Effects of psychological nursing intervention based on the theory of stress system in post-traumatic stress disorder in children after major car accidents
10.3760/cma.j.cn115682-20191015-03710
- VernacularTitle:基于应激系统理论的心理护理干预在重大车祸儿童创伤后应激障碍中的应用
- Author:
Mingming GUO
1
;
Yingying LIU
;
Dong MA
;
Linxi HE
Author Information
1. 中国医科大学附属盛京医院小儿重症监护病房，沈阳 110000
- Keywords:
Child;
Post-traumatic stress disorder;
Post-traumatic growth;
Theory of stress system;
Psychological nursing;
Car accident
- From:
Chinese Journal of Modern Nursing
2020;26(24):3343-3347
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate post-traumatic stress disorder (PTSD) in children after major car accidents and explore the effects of psychological nursing intervention based on the theory of stress system on post-traumatic growth (PTG) in children.Methods:Totally 134 children injured in car accidents who were hospitalized in the pediatric intensive care unit (PICU) of Shengjing Hospital of China Medical University from January 2017 to February 2019 were selected by convenient sampling and divided into the observation group and the control group according to the random number table, with 67 cases in each group. During the hospital stay, children in the two groups received the same psychological nursing and were followed up once a month after discharge. Children in the observation group received psychological nursing intervention based on the theory of stress system. The PTSD Checklist-Civilian Version (PCL-C) , Post-Traumatic Growth Inventory (PTGI) and Medical Coping Modes Questionnaire (MCMQ) were used to evaluate the children before and after intervention and compare the effects of intervention.Results:After intervention, the PTSD score of the observation group was lower and the PTG score was higher than that of the control group; the facing score in MCMQ of the observation group was higher, and the avoidance and yield scores were lower than that of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:PTSD is prevalent in children after major car accidents. Psychological nursing intervention based on the theory of stress system can alleviate PTSD in children and promote their PTG.
