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多形式心理干预对儿童斜疝手术后情绪状态和健康行为的影响OA

Effect of multi-form psychological intervention on emotional state and health behavior of children after oblique hernia surgery

中文摘要英文摘要

目的:探究多形式心理干预对儿童斜疝手术后情绪状态和健康行为的影响.方法:选取2020年10月-2022年10月某院收治的102例行斜疝手术的儿童,随机分为对照组和观察组,各51例,对照组给予常规干预,观察组在对照组基础上给予多形式心理干预.比较两组患儿情绪状态[儿童焦虑性情绪障碍筛查表(SCARED)和儿童抑郁障碍自评量表(DSRSC)]、心理韧性[慢性病儿童韧性量表(CICRS)]、健康行为[Achenbach儿童行为量表(CBCL)]、社会支持[社会支持评定量表(SSRS)]及生活质量[中文版儿童青少年生存质量自评量表(PedsQL4.0)].结果:干预后,相较于对照组,观察组SCARED和DSRSC评分均明显较低(t=3.456,4.849;P<0.05),CICRS各维度评分均明显较高(t=-3.925,-3.413,-4.796;P<0.05),社会能力评分明显较高(t=-2.594,P<0.05),行为问题评分明显较低(t=3.629,P<0.05),SSRS量表各维度评分均明显较高(t=-4.508,-5.217,-6.850;P<0.05),PedsQL4.0各维度评分均明显较高(t=-3.700,-3.582,-5.025,-5.160;P<0.05).结论:相较于常规干预,多形式心理干预可改善斜疝手术后儿童的情绪状态,增强心理韧性,促进健康行为,提高社会支持,提升生活质量.

Objective:To explore the effect of polymorphic psychological intervention on children's emotional state and health behavior after oblique hernia surgery.Methods:A total of 102 children undergoing oblique hernia surgery in our hospital from October 2020 to October 2022 were randomly divided into control group and observation group,with 51 cases in each group.The control group was given routine intervention,while the observation group was given polymorphic psychological intervention on the basis of the control group.The two groups were compared in terms of emotional status[SCARED and DSRSC],psychological resilience[CICRS],healthy behavior[Achenbach Children's Behavior Scale(CBCL)],social support[SSRS]and quality of life[PedsQL4.0].Results:After intervention,compared with the control group,the SCARED and DSRSC scores in the observation group were significantly lower(t=3.456,4.849;P<0.05),the CICRS scores in all dimensions were significantly higher(t=-3.925,-3.413,-4.796;P<0.05),the social ability scores were significantly higher(t=-2.594,P<0.05),the behavior problems scores were signifi-cantly lower(t=3.629,P<0.05),and the SSRS scales scores in all dimensions were significantly higher(t=-4.508,-5.217,-6.850;P<0.05),PedsQL4.0 scores in all dimensions were significantly higher(t=-3.700,-3.582,-5.025,-5.160;P<0.05).Conclusion:Compared with routine intervention,polymorphic psychological intervention can im-prove the emotional state of children after oblique hernia surgery,enhance psychological resilience,promote healthy behavior,improve social support and improve quality of life.

李苗;王华

南阳医学高等专科学校第一附属医院小儿外科 473000郑州大学第一附属医院儿科

基础医学

多形式心理干预儿童斜疝手术情绪状态健康行为

Polymorphic psychological interventionChildrenOblique hernia surgeryEmotional stateHealth be-havior

《中国健康心理学杂志》 2024 (002)

203-208 / 6

河南省自然科学基金项目(编号:182300410784)

10.13342/j.cnki.cjhp.2024.02.009

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