摘要
目的探讨肾病综合征患儿以自我管理为导向的焦点解决模式的应用效果,并观察其对肾病综合征患儿自我管理及应对方式的优化价值。方法本研究为类实验研究。采用便利抽样法选取2018年3月至2020年4月就诊于南京医科大学附属儿童医院的96例肾病综合征患儿为研究对象,将2018年3月至2019年2月收住的48例患儿设为对照组,采用常规心理疏导;将2019年3月至2020年4月收住的48例患儿设为观察组,采用以自我管理能力为导向的焦点解决模式。比较2组干预2个月时患儿自我管理及应对方式变化的差异。结果观察组患儿干预后治疗管理、心理管理、饮食管理、社会活动4个自我管理行为因子评分分别为(32.79±2.94)、(19.43±1.76)、(22.34±1.64)、(39.79±2.97)分,均较同期对照组的(27.42±3.25)、(16.79±1.52)、(18.46±1.58)、(35.28±2.64)分升高,差异均有统计学意义(t值为7.86~11.80,均P<0.05);观察组患儿干预后慢性病儿童应对方式量表中的逃避、接受、负性情绪反应分量表评分及总分分别为(12.41±2.15)、(20.41±1.85)、(25.89±1.68)、(99.37±8.94)分,均较同期对照组的(11.22±3.04)、(19.30±2.09)、(24.80±2.10)、(95.12±9.02)分升高,差异均有统计学意义(t值为2.21~2.81,均P<0.05)。结论以自我管理为导向的焦点解决模式用于肾病综合征患儿,能够促进自我管理行为改善,并推动患儿逃避、接受、负性情绪反应方面的应对方式改进,对肾病综合征患儿的护理具有借鉴与补充价值。
Objective To explore the application effect of self-management ability-oriented focus solution model in children with nephrotic syndrome,and to observe the optimal value of self-management and coping style for children with nephrotic syndrome.Methods This was a class trial study.A total of 96 children with nephrotic syndrome in Children′s Hospital of Nanjing Medical Universityfrom March 2018 to April 2020 were selected as the research object by convenient sampling method,48 cases of children from March 2018 to February 2019 for the control group,using conventional psychological counseling,48 cases of children from March 2019 to April 2020 for the observation group,with self management ability oriented focus solution mode.The self-management and response changes after 2 months of intervention were compared between the two groups.Results The scores of treatment management,psychological management,diet management and social activity inself-management behavior after intervention were(32.79±2.94),(19.43±1.76),(22.34±1.64),(39.79±2.97)points in the observation group,and(27.42±3.25),(16.79±1.52),(18.46±1.58),(35.28±2.64)points in the control group,the differences were statistically significant(t values were 7.86-11.80,all P<0.05).The scores of escape,acceptance,negative emotional response,and total score after intervention were(12.41±2.15),(20.41±1.85),(25.89±1.68),(99.37±8.94)points in the observation group,and(11.22±3.04),(19.30±2.09),(24.80±2.10),(95.12±9.02)points in the control group,the differences were statistically significant(t values were 2.21-2.81,all P<0.05).Conclusions The self-management-oriented focus solution model for children with nephrotic syndrome can promote the improvement of self-management behavior,and promote the improvement of coping methods in terms of avoidance,acceptance and negative emotional response,which has reference and complementary value for the care of children with nephrotic syndrome.
作者
邓群颖
杨文静
Deng Qunying;Yang Wenjing(Department of Nephrology,Children′s Hospital of Nanjing Medical University,Nanjing 210008,China)
出处
《中国实用护理杂志》
2023年第14期1084-1090,共7页
Chinese Journal of Practical Nursing
关键词
肾病综合征
自我管理
焦点解决模式
应对方式
Nephrotic syndrome
Self-management
Solution-focused approach
Coping style
