Debiasi Laura B, Reynolds Annette, Buckner Ellen B
Children's Health System, Birmingham, AL, USA.
Pediatr Nurs. 2012 May-Jun;38(3):169-76.
The World Health Organization (WHO) has determined mental health in children to be a priority area for evidence-based interventions. Effective and efficient screening methods are needed to assess emotional well-being of children from diverse cultures. This descriptive study examined two tools for feasibility, sensitivity, cultural appropriateness, and cost/time effectiveness. Emotional well-being was conceptualized using the Roy Adaptation Model as part of the self-concept adaptive mode. Emotional indicators were measured from Human Figure Drawings. Anxiety was measured using a modification of the Revised Children's Manifest Anxiety Survey (RCMAS). The sample included 11 girls who were 7 to 12 years of age and recruited from a girls' orphanage in Honduras. Results indicated the Human Figure Drawings identified more children possibly at risk than the RCMAS. Human Figure Drawings were found to be a time/cost-effective, sensitive, and culturally appropriate means for measuring emotional well-being in the setting. This study contributes to nursing knowledge by demonstrating feasibility of the screening tools for measuring emotional well-being of children in varied cultures.
世界卫生组织（WHO）已确定儿童心理健康是循证干预的优先领域。需要有效且高效的筛查方法来评估来自不同文化背景儿童的情绪健康状况。这项描述性研究考察了两种工具的可行性、敏感性、文化适宜性以及成本/时间效益。情绪健康状况采用罗伊适应模式进行概念化，作为自我概念适应模式的一部分。情绪指标通过人物绘画进行测量。焦虑程度使用修订版儿童显性焦虑量表（RCMAS）的改良版进行测量。样本包括11名7至12岁的女孩，她们是从洪都拉斯的一家女童孤儿院招募而来。结果表明，与RCMAS相比，人物绘画识别出更多可能处于风险中的儿童。研究发现，人物绘画是在该环境中测量情绪健康状况的一种具有时间/成本效益、敏感且文化适宜的方法。这项研究通过证明这些筛查工具在测量不同文化背景儿童情绪健康状况方面的可行性，为护理知识做出了贡献。
