摘要
目的探讨基于积极心理学的团体辅导在直肠癌造口患者中的应用效果。方法采用便利抽样法,选取2018年1—12月在哈尔滨医科大学附属第四医院接受直肠癌永久性肠造口并于术后1个月来我院复查的100例患者作为研究对象,采用随机数字表法分为对照组(n=47)和观察组(n=53)。观察组有5例患者中途退出研究,获得有效问卷48份;对照组回收有效问卷41份。对照组患者给予出院后常规健康指导,观察组患者给予基于积极心理学的团体辅导。采用创伤后成长评定量表(PTGI)、Herth希望量表(HHI)评估干预效果。结果观察组患者干预后PTGI中的个人力量、新的可能性、与他人关系、自我转变维度得分高于对照组,差异有统计学意义(P<0.05),两组患者人生感悟维度得分比较,差异无统计学意义(P>0.05)。观察组患者干预后HHI的3个维度得分均高于对照组,差异有统计学意义(P<0.05)。结论基于积极心理学的团体辅导能够提高直肠癌造口患者的创伤后成长水平和希望水平。
Objective To explore the effects of positive psychology-based group counseling in rectal cancer patients with stoma.Methods From January to December 2018,this study selected 100 patients with rectal cancer permanent stoma and reexamine one month after surgery in the Fourth Hospital of Harbin Medical University as subjects by convenience sampling.All of patients were divided into control group(n=47)and observation group(n=53)with the method of random number table.A total of 5 cases of observation group withdrew from the study and 48 valid questionnaires were gained;41 valid questionnaires were collected in control group.Control group carried out routine health guidance after discharge,while observation group implemented the positive psychology-based group counseling.The intervention effects were evaluated with the Post-traumatic Growth Inventory(PTGI)and the Herth Hope Index(HHI).Results After intervention,the scores of personal strength,new possibility,interpersonal relationship and self-transformation in PTGI of patients in observation group were higher than those in control group with statistical differences(P<0.05).There was no statistical difference in the score of life perception of patients between two groups(P>0.05).The scores of three dimensions in HHI of patients in observation group were higher than those in control group after intervention with statistical differences(P<0.05).Conclusions Positive psychology-based group counseling can improve the post-traumatic growth and hope of rectal cancer patients with stoma.
作者
于菲
刘宁
闫书燕
Yu Fei;Liu Ning;Yan Shuyan(General Surgery,Songbei District,the Fourth Hospital of Harbin Medical University,Harbin 150001,China;Department of Hematology and Rheumatology,the Fourth Hospital of Harbin Medical University,Harbin 150001,China)
出处
《中华现代护理杂志》
2020年第7期923-926,共4页
Chinese Journal of Modern Nursing
关键词
直肠肿瘤
积极心理学
团体辅导
肠造口术
创伤后成长
希望
Rectal neoplasms
Psychology,positive
Group counseling
Enterostomy
Posttraumatic growth,psychological
Hope
