[关键词]
[摘要]
目的 构建白血病青少年心理灵活性干预方案并验证应用效果,为改善其心理健康提供参考。方法 通过文献研究、质性访谈、专家会议及预试验构建干预方案。选取河南省某三级甲等医院58例10~14岁白血病青少年,按病区整群随机分为对照组和观察组。对照组实施常规心理健康教育,观察组在此基础上接受6周线上线下混合心理干预。干预前、干预后即刻和干预后2个月,采用青少年回避与融合问卷、儿童医疗恐惧量表、广泛性焦虑量表评估干预效果。结果 对照组和观察组在研究过程中各脱落2例,每组各27例完成研究。重复测量的方差分析显示,心理灵活性、医疗恐惧及焦虑评分的组间效应、时间效应及交互效应均有统计学意义(均P<0.05)。干预后观察组心理灵活性得分高于对照组(t=3.321,P=0.002),而医疗恐惧、焦虑得分均低于对照组(t=-3.670,P=0.001;t=-4.083,P<0.001),且干预后2个月,观察组上述两项得分更低(t=-3.606,P=0.001;t=-4.124,P<0.001)。结论 构建的干预方案可改善白血病青少年的心理灵活性,缓解医疗恐惧和焦虑,但长期维持效果仍需验证。
[Key word]
[Abstract]
Objective To develop a psychological flexibility intervention program for adolescents with leukemia and verify its application effect, so as to provide a reference for improving their mental health.Methods The intervention program was developed through literature research, qualitative interviews, expert panel consultation, and a pilot test. Fifty-eight adolescents aged 10?14 years with leukemia in a Grade A tertiary hospital in Henan Province were cluster-randomized by ward into a control group and an observation group.The control group received routine mental health education, while the observation group additionally received a six-week blended online-offline psychological intervention.The Avoidance and Fusion Questionnaire for Youth (AFQ-Y), the Child Medical Fear Scale (CMFS), and the Generalized Anxiety Disorder-7(GAD-7) were used to evaluate the intervention effects before the intervention,immediately after the intervention, and two months after the intervention.Results Two participants in each group dropped out during the study, and 27 in each group completed the study.The group effect, time effect, and interaction effect of psychological flexibility, medical fear, and anxiety scores were all statistically significant(all P<0.05).After the intervention, the psychological flexibility score of the observation group was higher than that of the control group(t=3.321,P=0.002), while the medical fear and anxiety scores were lower than those of the control group(t=-3.670,P=0.001;t=-4.083,P<0.001).At two months after the intervention, the latter two scores were even lower(t=-3.606,P=0.001;t=-4.124,P<0.001).Conclusions The developed intervention program can improve psychological flexibility and alleviate medical fear and anxiety among adolescents with leukemia, but its long-term maintenance effect remains to be verified.
[中图分类号]
R473.55
[基金项目]
河南省自然科学基金项目(262300421652)
