跨理论模型的照护行为干预对新诊断癫痫患儿家属照护行为及心理状况的影响

目的探讨跨理论模型(TTM)照护行为干预对新诊断癫痫患儿家属心理状况的影响。方法选择本市及周边地区2012年6月-2015年6月新诊断癫痫患儿的家属96例,采用随机数字表法分为观察组与对照组各48例。两组在干预前均采用变化阶段量表、焦虑自评量表(SAS)和抑郁自评量表(SDS)对其进行基线评估。对照组患儿接受系统治疗护理,患儿家属接受一般心理护理和健康教育,观察组在与对照组相同护理基础上,根据评估结果,针对患儿家属制定并实施个性化的TTM照护行为干预,为期6个月。干预后对两组患儿家属进行跟进评估,分析干预前后患儿家属在照护行为变化阶段的分布情况及SAS、SDS得分的变化。结果干预6个月后,两组患儿家属的SAS、SDS得分比较,观察组明显优于对照组,差异具有统计学意义(P0.01);观察组干预前后SAS、SDS得分比较,改善幅度明显大于对照组,差异有统计学意义(P0.01)。结论运用TTM为指导的照护行为干预,能有效改善新诊断癫痫患儿家属的照护行为,降低焦虑、抑郁水平,利于癫痫患儿的照护。

Effect of intervention based on cross theoretical model on parental care behavior and psychological status in children with newly diagnosed epilepsy

Objective To study the influence of cross theoretical model (TTM) on the psychological status of parents of newly diagnosed epileptic children.Methods 96 parents of children with newly diagnosed epilepsy from June 2012 to June 2015 in urban and suburban areas in city was selected and randomly divided into experimental group and control group by random number table method,48 cases in each group.The baseline for two groups were assessed by baseline scale,self rating anxiety scale (SAS) and self rating depression scale (SDS) before intervention.the child patients in experimental group received nursing care,children's parents was generally accepted basic psychological care and health education.According to the evaluation results,personalized TTM care intervention was formulated and implemented for parents of children.Children's parent in the control group received general psychological care and traditional health education,and the children received systematic treatment and care for 6 months.Parents situation in change stage of caring behavior and SAS & SDS scores before and after intervention were evaluated.Results After 6 months intervention,the scores of SAS and SDS in experimental group was better than that of the control group,There was significant difference (P ＜ 0.01).The improvement in scores of SAS and SDS scores in the experimental group was significantly higher than that of control group before and after intervention (P ＜ 0.01).Conclusion:TTM-based caring behavior intervention can improve parents' caring behavior effectively,reduce the level of anxiety,and depression and benefit the care for children with epilepsy.