91±0.62),(2.77±0.85),(3.26±1.09),and(3.07±0.85),which were significantly lower than those in the control group(4.33±1.04),(4.24±1.07),(3.83±0.99),(5.17±1.78),and(4.11±1.36)(P＜0.05).Conclusion Family empowerment intervention can improve the poor mental state of children with CKD to a certain extent,and also help the caregivers to improve the disease uncertainty,cope with the problem in a posi-tive way,and improve their care ability.
Chronic kidney diseaseChildrenFamily members feel uncertain about illnessFamily empo-werment interventionsMental state
万方数据
维普
