摘要
目的 探讨自我表露干预联合正念减压训练对脑胶质瘤术后患者心理弹性及应对方式的影响。方法 将105例脑胶质瘤患者按随机数字表法分成研究组(53例)和对照组(52例)。两组均予以常规护理干预,研究组在此基础上予以自我表露干预联合正念减压训练,观察12周。干预前后采用痛苦自我表露指数、心理弹性量表、医学应对问卷评定患者的自我表露水平、心理弹性及应对方式。结果 干预后研究组痛苦自我表露指数、心理弹性量表评分较干预前显著升高(P<0.01),且显著高于对照组(P<0.01);干预后对照组痛苦自我表露指数、心理弹性量表评分较干预前无显著变化(P>0.05)。干预后研究组医学应对问卷各维度评分较干预前有显著变化(P<0.01),且面对维度评分显著高于对照组(P<0.01),回避、屈服维度评分显著低于对照组(P<0.01);干预后对照组医学应对问卷各维度评分较干预前无显著变化(P>0.05)。结论 自我表露干预联合正念减压训练能上调脑胶质瘤患者的心理弹性水平,改善其应对方式,提高其自我表露水平,有益于促进患者心身健康。
Objective To explore the effects of self-disclosure intervention combined with mindfulnessbased stress reduction training on psychological resilience and coping style of patients with glioma after operation.Methods A total of 105patients with glioma were divided into study group(n=53)and control group(n=52)according to the random number table method.Both groups were given routine nursing intervention.On this basis,the study group was given self-disclosure intervention combined with mindfulness-based stress reduction training for 12weeks.Before and after the intervention,the self-disclosure level,psychological resilience and coping style of patients were evaluated with the distress disclosure index(DDI),Connor-Davidson resilience scale(CD-RISC)and medical coping modes questionnaire(MCMQ).Result DDI and CD-RISC scores in the study group after intervention were significantly higher than those before intervention(P<0.01),and were significantly higher than those in the control group (P<0.01).DDI and CD-RISC scores in the control group after intervention had no significant change compared with those before intervention(P>0.05).The MCMQ scores of the study group after intervention showed significant changes compared with those before intervention,and the face dimension score was significantly higher than that of the control group(P<0.01),and the scores of avoidance and yield dimensions were significantly lower than those of the control group(P<0.01).The scores of MCMQ in all dimensions in the control group after intervention had no significant changes compared with those before intervention(P>0.05).Conclusions Self-disclosure intervention combined with mindfulness-based stress reductiontraining can up-regulate the psychological resilience level of glioma patients,improve their coping style,and enhance their self-disclosure level,which is beneficial to promote the psychosomatic health of patients.
作者
潘圆圆
李娜
Pan Yuanyuan;Li Na(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第6期156-160,共5页
Journal of Clinical Psychosomatic Diseases
关键词
脑胶质瘤
自我表露干预
正念减压训练
心理弹性
应对方式
glioma
self-disclosure intervention
mindfulness-based stress reduction training
psychological resilience
coping style
