接纳与承诺疗法对脑瘫患儿行为问题及其父母养育心理灵活性的影响
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女,硕士在读,主管护师

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2019年度安徽省卫生健康委科研计划项目(2019SEY010)


The impact of acceptance and commitment therapy on behavioral problems in children with cerebral palsy and parental psychological flexibility
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    摘要:

    目的 探讨接纳与承诺疗法对脑瘫患儿行为问题及其父母焦虑、抑郁、养育心理灵活性的影响。 方法 将60例有焦虑或抑郁情绪的脑瘫患儿及父母随机分为对照组与干预组各30例。对照组实施常规护理,干预组在此基础上进行接纳与承诺疗法干预。干预前及干预8周后运用焦虑、抑郁自评量表,父母养育心理灵活性问卷和儿童行为问卷进行评价。 结果 干预8周后,干预组脑瘫患儿行为问题、脑瘫患儿父母焦虑和抑郁评分显著低于对照组,父母养育心理灵活性得分显著高于对照组(P<0.05,P<0.01)。 结论 采用接纳与承诺疗法干预可缓解脑瘫患儿父母焦虑和抑郁情绪,提高其养育心理灵活性,降低患儿行为问题。

    Abstract:

    Objective To explore the impact of acceptance and commitment therapy (ACT) on behavioral problems in children with cerebral palsy and parental anxiety, depression and psychological flexibility in parents. Methods Sixty parents of children with cerebral palsy who had anxiety or depression were randomly divided into a control group and an intervention group of 30, receiving either routine nursing or ACT. The Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Parental Psychological Flexibility Questionnaire (PPFQ) and Child Behavior Rating Scale (CBRS) were used to evaluate the effect before and 8 weeks after the intervention. Results After 8-week intervention, the scores of the CBRS, SAS and SDS were significantly lower, whereas the PPFQ score was significantly higher in the intervention group compared to the control group (P<0.05,P<0.01). Conclusion ACT can alleviate anxiety and depression of parents of children with cerebral palsy, and improve their parental psychological flexibility, thus to decrease their children′s behavioral problem.

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王志平,毕清泉,方继红,陈秀云,徐学翠.接纳与承诺疗法对脑瘫患儿行为问题及其父母养育心理灵活性的影响[J].护理学杂志,2020,35(19):74-78

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  • 收稿日期:2020-04-02
  • 最后修改日期:2020-06-05
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  • 在线发布日期: 2022-09-06