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| 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 |
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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.
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[1] 刘永，孙军.一期联合手术治疗延迟诊断的发育性髋关节脱位患者临床疗效分析[J].中华外科杂志，2017，55（3）：228-232.
[2] 张治龙，卢勇.小儿发育性髋关节脱位治疗现状[J].新疆医学，2013，43（5）：6-10.
[3] 韩月明，康玉闻.发育性髋关节脱位患儿家长心理与社会支持状况调查[J].护理学杂志，2010，25（16）：77-78.
[4] 桑艳杰，黄穹琼，曹延会.ICU患者创伤后应激障碍发生及其影响因素研究[J].中国医药导报，2019，16（10）：96-99.
[5] 王冉，刘艳菊，雍恩华，等.接纳与承诺疗法对不孕症患者焦虑抑郁症的干预效果及对患者生活质量的影响[J].河北医药，2017，39（22）：3430-3432.
[6] 陈玥，祝卓宏.接纳承诺疗法治疗创伤后应激障碍综述[J].中国临床心理学杂志，2018，26（1）：205-208.
[7] 王新燕，张桂青，石志坚，等.创伤住院患者创伤后应激障碍与应对方式、社会支持及防御方式的关系的研究[J].现代预防医学，2015，42（3）：473-475.
[8] 李梦婕，郭正军，孙丽君，等.父母教养方式、负性自动思维及应对方式对初中生抑郁情绪的影响[J].精神医学杂志，2017，30（4）：270-273.
[9] Basarkod G，Sahdra B，Ciarrochi J. Body Image-Acceptance and Action Questionnaire-5：An Abbreviation Using Genetic Algorithms [J]. Behav Ther，2018，49（3）：388-402.
[10] Woolf C，Muscara F，Anderson VA，et al. Early Traumatic Stress Responses in Parents Following a Serious Illness in Their Child：A Systematic Review [J]. J Clin Psychol Med Settings，2016，23（1）：53-66.
[11] Wintermann GB，Weidner K，Strau?覻 B，et al. Predictors of Posttraumatic Stress and Quality of Life in Family Members of Chronically Critically ill Patients After Intensive Care [J]. Ann Intensive Care，2016，85（1）：89-97.
[12] 唐洪泰，张永存.创伤后应激障碍[J].中华烧伤杂志，2017，33（11）：687.
[13] Fares J，Gebeily S，Saad M，et al. Post-traumatic stress disorder in adult victims of cluster munitions in Lebanon：a 10-year longitudinal study [J]. BMJ Open，2017，7（8）：e017214.
[14] 秦俊峰，韩海斌，田博.创伤后应激障碍治疗的研究进展[J].精神医学杂志，2019，32（1）：69-72.
[15] 吴雪，闵贝贝.接纳与承诺疗法在胃癌根治术后化疗患者中的应用效果[J].中华现代护理杂志，2018，24（29）：3570-3573.
[16] 蓝飞红，蒋维连，莫文静.团体接纳与承诺疗法对颅脑损伤恢复期患者创伤后成长的效果研究[J].中国实用护理杂志，2019，35（7）：506-510.
[17] Fashler SR，Weinrib AZ，Azam MA，et al. The Use of Acceptance and Commitment Therapy in Oncology Settings：A Narrative Review [J]. Psychol Rep，2017，121（5）：229-252.
[18] 梁春燕，谢婉花，项道满，等.眼科门诊早产儿父母心理弹性与焦虑抑郁、应对方式及社会支持的相关性研究[J].中国实用护理杂志，2017，33（14）：1054-1059.
[19] 赵颖，金美慧，曹静，等.认知行为治疗和接纳承诺疗法对老年人焦虑抑郁的影响[J].中华行为医学与脑科学杂志，2018，27（2）：108-114.
[20] 刘维维，林琳，刘小娟.糖尿病患者经验性回避、接纳与心理痛苦的关系研究[J].中华现代护理杂志，2018，24 |
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