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护士实施认知行为疗法对暴力受害儿童创伤后应激障碍症状的缓解作用:一项综述。

Cognitive Behavior Therapy by Nurses in Reducing Symptoms of Post-Traumatic Stress Disorder on Children as Victims of Violence: A Scoping Review.

作者信息

Yosep Iyus, Mardhiyah Ai, Ramdhanie Gusgus Ghraha, Sari Citra Windani Mambang, Hendrawati Hendrawati, Hikmat Rohman

机构信息

Department of Mental Health, Faculty of Nursing, Universitas Padjadjaran, Bandung 40132, Indonesia.

Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung 40132, Indonesia.

出版信息

Healthcare (Basel). 2023 Jan 31;11(3):407. doi: 10.3390/healthcare11030407.

Abstract

Violence against children can cause psychological problems such as post-traumatic syndrome disorder (PTSD). The negative impact of violence on children is psychological and physical problems and risk of suicide. Nurses have a role to provide comprehensive nursing care such as cognitive behavior therapy for reducing PTSD symptoms. The purpose of this study was to describe the methods of cognitive behavior therapy to reduce symptoms of PTSD in children who are victims of violence. This study used the scoping review method. The databases use for the literature review in this study were CINAHL, PubMed, and Scopus. The keywords used in English were "cognitive behavioral therapy OR CBT" AND "violence OR abuse" AND "post-traumatic stress disorder OR PTSD" AND "child OR children". The inclusion criteria were full text, randomized control trial or quasi-experimental research design, English language, the sample was children, and the publication period was for the last 10 years (2013-2022). We found 10 articles discussing CBT intervention on children who experienced victim abuse to reduce symptoms of PTSD. Most of the articles in this study used randomized control trial design. Several samples in this study are from the USA. The total sample was 47-320 respondents. This study showed three methods of CBT, namely psychoeducation, self-management, and coping strategies. CBT interventions can be carried out face-to-face or online. The activities carried out by the participants were relaxing, participating in training, counseling, problem-solving discussions, and therapy to improve sleep quality. Cognitive behavioral therapy is an intervention that can be carried out to reduce the traumatic impact on child victims of violence by taking into account the characteristics and development of the children.

摘要

暴力侵害儿童行为可导致心理问题,如创伤后应激障碍(PTSD)。暴力对儿童的负面影响包括心理和身体问题以及自杀风险。护士在提供全面护理方面发挥着作用,例如采用认知行为疗法来减轻PTSD症状。本研究的目的是描述认知行为疗法减轻暴力受害儿童PTSD症状的方法。本研究采用了范围综述法。本研究用于文献综述的数据库有CINAHL、PubMed和Scopus。英文使用的关键词是“认知行为疗法或CBT”以及“暴力或虐待”以及“创伤后应激障碍或PTSD”以及“儿童”。纳入标准为全文、随机对照试验或准实验研究设计、英文、样本为儿童且发表时间为过去10年(2013 - 2022年)。我们发现10篇文章讨论了CBT干预对遭受虐待的儿童减轻PTSD症状的情况。本研究中的大多数文章采用了随机对照试验设计。本研究中的几个样本来自美国。总样本为47 - 320名受访者。本研究展示了CBT的三种方法,即心理教育、自我管理和应对策略。CBT干预可以面对面或在线进行。参与者开展的活动包括放松、参加培训、咨询、解决问题讨论以及改善睡眠质量的治疗。认知行为疗法是一种可以实施的干预措施,通过考虑儿童的特点和发育情况来减轻暴力对儿童受害者的创伤影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2315/9914721/37b444b868d6/healthcare-11-00407-g001.jpg

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