Clinical analysis of acceptance and commitment therapy intervention for post-traumatic stress disorder of parents in children with developmental dislocation of the hip
DONG Lin1 XIE Jianhui2 Yi Yinzhi1 OUYANG Yaqi1
1.Department of Orthopedics, Hu′nan Children′s Hospital, Hu′nan Province, Changsha 410007, China;
2.Department of Nursing, Hu′nan Children′s Hospital, Hu′nan Province, Changsha 410007, China
Abstract：Objective To investigate the effect of acceptance and commitment therapy intervention for post-traumatic stress disorder of parents in children with developmental dislocation of the hip (DDH), and to provide the guidance for the development of future intervention programs of this disease. Methods A total of 108 parents of DDH children who admitted in the Hu′nan Children′s Hospital from May to December 2019 were selected as the research subjects. One person was randomly selected from the parents of each child for observation. The number parity method was used to divide the children′s parents into observation group (odd numbers) and control group (even numbers), with 54 cases in each group. All selected cases received routine nursing, while observation group was given acceptance and commitment therapy based on routine nursing. The general information of the children′s parents in two groups were investigated; the post-traumatic stress disorder, coping style, acceptance and action of the children′s parents of two groups were evaluated by relevant scale or questionnaire before intervention, after intervention for three and six weeks; at the end of intervention, the incidence of post-traumatic stress disorder was compared between the two groups. Results There were statistically significant differences in post-traumatic stress disorder of the index group, time point and interaction comparison between the children′s parents of the two groups (P ＜ 0.05). Intra-group comparison: after three and six weeks of intervention, the scores of post-traumatic stress disorder of the children′s parents of the two groups were lower than those before the intervention, while after six weeks of intervention was lower than after three weeks of intervention, and the differences were statistically significant (P ＜ 0.05); comparison between groups: parental intervention of the observation group after three and six weeks, the scores of post-traumatic stress disorder were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). There were statistically significant differences in the coping style and acceptance and action scores of children′s parents of the two groups between the groups, time points and interactions (P ＜ 0.05). Further pairwise comparison, intra-group comparison: after three and six weeks of intervention, the scores of the parents′ coping styles of the two groups were higher than those before the intervention, while the scores of acceptance and action were lower than those before the intervention, and the score of coping style after six weeks of intervention was higher than that of three weeks after intervention, while the score of acceptance and action was lower than that of three weeks after intervention, and the differences were statistically significant (P ＜ 0.05); comparison between groups: the scores of coping styles of children in the observation group after three and six weeks of intervention were higher than those of the control group, while the scores of acceptance and action were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of post-traumatic stress syndrome in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion Acceptance and commitment therapy in parents of children with DDH can improve the acceptance of DDH-related disease thought and feeling. Parents can respond in a positive and optimistic manner, reduce the degree of post-traumatic stress disorder, and decrease the occurrence of stress syndrome.
董林1 谢鑑辉2 易银芝1 欧阳雅琦1. 接纳与承诺疗法干预发育性髋关节脱位患儿父母创伤后应激综合征临床分析[J]. 中国医药导报, 2020, 17(28): 177-181.
DONG Lin1 XIE Jianhui2 Yi Yinzhi1 OUYANG Yaqi1. Clinical analysis of acceptance and commitment therapy intervention for post-traumatic stress disorder of parents in children with developmental dislocation of the hip. 中国医药导报, 2020, 17(28): 177-181.
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