摘要
目的分析日记式心理指导对十二指肠球部溃疡患者的消极情感和自我效能的影响。方法哈里逊国际和平医院在2016年8月至2018年9月收治的88例十二指肠球部溃疡患者为研究对象,采用随机数字表法分为研究组和对照组,每组44例。其中,对照组实施传统干预措施;研究组则在对照组基础上引入日记式心理指导。在干预前及干预后第2周末,2组患者均接受焦虑自评量表(SAS)和抑郁自评量表(SDS)、匹茨堡睡眠量表、SF-36生命质量量表、自我效能量表测评。结果干预后,研究组患者的负面情感评分SAS、SDS分别为(51.3 ± 2.0)、(52.4 ± 1.9)分,对照组分别为(58.5 ± 2.8)、(59.3 ± 3.1)分,2组比较差异有统计学意义(t=15.278、13.211,P<0.05)。研究组患者干预后匹茨堡睡眠质量评分、自我效能评分和各项生命质量评分均高于对照组,差异有统计学意义(t=7.673~15.278,均P<0.05)。结论十二指肠球部溃疡患者引入日记式心理指导干预,能改善患者焦虑、抑郁等消极情感,且能提高患者的自我效能。
Objective To analyze the effect of diary psychological guidance on negative emotion and self-efficacy in patients with duodenal ulcer. Methods From August 2016 to September 2018, 88 patients with duodenal bulbar ulcer admitted to Harrison International Peace Hospital were divided into study group and control group by random grouping method, 44 cases in each group. The control group was given traditional intervention, while the study group was given diary psychological guidance on the basis of the control group. Both groups were assessed by SAS and SDS, Pittsburgh Sleep Scale, SF-36 Quality of Life Scale and Self-efficacy Scale before and after intervention at the end of the second week. Results After intervention, SAS and SDS of the study group were (51.3±2.0),(52.4±1.9) respectively, while those of the control group were (58.5±2.8),(59.3±3.1). There were significant differences between the two groups (t=15.278, 13.211, P < 0.05). The Pittsburgh sleep quality score, self-efficacy score and quality of life score in the study group were higher than those in the control group (t=7.892-24.031, all P<0.05). Conclusion The intervention of diary psychological guidance can improve the negative emotions such as anxiety and depression, and improve the self-efficacy of patients with duodenal ulcer.
作者
郭朋璐
袁双珍
李炜
董曼
卢冀超
郎成允
Guo Penglu;Yuan Shuangzhen;Li Wei;Dong Man;Lu Jichao;Lang Chengyun(Endoscope Room, Department of Gastroenterology, Harrison International Peace Hospital, Hengshui 053000,China;Clinical Medical College of Hangzhou Medical College,Hangzhou 310000,China)
出处
《中国实用护理杂志》
2019年第14期1094-1098,共5页
Chinese Journal of Practical Nursing
基金
浙江省哲学社会科学规划课题(17NDJC086YB).