摘要
目的 探究情感适应理论对肝硬化患者心理状态的影响。方法 选取2019年1月至2022年12月南通大学附属南通第三医院肝病二科住院的90例患者为研究对象。采用随机数字表法将患者分为对照组和观察组,各45例。对照组实施常规护理干预,观察组在对照组基础上实施情感适应理论干预。比较两组入院当天、1个月后、3个月后焦虑情绪及对疾病接受程度。结果 整体分析发现:两组广泛性焦虑量表(GAD-7)评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组组内各时间点GAD-7评分比较差异有统计学意义(P<0.05),组间比较:观察组入院1、3个月后GAD-7评分低于对照组(P<0.05);两组中文版疾病接受度量表(AIS-CHI)评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组组内各时间点AIS-CHI评分比较差异有统计学意义(P<0.05),组间比较,观察组入院1、3个月后AIS-CHI评分高于对照组(P<0.05)。结论 对肝硬化患者实施情感适应理论干预,对患者焦虑情绪改善具有积极的作用,同时还有助于帮助患者接受疾病,提高患者治疗配合程度。
Objective To explore the influence of emotional adaptation theory on the psychological state of cirrhosis patients.Methods A total of 90 patients hospitalized in the Second Department of Liver Disease,Nantong Third Hospital,Nantong University from January 2019 to December 2022 were selected.Patients were divided into control and observation groups by random number table method,with 45 patients in each group.The control group received routine nursing intervention,and the observation group implemented the emotional adaptation theory intervention based on the control group.The anxiety and aceptability on the day of admission,after one month and after three months were compared.Results The overall analysis showed that there were significant differences between the two groups in GAD-7,time point,inter-group,and interaction(P<0.05).Further pair-wise comparison,intra-group comparison:there were statistically significant differences in GAD-7 scores between the two groups at each time point(P<0.05);inter-group comparison:the GAD-7 scores of the observation group at one month and three months after admission were lower than those of the control group(P<0.05);there were statistically significant differences in the inter-group,time-point,and interaction of the Chinese version Acceptance of illness scale(AIS-CHI)between two groups(P<0.05).Further pairwise comparison,intra-group comparison:the AIS-CHI scores of the two groups at each time point were significantly different(P<0.05);inter-group comparison showed that the AIS-CHI scores of the observation group at one month and three months after admission were higher than those of the control group(P<0.05).Conclusion The affective adaptation theory intervention in patients with cirrhosis has a positive effect on the improvement of patients’anxiety,and also helps patients to accept the disease and improve their cooperation in treatment.
作者
张文芸
王园园
孙岳
ZHANG Wenyun;WANG Yuanyuan;SUN Yue(The Second Department of Liver Disease,Nantong Third Hospital Affiliated to Nantong University,Jiangsu Province,Nantong226000,China)
出处
《中国医药导报》
CAS
2024年第10期159-162,共4页
China Medical Herald
基金
江苏省“333工程”科研资助项目(BRA2020196)
江苏省南通市卫生健康委员会科研课题(MSZ2022042)。
关键词
情感适应理论
肝硬化
焦虑
疾病接受度
Emotional adaptation theory
Cirrhosis
Anxiety
Disease acceptance
