摘要
目的:探讨家庭赋权干预对肠造口患儿照顾者自我效能、应对方式及心理状态的影响。方法:选取某院2017年6月至2018年6月收治的需行肠造口术的患儿104例,每位患儿选取1名主要照顾者作为研究对象,随机分为观察组(n=52)和对照组(n=52),对照组采取常规干预措施,观察组在对照组的基础上加以家庭赋权干预,两组均从入院起干预至患儿出院后1月为止。分别采用自我效能感量表(General Self-Efficacy Scale,GSES)、简易应对方式量表(Simple coping style questionnaire,SCSQ)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)、心理一致感量表(Sense of Coherence-13,SOC-13)、照顾能力量表(Family Caregiver Task Inventory,FCTI)在干预前后评估两组患儿照顾者的自我效能感、应对方式和心理状态,并进行对比分析。结果:干预后观察组GSES评分明显高于对照组(t=3.360,P<0.01);干预后观察组SAS及SDS评分明显低于对照组(t=-3.646,-2.289;P<0.05);干预后观察组各维度评分及SOC-13总分明显高于对照组(t=2.937,2.264,2.062,7.160;P<0.05);干预后SCSQ评分中观察组积极应对评分明显高于对照组(t=3.553,P<0.01),消极应对评分明显低于对照组(t=-2.681,P<0.01);干预后观察组各维度评分及FCTI总分明显低于对照组(t=-5.849,-7.037,-6.299,-6.466,-4.656,-27.970;P<0.001)。结论:家庭赋权干预有利于增强肠造口患儿照顾者的自我效能感,以积极的方式应对问题,照顾能力得到提升,更好的调节自身负面情绪,转变为积极向上的生活取向。
Objective:To explore the effect of family empowerment intervention on self-efficacy,coping style and psychological status of caregivers of children with enterostomy.Methods:A total of 104 children who needed enterostomy in our hospital from June 2017 to June 2018 were selected and randomly divided into observation group(n=52)and control group(n=52).The control group was treated with routine intervention and the observation group was treated with family empowerment intervention on the basis of the control group.Both groups were intervened from admission to 1 month after discharge.General Self-Efficacy Scale(GSES),Simple coping style questionnaire(SCSQ),self-rating anxiety scale(SAS),self-rating depression scale(SDS),Sense of Coherence-13(SOC-13)and Family Caregiver Task Inventory(FCTI)were used respectively.The self-efficacy,coping style and psychological status of the caregivers of the two groups were evaluated before and after intervention,and a comparative analysis was made.Results:After intervention,the score of GSES in the observation group was significantly higher than that in the control group(t=3.360,P<0.01).The scores of SAS and SDS in the observation group after intervention were significantly lower than those in the control group(t=-3.646,-2.289;P<0.05).After intervention,the scores of all dimensions and the total score of SOC-13 in the observation group were significantly higher than those in the control group(t=2.937,2.264,2.062,7.160;P<0.05).After intervention,the score of positive coping in the observation group was significantly higher than that in the control group(t=3.553,P<0.01),while the score of negative coping in the observation group was significantly lower than that in the control group(t=-2.681,P<0.01),and the total score of FCTI in the observation group was significantly lower than that in the control group after intervention(t=-5.849,-7.037,-6.299,-6.466,-4.656,-27.970;P<0.001).Conclusion:The family empowerment intervention can enhance the sense of self-efficacy of caregivers of children with enterostomy,deal with problems in a positive way,improve their care ability,better regulate their negative emotions,and change into a positive life orientation.
作者
侯晓梅
HOU Xiaomei(Department of Pediatrics,Zhoukou Central Hospital,Zhoukou 466000,China)
出处
《中国健康心理学杂志》
北大核心
2021年第3期334-338,共5页
China Journal of Health Psychology
基金
河南省科技攻关计划(编号:2017T02058)。
关键词
家庭赋权干预
肠造口患儿
照顾者
照顾能力
自我效能
应对方式
心理状态
Family empowerment intervention
Enterostomy children
Caregivers
Care ability
Self-efficacy
Coping style
Psychological status
作者简介
侯晓梅,E-mail:houxm888999@163.com。
