摘要
目的探讨认知行为疗法(CBT)对新生儿持续肺动脉高压(PPHN)家属心理弹性及医学应对问卷(MCMQ)评分的影响。方法前瞻性选取2023年4月—2024年7月滕州市中心人民医院PPHN患儿家属149例,按患儿入院顺序分为对照组74例和观察组75例。对照组实施常规健康宣教,观察组在对照组基础上实施CBT干预。比较两组家属疾病认知度、焦虑状态、心理弹性、应对方式及满意率。结果出院时,观察组家属疾病认知度评分高于对照组,差异有统计学意义(P<0.05)。出ICU时、出院时,观察组S~AI评分均低于对照组;出ICU时,观察组T~AI评分高于对照组,差异均有统计学意义(P<0.05)。出ICU时、出院时,观察组心理弹性评分均高于对照组,差异均有统计学意义(P<0.05)。出ICU时,观察组面对、回避、屈服评分明显优于对照组,差异均有统计学意义(P<0.05)。观察组总满意率为93.33%,高于对照组的72.97%,差异有统计学意义(χ^(2)=11.058,P<0.05)。结论CBT能通过提高家属疾病认知度,提高PPHN患儿治疗护理过程中家属的心理弹性,改善应对方式和焦虑状态,从而提高家属满意率,对促进患儿病情恢复具有积极作用。
Objective To investigate the impact of cognitive behavioral therapy(CBT)on the psychological resilience andmedical coping modes questionnaire(MCMQ)scores of family members of persistent pulmonary hypertension of newborns(PPHN).Methods A total of 149 family members of children with PPHN from Tengzhou Central People's Hospital from April 2023 to July 2024 were prospectively selected and divided into a control group of 74 cases and an observation group of 75 cases,according to admission order of children.The control group received routine health education,while the observation group received CBT intervention on the basis of the control group.The disease awareness degree,anxiety status,psychological resilience,coping strategies and satisfaction rates of family members between two groups were compared.Results At the time of discharge,the disease awareness degree score of the observation group's family members was higher than that of the control group,and the difference was statistically significant(P<0.05).At the time of leaving the ICU and discharge,the S-AI scores of the observation group were lower than those of the control group;at the time of leaving the ICU,the T-AI score of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).At the time of leaving the ICU and discharge,the psychological resilience scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).At the time of leaving the ICU,the scores of facing,avoiding and yielding in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).The overall satisfaction rate of the observation group was 93.33%,which was higher than the 72.97%of the control group,and the difference was statistically significant(χ^(2)=11.058,P<0.05).Conclusion CBT can improve family members'awareness degree of the disease,enhance their psychological resilience during the treatment and nursing of PPHN patients,improve coping strategies and anxiety states,thereby increasing family members'satisfaction rate and playing a positive role in promoting the recovery of the patient's condition.
作者
林琳
戴天娇
王梅
LIN Lin;DAI Tian-jiao;WANG Mei(Department of Neonatology,Tengzhou Central People's Hospital,Tengzhou Shandong Province 277500,China)
出处
《中国城乡企业卫生》
2026年第1期14-17,共4页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
认知行为疗法
新生儿持续肺动脉高压
心理弹性
焦虑
Cognitive behavioral therapy
Persistent pulmonary hypertension of newborn
Psychological resilience
Anxiety
