萨提亚模式赋能对急诊服毒自杀未遂者及 家庭照顾者的影响
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女,硕士,主管护师

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国家重点研发计划政府间重点项目(2023YFE0114300)


Effects of Satir model empowerment on emergency patients with suicide attempts after deliberate self-poisoning and their family caregivers
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    摘要:

    目的 探讨萨提亚模式赋能对急诊服毒自杀未遂者及家庭照顾者的影响。方法 选取急诊科收治的服毒自杀未遂者及家庭照顾者88对,随机分为对照组与干预组各44对。对照组给予常规护理,干预组在对照组基础上实施以家庭系统修复为核心的萨提亚模式赋能干预。结果 出院时两组各43对自杀未遂者及家庭照顾者完成研究,出院第90天对照组32对、干预组31对完成随访。出院时及出院第90天,干预组家庭照顾者反刍思维消极元认知评分显著低于对照组,自我宽恕、创伤后成长、家庭复原力评分显著高于对照组(均P<0.05)。干预组患者出院3个月内再自杀行为发生率显著低于对照组(P<0.05)。结论 萨提亚模式赋能家庭照顾者可有效改善其心理状态及家庭复原力,从而降低急诊服毒自杀未遂者出院后再自杀行为发生风险。

    Abstract:

    Objective To explore the effects of Satir model empowerment on emergency patients with suicide attempts after deliberate self-poisoning and their family caregivers. Methods Eighty-eight pairs of emergency patients with suicide attempts after deliberate self-poisoning and their family caregivers were randomized into a control group or and an intervention group, with 44 pairs in each group. The control group received routine nursing care, while the intervention group additionally received Satir model empowerment intervention, focusing on family system repair. Results At discharge, 43 pairs in each group completed the study. At 90 days after discharge, 32 pairs in the control group and 31 pairs in the intervention group completed the follow-up. At both discharge and the 90-day follow-up, the family caregivers′ scores of negative beliefs about rumination in the intervention group were significantly lower than those of the control group, and their scores of self-forgiveness, post-traumatic growth, and family resilience were significantly higher than those of the caregivers in the control group (all P<0.05). The incidence of repeat suicide behaviors within 3 months post-discharge was significantly lower in the intervention group than that in the control group (P<0.05). Conclusion Empowering family caregivers using the Satir model effectively improves their psychological state and family resilience, thereby reducing the risk of repeat suicide behaviors after discharge in emergency patients with suicide attempts after deliberate self-poisoning.

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徐丹丹,杨卫红,赵佳,吴利娟,范雨欣,张鑫月,石金河,王卫珍.萨提亚模式赋能对急诊服毒自杀未遂者及 家庭照顾者的影响[J].护理学杂志,2025,(18):1-5

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  • 收稿日期:2025-04-09
  • 最后修改日期:2025-06-21
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  • 在线发布日期: 2025-10-22