正念与有效沟通提升项目在发育障碍儿童母亲中应用的效果研究OA
Mindfulness and communication intervention for mothers of children with developmental disabilities in Yangon:A randomized controlled trial on parental stress and problem-solving communication
目的 探讨正念与有效沟通提升项目(the Mindfulness and Effective Communication Enhancement,MECE)在缅甸仰光地区患有发育障碍儿童母亲中应用的效果.方法 采用随机对照试验设计,在仰光地区1所日托中心选取60名患有发育障碍儿童的母亲为研究对象,并随机分为干预组(n=30)和对照组(n=30).干预组患儿母亲在接受常规干预措施的基础上,还接受MECE项目.该项目包括4次每周的课堂教学(第1周至第4周)以及2次后续课程(第6周和第10周).对照组接受常规干预措施.在基线(第1周)、干预后第4周、第8周和第12周时,采用父母压力量表、家庭问题解决沟通指数以及项目满意度调查表对两组患儿母亲进行调查,并比较干预效果.结果 60名母亲均完成了研究.干预组患儿母亲压力得分在干预4周(44.93±8.00)、干预8周(40.33±7.00)及干预12周(43.07±7.61)均低于对照组得分(52.47±7.41,55.37±7.97,52.63±7.97),差异具有统计学意义(P＜0.001).干预组患儿母亲家庭问题解决沟通得分在干预8周(21.70±4.35)及干预12周(21.90±4.38)得分均高于对照组(18.93±5.11,17.93±4.91),差异具有统计学意义(P＜0.05).干预组患儿母亲对项目满意度得分为(42.77±2.97),处于较高水平.结论 MECE项目将正念练习与沟通技能培养相结合,显著减轻了患有发育障碍儿童母亲的压力,并提升其问题解决能力.该研究为护士在类似情境中实施针对性的心理社会干预措施提供理论依据.
Objective:This study aimed to examine the effects of the Mindfulness and Effective Communication Enhancement(MECE)program on parental stress and problem-solving communication among mothers of children with developmental disabilities in Yangon,Myanmar. Methods:A randomized controlled trial was conducted with 60 mothers of school-aged children with developmental disabilities from a specialized daycare center in Yangon.Participants were randomly assigned to either an intervention group(n=30)or a control group(n=30).The intervention group received the MECE program in addition to routine services,which included four weekly in-class sessions(Weeks 1-4)and two follow-up sessions(Weeks 6 and 10).At the same time,the control group received routine services.The outcomes were collected at baseline(Week 1),post-intervention(Week 4),and follow-ups at Week 8 and Week 12 using the Parental Stress Scale,the Family Problem Solving Communication Index,and a program satisfaction survey. Results:All 60 mothers completed the study.The stress scores of mothers in the intervention group were lower than those in the control group at Week 4(44.93±8.00 vs.52.47±7.41),Week 8(40.33±7.00 vs.55.37±7.97),and Week 12(43.07±7.61 vs.52.63±7.97)after the intervention(P＜0.001).The mothers in the intervention group scored higher in family problem-solving communication at Week 8(21.70±4.35 vs.18.93±5.11)and Week 12(21.90±4.38 vs.17.93±4.91)than the control group after the intervention(P＜0.05).The mean program satisfaction score of mothers in the intervention group was high(42.77±2.97). Conclusion:The MECE program,integrating mindfulness practices with communication skill training,effectively reduced parental stress and improved problem-solving communication among mothers of children with developmental disabilities.These findings offer a theoretical foundation for nurses to implement targeted psychosocial interventions in similar situations.
Than Than Win;Tassanee Prasopkittikun;Supapak Phetrasuwan;Chayapa Lenwari
沟通发育障碍正念减压疗法母亲缅甸压力
CommunicationDevelopmental disabilitiesMindfulness-based stress reductionMothersMyanmarStress
《国际护理科学（英文）》 2026 (2)
105-112,8
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