家庭二元正念干预方案在学龄期癫痫患儿中的应用研究
Application of dyadic mindfulness-based intervention program for school-age chil-dren with epilepsy
秦凯芹 1朱立红 2张琳惠 2冯晓艳 2席洁2
作者信息
- 1. 江南大学无锡医学院护理系(江苏无锡,214000);江南大学附属无锡儿童医院
- 2. 江南大学附属无锡儿童医院
- 折叠
摘要
目的 探讨基于家庭系统理论的二元正念干预对学龄期癫痫患儿情绪行为问题和照顾者负性情绪的改善效果.方法 采用便利抽样法,将60对学龄期癫痫患儿及照顾者按照住院时间分为对照组和干预组各30对.对照组实施神经内科常规护理,干预组在常规护理基础上实施基于家庭系统理论的二元正念干预.于干预前、干预结束时、干预后3个月,采用长处与困难问卷、焦虑自评量表、抑郁自评量表分别评估两组患儿情绪行为得分,照顾者焦虑、抑郁水平.结果 干预后两组患儿长处与困难问卷5个因子得分及照顾者焦虑、抑郁得分比较,差异有统计学意义(均P＜0.05).结论 基于家庭系统理论的二元正念干预可有效改善癫痫患儿情绪行为问题,缓解照顾者的焦虑和抑郁情绪.
Abstract
Objective To explore the effectiveness of the dyadic mindfulness-based intervention based on the Family Systems Theory on relief of emotional and behavioral problems in school-age children with epilepsy,and on relief of negative emotions of caregi-vers.Methods A convenience sample of 60 child-caregiver dyads of school-age children with epilepsy were assigned to one of two groups chronologically.The control group(n=30)was given usual neurology nursing,while the intervention group(n=30)addi-tionally received dyadic mindfulness-based intervention based on the Family Systems Theory.The Strengths and Difficulties Ques-tionnaire(SDQ),Self-rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to evaluate the effect before,immediately after,and 3 months after the intervention.Results The five dimension scores of the SDQ in the children,and the total SAS score and SDS score in the caregivers had significant differences between the two groups after the intervention(all P＜0.05).Conclusion Implementation of dyadic mindfulness-based intervention based on the Family Systems Theory can effectively alleviate the emotional and behavioral problems in school-age children with epilepsy,and relieve anxiety and depression of caregivers.
关键词
癫痫患儿/照顾者/家庭系统理论/正念疗法/二元干预/焦虑/抑郁/心理护理Key words
child with epilepsy/caregiver/Family Systems Theory/mindfulness-based therapy/dyadic intervention/an-xiety/depression/psychological nursing引用本文复制引用
基金项目
无锡市卫生健康委青年项目(Q202258)
出版年
2024
NETL
NSTL
万方数据