| ObjectiveTo survey the current situation and influencing factors affecting family resilience of caregivers of children with congenital pseudarthrosis of the tibia,and to analyze the relationship between family resilience and care burden and post-traumatic growth.To explore the effect of family stress resistance intervention program for children with CPT based on Walsh family stress resistance process model and Internet+follow-up platform,application effect on improving family resistance level of caregivers in children with CPT as to improve the family life quality and the mental health level of families of children with CPT.Method1.Select the main caregivers of children with CPT who have been treated in the Department of Orthopedics of a Grade 3A Children’s Hospital in Hunan Province from 2007 to 2020.In February 2020,the researchers sent a questionnaire link to the caregivers of CPT children who met the inclusion criteria through the We Chat group of follow-up in the department.CPT General condition questionnaire,Chinese Family Resilience Assessment Scale,(C-FRAS)and Zarit nursing burden scale(ZBI),Posttraumatic Growth Inventory,(PTGI)were used to investigate the current situation of family resilience,care burden and post-traumatic growth of caregivers of children with CPT,and to analyze its influencing factors.2.Using the method of literature review,review the relevant literature and investigate the demand status of parents of children with CPT the needs of parents.Carry out the expert working group meeting,based on the three key points of the formation of family resilience put forward by Walsh,combined with the results of cross-sectional survey of the current situation of family resistance of caregivers of children with CPT,and the clinical nursing path of CPT,to construct the main modules and implementation projects of the intervention platform of family resistance of children with CPT.3.The caregivers of CPT in orthopedics department of Grade 3A Children’s Hospital in Hunan Province from March to June 2020 were included in the control group,and the caregivers of CPT in orthopedics department of Grade 3A Children’s Hospital in Hunan Province from July to October 2020 were included in the intervention group.There control group(n=45)and the intervention group(n=45).42 and 39 cases completed the study respectively.The intervention group(n=39)used Internet+follow-up platform for family resistance intervention,and the control group(n=42)received routine psychological intervention,to evaluate the family resilience,care burden and post-traumatic growth scores of caregivers of CPT in the two groups.4.The statistical analysis of the data was carried out by using SPSS22.0,and the measurement data were all subject to normal distribution,which were described by mean,standard deviation and percentage,and analyzed by independent sample t-test,analysis of variance,X~2 test,multiple stepwise linear regression and pearson correlation analysis.Result1.The total score of family resistance of caregivers of children with CPT was(130.35±12.53).In this study,low-level group accounted for 27.7%,high-level group accounted for 25.8%,suggesting that the level of family resistance of caregivers of children with CPT was different,and the differentiation is obvious.Among them,family communication and problem solving dimension(78.88±6.95),using socio-economic resources dimension(23.14±3.67),maintaining positive attitude dimension(19.06±3.18),giving adversity meaning dimension(9.27±0.90).2.In this study,the scores of ZBI and PTGI were(30.15±15.70)and(68.05±15.34)respectively in 364 caregivers of children with CPT.The total C-FRAS score of caregivers of children with CPT was positively correlated with the score of PTGI of caregivers of children with CPT(r=0.454,P<0.01),and negatively correlated with the score of ZBI of caregivers of children with CPT(r=0.354,P<0.01).3.Multiple linear regression showed that the relationship between caregiver and child,the score of care burden and the score of post-traumatic growth were the influencing factors of family resistance score of caregivers of children with CPT(p<0.05).Care burden and post-traumatic growth had the most significant influence on the score of family resistance of caregivers of children with CPT.4.Before intervention,there was no significant difference in basic data,C-FRAS,ZBI and PTGI scores between the intervention group and the control group.5.After 3 months of intervention,there was significant difference in the total scores of family resistance and post-traumatic growth between the intervention group and the control group,but there was no significant difference in the total score of care burden between the intervention group and the control group(P>0.05).The score of caregivers of CPT children in the intervention group was higher than that in the control group.6.After repeated measurement and analysis,there were significant differences in the time of C-FRAS total score,intervention and interaction between the two groups(Fang 54.189 P<0.05),intervention and interaction between the two groups(P<0.05),and there were significant differences in the time of PTGI total score,intervention and interaction between the two groups(P<0.05),and there were significant differences in the total score of PTGI between the two groups(P<0.05,P<0.05).Conclusion1.The family resilience assessment score of caregivers of children with CPT is at a low level,and there is a linear regression relationship between caregivers and children,caregiver age,care burden score and post-traumatic growth score.It is the influencing factor of family resilience assessment score of caregivers in children with CPT.2.The intervention of family resistance of caregivers of children with CPT by using Internet+follow-up platform can effectively improve the level of family resistance of caregivers of children with CPT and improve the level of post-traumatic growth. |
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