护理研究
護理研究
호리연구
NURSING RESEARCH
2014年
19期
2327-2329
,共3页
车祸创伤%患儿%心理干预%抑郁%行为
車禍創傷%患兒%心理榦預%抑鬱%行為
차화창상%환인%심리간예%억욱%행위
traffic accident trauma%ill children%psychological interven-tion%depression%behavior
[目的]探讨早期心理干预对车祸后患儿抑郁及行为问题的影响。[方法]采用随机数字表法将车祸创伤的73例患儿随机分为干预组和对照组，对照组患儿进行创伤后常规健康教育和心理护理，干预组患儿除进行常规护理外，同时实施早期结构化的心理干预。采用儿童抑郁量表(CDI)和儿童行为评定量表(CBCL)对两组患儿进行3次测量，分别为初测T0(入组时)、干预后 T1(干预结束后2个月)和随访 T2(干预结束后6个月)。[结果]两组患儿抑郁、行为问题总分、退缩行为、躯体主诉、焦虑抑郁和攻击行为维度上的主效应均显著(P<0.01)，干预组在干预后2个月、干预后6个月抑郁、行为问题总分、退缩行为、躯体主诉、焦虑抑郁、社交问题和攻击行为上比对照组改善显著(P<0.05)。干预时间在抑郁和行为问题总分、退缩行为、躯体主诉、焦虑抑郁、社交问题和攻击行为维度上主效应显著(P<0.05或P<0.01)，随着干预时间的延长，干预组与对照组各维度得分及总分均呈下降趋势。[结论]早期结构化的心理干预可以改善车祸创伤患儿近期抑郁及行为问题。
[目的]探討早期心理榦預對車禍後患兒抑鬱及行為問題的影響。[方法]採用隨機數字錶法將車禍創傷的73例患兒隨機分為榦預組和對照組，對照組患兒進行創傷後常規健康教育和心理護理，榦預組患兒除進行常規護理外，同時實施早期結構化的心理榦預。採用兒童抑鬱量錶(CDI)和兒童行為評定量錶(CBCL)對兩組患兒進行3次測量，分彆為初測T0(入組時)、榦預後 T1(榦預結束後2箇月)和隨訪 T2(榦預結束後6箇月)。[結果]兩組患兒抑鬱、行為問題總分、退縮行為、軀體主訴、焦慮抑鬱和攻擊行為維度上的主效應均顯著(P<0.01)，榦預組在榦預後2箇月、榦預後6箇月抑鬱、行為問題總分、退縮行為、軀體主訴、焦慮抑鬱、社交問題和攻擊行為上比對照組改善顯著(P<0.05)。榦預時間在抑鬱和行為問題總分、退縮行為、軀體主訴、焦慮抑鬱、社交問題和攻擊行為維度上主效應顯著(P<0.05或P<0.01)，隨著榦預時間的延長，榦預組與對照組各維度得分及總分均呈下降趨勢。[結論]早期結構化的心理榦預可以改善車禍創傷患兒近期抑鬱及行為問題。
[목적]탐토조기심리간예대차화후환인억욱급행위문제적영향。[방법]채용수궤수자표법장차화창상적73례환인수궤분위간예조화대조조，대조조환인진행창상후상규건강교육화심리호리，간예조환인제진행상규호리외，동시실시조기결구화적심리간예。채용인동억욱량표(CDI)화인동행위평정량표(CBCL)대량조환인진행3차측량，분별위초측T0(입조시)、간예후 T1(간예결속후2개월)화수방 T2(간예결속후6개월)。[결과]량조환인억욱、행위문제총분、퇴축행위、구체주소、초필억욱화공격행위유도상적주효응균현저(P<0.01)，간예조재간예후2개월、간예후6개월억욱、행위문제총분、퇴축행위、구체주소、초필억욱、사교문제화공격행위상비대조조개선현저(P<0.05)。간예시간재억욱화행위문제총분、퇴축행위、구체주소、초필억욱、사교문제화공격행위유도상주효응현저(P<0.05혹P<0.01)，수착간예시간적연장，간예조여대조조각유도득분급총분균정하강추세。[결론]조기결구화적심리간예가이개선차화창상환인근기억욱급행위문제。
Obj ective:To probe into influence of early structured psycho-logical intervention on depression and behavior problems in children with traffic accident trauma.Methods:A total of 73 children with traffic acci-dent trauma were randomly divided into intervention group and control group by using random number table method.Patients in control group received the conventional health education and psychological care after the trauma;in addition to routine nursing care,patients in intervention group received early structured psychological intervention.The both groups of patients were investigated with Children's depression inventory (CDI)and Achenbach’s Child Behavior Checklist(CBCL)for three times respectively at T0 ,T1 ,T2 .Results:There was statistical significant difference in main effect in children’s depression,total score of behavior problems,withdrawal behavior,body complained,anxiety,depression and aggression between both groups (P<0.01).The total score of depres-sion and behavior problems,withdrawal behavior,body complained,anxi-ety,depression,social problem and aggression were improved significant-ly compared with control group at two and sixth months after interven-tion(P<0.05).the main effect of intervention time out of depression and behavioral problems,withdrawn behavior,somatic complaints,anxiety and depression,social problems and aggressive behaviors was significant (P<0.05 or P<0.01).With the extension of the intervention period, the dimension scores and total score decreased in intervention group and control group.Conclusion:Early implementation of structured psycholog-ical interventions can improve recent depression and behavioral problems in children with traffic accident trauma.
