摘要
目的:讨论认知行为干预疗法(CBT)对创伤性骨折合并创伤后应激障碍(PTSD)患儿心理情绪及疼痛的影响。方法:选择2019年3月至9月温州医科大学附属第二医院育英儿童医院急诊及儿童骨科病房收治创伤性骨折合并PTSD患儿240例,按照患儿护理干预方式分成两组,每组120例;对照组患儿采用普通护理措施,干预组在对照组的基础上采用CBT;比较2组患儿创伤后应激障碍自评量表(PTSD-SS)、躯体化症状自评量表(SSS)、视觉模拟评分(VAS)、焦虑自评量表(SAS)、儿童生存质量测定量表4.0(Peds QL4.0)各得分情况,对比两组患儿生存质量,对比两组患儿家长对护理干预的满意度情况,观察患儿心理情绪及疼痛的影响。结果:干预后,干预组患儿PTSD-SS量表、SSS量表、VAS量表、SAS量表以及Peds QL4.0量表、满意度问卷调查得分均较治疗前降低(P<0.05),且均明显低于对照组(P<0.05)。干预组患儿家属护理满意度明显高于对照组(P<0.05)。结论:CBT能有效降低创伤性骨折患儿PTSD发生率,改善患儿心理焦虑情绪与躯体不良症状,减轻患儿疼痛感受,促进患儿早期康复,提高患儿生命质量,家属满意度较高。
Objective: To discuss the effect of cognitive behavioral intervention therapy on psychological emotion and pain in children with traumatic fracture combined with PTSD. Methods: From March 2019 to September 2019, 240 children with traumatic fracture and PTSD were treated in emergency and pediatric orthopaedic ward of our hospital. They were divided into two groups according to nursing intervention methods,120 cases in each group. The control group received general nursing measures, while cognitive behavioral intervention therapy was added to the interference group on the basis of the control group. The scores of posttraumatic stress disorder self-rating scale(PTSD-SS), somatization symptom checklist 90(SSS), self-rating anxiety scale(SAS), visual analogue scale(VAS) and Peds QL4.0 were compared between the two groups. The quality of life of the two groups was compared, and the parents’ satisfaction with nursing was compared between the two groups. The influence of psychological emotion and pain in children was observed. Results: After intervention, the scores of PTSD-SS, SSS, VAS, SAS, Peds QL4.0 and satisfaction questionnaire questionnairein the interference group were lower than those before treatment(P<0.05), and were significantly lower than those in the control group(P<0.05). The nursing satisfaction of family members in the interference group was significantly higher than that in the control group(P<0.05). Conclusion: Cognitive behavioral intervention therapy can effectively reduce PTSD incidence in children with traumatic fracture, relieve psychological anxiety and somatic symptoms, alleviate their pain feelings, promote their early rehabilitation and improve their quality of life, thus their amily saltisfaction is high.
作者
林海鸟
贾曼
李群
张秀霞
张春梅
LIN Hainiao;JIA Man;LI Qun;ZHANG Xiuxia;ZHANG Chunmei(Department of Adult Emergency,the Second Affiliated Hospital&Yuying Children’s Hospital of Wenzhou Medical University,Wenzhou 325027,China;Department of Children’s Orthopedics,the Second Affiliated Hospital&Yuying Children’s Hospital of Wenzhou Medical University,Wenzhou 325027,China;Department of Nursing,the Second Affiliated Hospital&Yuying Children’s Hospital of Wenzhou Medical University,Wenzhou 325027,China)
出处
《温州医科大学学报》
2021年第12期1006-1009,1013,共5页
Journal of Wenzhou Medical University
基金
温州市基础性科研项目(Y20180424)。
关键词
认知行为干预
创伤性骨折
创伤后应激障碍
儿童
心理情绪
疼痛
生命质量
cognitive behavior intervention
traumatic fracture
post-traumatic stress disorder
children
psychological emotion
pain
quality of life
