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减少韩国寄宿设施中受虐待儿童和青少年问题的干预措施:一项综合综述。

Interventions to Reduce the Problems of Abused Children and Adolescents in Residential Facilities in South Korea: An Integrative Review.

作者信息

Kim Sungjae, Bang Kyung-Sook, Lee Gumhee, Song Min Kyung, Jeong Yeseul

机构信息

Professor, College of Nursing · The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

Doctoral Student, College of Nursing, Seoul National University, Seoul, Korea.

出版信息

Child Health Nurs Res. 2019 Jul;25(3):273-289. doi: 10.4094/chnr.2019.25.3.273. Epub 2019 Jul 31.

Abstract

PURPOSE

The purpose of this study was to review the literature on intervention studies for abused children and adolescent in residential facilities in South Korea (ACARF-K). The goal was to understand the problems they experience, to evaluate the content and effectiveness of interventions applied to them, and to develop evidence-based nursing intervention programs.

METHODS

We used four electronic databases to search for relevant articles. 18 studies according to Whittemore and Knafl's integrative review method to synthesize the literature.

RESULTS

The ACARF-K experienced problems in biophysical, psychological, and sociocultural domains related to attachment impairment. Effective intervention strategies were building trust through empathy and fulfillment of needs, encouraging ACARF-K to express themselves and helping them to clarify emotions in an unthreatening environment, and improving their self-concept through activities in which they experienced achievement.

CONCLUSION

Interventions are needed to help restore attachment damage among ACARF-K. The interventions in this study utilized emotional, cognitive, relational, and behavioral therapeutic tools to improve their psychological and social capacities. Future intervention programs for ACARF-K should include these key elements.

摘要

目的

本研究旨在回顾韩国寄宿设施中受虐待儿童和青少年干预研究的文献(ACARF - K)。目标是了解他们所经历的问题,评估应用于他们的干预措施的内容和效果,并制定基于证据的护理干预计划。

方法

我们使用四个电子数据库搜索相关文章。根据惠特莫尔和克纳夫的综合评论方法对18项研究进行文献综合。

结果

ACARF - K在与依恋障碍相关的生物物理、心理和社会文化领域存在问题。有效的干预策略包括通过同理心和满足需求建立信任,鼓励ACARF - K表达自己,并在无威胁的环境中帮助他们澄清情绪,以及通过让他们体验成就的活动来改善他们的自我概念。

结论

需要进行干预以帮助修复ACARF - K中的依恋损伤。本研究中的干预措施利用情感、认知、关系和行为治疗工具来提高他们的心理和社会能力。未来针对ACARF - K的干预计划应包括这些关键要素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b4c/8650959/0fd96cb666f0/chnr-25-3-273f1.jpg

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