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Implementing nursing interventions based on stress system theory alongside painting therapy for pediatric
Xing Yuan1, Bing Xu2, Bao Cai2
1Department of Pediatric Surgery, Anqing Municipal Hospital, NO. 87 Tianzhushan East Road, Anqing, Anhui Province, 246000, China. 260701154@qq.com.
Insights
This study shows that a nursing intervention combining stress system theory and painting therapy effectively reduces post-traumatic stress disorder (PTSD) symptoms in children after accidental injury. The approach also enhances coping, promotes growth, and improves quality of life and family satisfaction.
Area of Science:
- Pediatric Psychology
- Trauma-Informed Care
- Creative Arts Therapies
Background:
- Accidental injuries can lead to pediatric post-traumatic stress disorder (PTSD).
- Effective interventions are needed to manage PTSD symptoms and promote recovery in children.
- Stress system theory provides a framework for understanding the physiological and psychological responses to trauma.
Purpose of the Study:
- To evaluate the impact of a novel nursing intervention on children with PTSD following accidental injury.
- The intervention integrates stress system theory with painting therapy.
- To compare outcomes between children receiving the intervention and those receiving standard care.
Main Methods:
- Retrospective analysis of 100 children diagnosed with PTSD post-accidental injury (April 2021-May 2023).
- Control group (n=48) received standard nursing care.
- Observation group (n=52) received nursing intervention based on stress system theory and painting therapy.
- Assessed PTSD-SS, post-traumatic growth, coping styles, quality of life, and family satisfaction.
Main Results:
- The intervention group showed significantly lower PTSD-SS scores compared to the control group.
- Children in the intervention group demonstrated higher post-traumatic growth and improved coping styles (increased confrontation, decreased avoidance/resignation).
- Quality of life and family satisfaction were significantly higher in the intervention group.
Conclusions:
- Nursing intervention integrating stress system theory and painting therapy is effective for pediatric PTSD.
- This approach alleviates stress, enhances active coping mechanisms, and fosters post-traumatic growth.
- The intervention improves overall quality of life and increases family satisfaction in children recovering from accidental injuries.
Objective:
The aim of this study is to examine the impact of a nursing intervention based on stress system theory, coupled with painting therapy, on children experiencing post-traumatic stress disorder (PTSD) subsequent to an accidental injury.
Methods:
The clinical data of 100 children diagnosed with PTSD following accidental injuries were retrospectively analyzed for the period spanning April 2021 to May 2023. There were 48 children who received standard nursing care between April 2021 and April 2022 in the control group, and 52 children who received nursing intervention based on stress system theory combined with painting therapy between May 2022 and May 2023 in the observation group. Scores of PTSD Self-evaluation Scale (PTSD-SS), post-traumatic growth, coping style, quality of life, and family satisfaction were compared between the two groups.
Results:
Prior to nursing care, the scores of each dimension in the PTSD-SS, post-traumatic growth, coping style, and quality of life were similar between the two groups (P > 0.05). Following nursing intervention, the observation group exhibited lower scores in each dimension of the PTSD-SS compared to the control group. Moreover, the scores in each dimension of the children's version of the Post-Traumatic Growth Inventory (PTGI) were higher in the observation group than in the control group. Additionally, the Confrontation scores in the Medical Coping Modes Questionnaire (MCMQ) were higher in the observation group than in the control group, while the scores of Avoidance and Resignation were lower in the observation group than in the control group. The scores of each dimension in the Pediatric Quality of Life Inventory Measurement Models (PedsQL4.0) were higher than those in the control group (P < 0.05), and the family satisfaction in the observation group (96.15%) was higher than that in the control group (81.25%), with P < 0.05.
Conclusion:
The implementation of nursing intervention based on stress system theory combined with painting therapy in children with PTSD following an accidental injury can alleviate stress, help them actively cope with the condition, promote post-traumatic growth, and improve the quality of life and family satisfaction.
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