摘要
目的探讨团体心理辅导对截瘫患者主要照顾者负性情绪及应对方式的影响。方法选取2018年1月—2019年12月医院骨科及康复科收治的截瘫患者主要照顾者60名为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,各30名。对照组采用常规心理护理,观察组在此基础上实施团体心理辅导,共6次。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、简易应对方式问卷(SCSQ)评估两组干预前后SAS、SDS、SCSQ评分。结果辅导前,两组SAS、SDS及SCSQ积极应对和消极应对方式评分的比较,差异均无统计学意义(P>0.05)。团体心理辅导后,两组SAS、SDS评分均降低,观察组SCSQ积极应对评分升高;组间比较观察组SAS、SDS评分低于对照组,SCSQ积极应对评分高于对照组,差异均有统计学意义(P<0.05)。两组辅导后SCSQ消极应对方式评分无明显变化,组间比较差异无统计学意义(P>0.05)。结论团体心理辅导能有效改善截瘫患者主要照顾者焦虑、抑郁等负性情绪,促进其采用更积极应对方式,从而提高对截瘫患者的照护水平,促进康复。
Objective To explore the influence of group psychological counseling on the negative emotions and coping styles of the main caregivers of paraplegic patients.Methods 60 main caregivers of paraplegic patients admitted in the Department of Orthopedics and Rehabilitation of the hospital from January 2018 to December 2019 were selected and divided into control group and observation group with 30 participants in each group according to the principle of comparability of basic characteristics between groups.The control group received routine psychological nursing,and the observation group received group psychological counseling on the basis of this,a total of 6 times.The Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Simple Coping Style Questionnaire(SCSQ)were used to evaluate the SAS,SDS and SCSQ scores of the two groups before and after intervention.Results Before counseling,there was no signifi cant difference in SAS,SDS and SCSQ positive coping style scores and negative coping style scores between the two groups(P>0.05).After group counseling,SAS and SDS scores of both groups decreased,while SCSQ positive coping scores of observation group increased.The SAS and SDS scores of the observation group were lower than those of the control group,and the SCSQ positive coping scores were higher than the control group,with statistical significance(P<0.05).There was no significant change in SCSQ negative coping style scores between the two groups after counseling,and there was no significant difference between the two groups(P>0.05).Conclusion Group psychological counseling could effectively improve the main caregivers of paraplegia anxiety,depression and other negative emotions,promote them to adopt a more positive coping style,so as to improve the level of care for paraplegia patients,promote rehabilitation.
作者
叶红燕
汤明姣
赖允梅
王清华
钟美兴
杨千绮
YE Hongyan;TANG Minjiao;LAI Yunmei;WANG Qinghua;ZHONG Meixing;YANG Qianqi(The First Affiliated Hospital of Gannan Medical College,Ganzhou,341000,China)
出处
《护理实践与研究》
2022年第23期3486-3489,共4页
Nursing Practice and Research
基金
江西省卫健委普通科技计划基金项目(编号:20185354)。
关键词
截瘫
团体心理辅导
照顾者
负性情绪
应对方式
Paraplegia
Group psychological counseling
Caregiver
Negative emotions
Coping style
