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目的探讨社会心理支持服务对先天性心脏病患儿家属心理问题的干预效果。方法以在医院接受治疗的先天性心脏病患儿家属60例为观察对象,并将其随机分为对照组和观察组各30例,其中对照组给予常规出院后护理,观察组在出院后护理的基础上给予社会心理支持服务。干预8周后,观察两组患儿家属干预前后焦虑、抑郁和应对方式的变化,比较两组患儿家属满意度。结果两组患儿家属干预前焦虑、抑郁得分无明显差异,干预后两组家属的SAS和SDS得分均较治疗前降低,且观察组降低更明显(P<0.05);两组家属干预前应对方式得分无明显差异,干预后两组家属的面对维度得分较干预前增高,回避和屈服得分较干预前降低,差异有统计学意义;观察组家属的满意率为100.00%明显高于对照组83.33%,差异有统计学意义(P<0.05)。结论社会心理支持服务对先天性心脏病患儿家属心理问题有较好的干预效果,可明显缓解其焦虑抑郁情绪,增强其面对患儿疾病的信心。
Objective To investigate the intervention effect of social psychological support services on the psychological problems of family members of children with congenital heart disease. Methods Sixty children with congenital heart disease were enrolled in the study. They were randomly divided into control group and observation group, 30 cases in each group. The control group was given routine care after discharge, while the observation group was discharged after nursing Based on the social psychological support services. After intervention for 8 weeks, the changes of anxiety, depression and coping style before and after intervention were observed in two groups of children. The satisfaction of family members in two groups was compared. Results The relatives of anxiety and depression before intervention in both groups had no significant difference. SAS and SDS scores of the relatives in both groups were lower than before treatment and the observation group was more obvious (P <0.05) There was no significant difference in the scores of the two groups. After the intervention, the scores of face-to-face dimensions of the two groups were higher than those before the intervention, and the avoidance and yield scores were lower than those before the intervention. The satisfaction rate of the family members in the observation group was 100.00% 83.33%, the difference was statistically significant (P <0.05). Conclusion Social psychological support services have better intervention effects on psychological problems of children with congenital heart disease, which can significantly relieve anxiety and depression and enhance their confidence in the disease of children.