中国听力语言康复科学杂志

2020, v.18;No.99(02) 135-138+150

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

叙事疗法对青少年先天性小耳畸形患者心理弹性的影响
The Effect of Narrative Therapy on the Improvement of Mental Flexibility of Adolescent Patients with Congenital Microtia

刘莹;赵斯君;
LIU Ying;ZHAO Si-jun;

摘要(Abstract):

目的研究基于叙事疗法下心理弹性干预对青少年先天性小耳畸形患者心理弹性、自我管理行为、生活质量的影响。方法纳入2015年2月~2019年1月我院收治的128例青少年先天性小耳畸形患者为研究对象,开展前瞻性研究。按入院时间顺序分为两组,2015年2月~2017年1月入选的64例患者为对照组,采用常规心理护理干预;2017年2月~2019年1月入选的64例患者为观察组,在常规心理护理基础上采用叙事疗法下心理弹性干预。两组干预时间均为住院期间至出院后3个月。分别于干预前及干预结束时,采用体表缺陷青少年心理弹性量表、自我管理行为测定量表、先天性外中耳畸形患者生活质量量表评估两组患者心理弹性、自我管理行为及生活质量。结果观察组干预后缺陷接受、情绪调控、适应能力、自我效能、外部支持、挫折应对评分及总量表评分均显著高于干预前及对照组干预后(P<0.05)。观察组干预后自我管理技能、自我管理责任感、自我概念、健康知识水平及总量表评分均显著高于干预前及对照组干预后(P<0.05)。观察组干预后生理功能、心理状态、社会交往及总量表评分均显著低于干预前及对照组干预后(P<0.05)。结论基于叙事疗法下心理弹性干预对青少年先天性小耳畸形患者心理弹性、自我管理行为、生活质量具有重要影响。
Objective To study the effect of psychological resilience intervention based on narrative therapy on the resilience, self-management behavior and quality of life of teenagers with congenital microtia. Methods 128 cases of congenital microtia in adolescents admitted to our hospital from February 2015 to January 2019 were included in the prospective study.According to the time sequence of admission, the patients were divided into two groups. 64 cases of congenital microtia in adolescents from February 2015 to January 2017 were selected as the control group, and routine psychological nursing intervention was adopted, From February 2017 to January 2019, 64 adolescent patients with congenital microtia were selected as the observation group. The psychoelastic intervention program based on the narrative therapy was adopted.The intervening time of both groups was from hospitalization to 3 months after discharge. Before and at the end of the intervention, the resilience, self-management behavior and quality of life of the two groups were assessed by the scales of adolescents with surface defects, self-management behavior and quality of life of patients with congenital external and middle ear malformation. Results After intervention, the scores of defect acceptance, emotional regulation, adaptability, self-efficacy, external support, frustration coping and total scale in the observation group were significantly higher than those before intervention and after intervention in the control group(P<0.05).The scores of self-management skills, selfmanagement responsibility, self-concept, health knowledge level and total scale in the observation group after intervention were significantly higher than those before intervention and after intervention in the control group(P<0.05).The scores of physiological function, psychological state, social interaction and total scale in the observation group after intervention were significantly lower than those before intervention and after intervention in the control group(P<0.05). Conclusion Psychological resilience intervention based on narrative therapy has an important impact on the resilience, self-management behavior and quality of life of adolescent patients with congenital microtia, which should be given enough attention clinically.

关键词(KeyWords): 叙事疗法;心理弹性;青少年;先天性小耳畸形
Narrative therapy;Psychological resilience;Adolescents;Congenital microtia

Abstract:

Keywords:

基金项目(Foundation): 全国教育科学“十二五”规划教育部青年课题(EBA140362)

作者(Author): 刘莹;赵斯君;
LIU Ying;ZHAO Si-jun;

Email:

参考文献(References):

扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享