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| 创伤性骨折患儿急性应激障碍的叙事疗法研究 |
| A narrative therapy study on acute stress disorder in children with traumatic fractures |
| 投稿时间：2023-04-27 |
| DOI：10.3969/j.issn.1000-0399.2024.02.018 |
| 中文关键词: 叙事疗法 儿童 创伤性骨折 急性应激障碍 |
| 英文关键词: Narrative therapy Children Traumatic fracture Acute stress disorder |
| 基金项目:安徽省科技创新与软科学研究专项（编号：202206f01050043）;安徽医科大学校科研基金（编号：2020xkj078） |
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| 中文摘要: |
| 目的 探讨创伤性骨折患儿急性应激障碍的叙事疗法研究效果。方法 选择2021年1月至2022年9月安徽省儿童医院儿童骨科收治的创伤性下肢骨折患儿共114例,随机将两组患儿分为对照组56例,观察组58例;对照组病例均进行优质护理,观察组在对照组的基础上行叙事疗法干预,两组均持续1个月。对比分析两组患儿经干预后的急性应激障碍反应指数、Spence儿童焦虑量表、儿童抑郁自评量表以及家长护理满意度得分情况。结果 干预前,两组患儿PTSD-RI、焦虑、抑郁水平比较,差异均无统计学意义(P>0.05)。干预后,观察组PTSD-RI水平相较于对照组显著降低,且观察组干预后PTSD-RI水平相较于对照组降幅更大,差异具有统计学意义(P<0.05);观察组焦虑水平相较于对照组更低,且焦虑水平降幅相较于对照组更大,差异具有统计学意义(P<0.05);观察组抑郁水平低于对照组,抑郁水平降幅大于对照组,但两组降幅差异无统计学意义(P>0.05)。护理服务满意度观察组为(56.9%),明显高于对照组(37.5%),差异具有统计学意义(P<0.05)。结论 叙事疗法可有效降低儿童创伤性下肢骨折急性应激障碍反应指数、缓解焦虑情绪、提高家长护理满意度。 |
| 英文摘要: |
| Objective This study aimed to evaluate the effectiveness of narrative therapy in managing acute stress disorders among pediatric patients with traumatic fractures.Methods A total of 114 pediatric patients with traumatic lower limb fractures,treated at the Children’s Orthopedics Department of Anhui Children’s Hospital between January 2021 and September 2022,were included in this study.All patients received high-quality care,while the observation group received additional narrative therapy intervention alongside standard care,which lasted for one month.Comparative analysis was conducted to assess acute stress reaction indices,Spence Children’s Anxiety Scale scores,Children’s Depression Self-Rating Scale results,and parental satisfaction scores for both groups.Results Prior to the intervention,there were no statistically significant differences in anxiety,PTSD-RI ,and depression levels between the two groups (P>0.05).After the intervention,the observation group showed significant improvements in the PTSD-RI index,Spence Children’s Anxiety Scale scores,and Children’s Depression Self-Rating Scale scores compared to the control group (P<0.05).Moreover,nursing service satisfaction in the observation group（56.9%）was significantly higher than that in the control group (37.5%),with statistical significance (P<0.05). Conclusions Narrative therapy proves effective in reducing acute stress reaction indices,alleviating anxiety,and enhancing parental nursing satisfaction among pediatric patients with traumatic lower limb fractures. |
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