摘要
目的:探讨Neuman保健系统指导的心理危机干预对新型冠状病毒肺炎患者焦虑、心理弹性及应对方式的影响。方法:选取2020年1月11日至3月18日南阳市某医院收治的72例新型冠状病毒肺炎患者为研究对象,采用随机数字表法将其分为对照组和观察组,对照组实施健康宣教及心理疏导,观察组运用Neuman保健系统分析患者主要压力源并实施针对性干预。运用广泛性焦虑量表(GAD-7)、心理弹性量表(CD-RISC)、简易应对方式量表(SCSQ)分别在干预前后对两组患者焦虑程度、心理弹性水平及疾病应对方式进行评价。结果:干预前,两组患者GAD-7、CD-RISC得分差异均无统计学意义(P>0.05),干预后,观察组患者GAD-7得分(5.17±0.82)分,低于对照组(6.89±0.87)分,差异有统计学意义(P<0.001);观察组患者CD-RISC得分(73.18±13.52)分,高于对照组的(62.93±12.76)分,差异有统计学意义(P<0.05);干预前,两组间SCSQ量表中积极应对评分、消极应对评分比较差异无统计学意义(P>0.05),干预后,观察组SCSQ量表中积极应对评分高于对照组(P<0.05);消极应对评分低于对照组(P<0.05)。结论:Neuman保健系统指导的心理危机干预可有效改善新型冠状病毒肺炎患者焦虑情绪,提升其心理弹性,帮助其建立积极的疾病应对方式,利于医疗活动的开展,促进其康复。
Objective:To explore the impact of psychological crisis intervention guided by the Neuman health care system on the anxiety,psychological resilience and coping styles of patients with new coronavirus pneumonia.Methods:Selected 72 patients with novel coronavirus pneumonia admitted to a hospital in Nanyang from January 11 to March 18,2020 as the research subjects,and divided them into a control group and an observation group using a random number table method.The control group implemented health education and education.For psychological counseling,the observation team used the Neuman health care system to analyze the main stressors of patients and implement targeted interventions.The General Anxiety Scale(GAD-7),Psychological Resilience Scale(CD-RISC),and Simplified Coping Style Scale(SCSQ)were used to evaluate the anxiety level,psychological resilience level and disease coping style of the two groups of patients before and after the intervention.Results:Before the intervention,there was no significant difference in the GAD-7 and CD-RISC scores between the two groups of patients(P>0.05).After the intervention,the GAD-7 score of the observation group was(5.17±0.82),which was lower than the control group(6.89±0.87)points,the difference was statistically significant(P<0.001);the observation group had a CD-RISC score(73.18±13.52)points,which was higher than the control group(62.93±12.76)points,the difference was statistically significant(P<0.05);Before the intervention,there was no significant difference in the positive coping scores and negative coping scores in the SCSQ scale between the two groups(P>0.05).After the intervention,the positive coping scores in the SCSQ scale of the observation group were higher than those of the control group(P<0.05);The negative coping score was lower than the control group(P<0.05).Conclusion:The psychological crisis intervention guided by the Neuman health care system can effectively improve the anxiety of patients with new coronavirus pneumonia,enhance their psychological resili
作者
孙伟
向保华
SUN Wei;XIANG Baohua(Nanyang Central Hospital,Nanyang 473000,China)
出处
《包头医学院学报》
CAS
2021年第7期68-73,共6页
Journal of Baotou Medical College
基金
河南省医学科技攻关计划项目(202000310259)
关键词
新型冠状病毒肺炎
心理危机干预
焦虑
心理弹性
应对方式
Novel Coronavirus Pneumonia
Psychological Crisis Intervention
Anxiety
Psychological Resilience
Coping Style
