心理干预对肠造口患者焦虑抑郁及生活质量的影响

发布时间：2017-12-27 01:05

本文关键词：心理干预对肠造口患者焦虑抑郁及生活质量的影响　出处：《国际精神病学杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨以认知重构为主的心理干预对肠造口患者术后焦虑抑郁心理及生活质量的影响。方法用随机数字表法将90例肠造口手术患者分为对照组与观察组,每组各45例,对照组采取常规护理,观察组在对照组基础上加以认知重构为主的心理干预,比较两组患者干预前后SDS评分、SAS评分、应对方式评分及生活质量情况。结果两组干预后SDS、SAS评分均较干预前显著下降,SF-36量表各项评分较干预前显著上升(P0.05);观察组干预后SDS评分、SAS评分、自责、退避评分均明显低于对照组,问题解决、求助、合理化评分及SF-36量表各项评分均明显高于对照组,两组比较差异有统计学意义(P0.05)。结论以认知重构为主的心理干预能明显缓解肠造口患者术后焦虑、抑郁心理,有效改善其应对方式,有利于患者术后康复及生活质量的提高。
[Abstract]:Objective to explore the effect of psychological intervention based on cognitive reconstruction on anxiety and depression and quality of life in patients with enterostomy after operation. Methods randomly 90 cases of colostomy patients were divided into control group and observation group, 45 cases in each group, the control group received routine nursing care, the observation group in the control group psychological intervention on the basis of cognitive reconstruction, two groups were compared before and after intervention, SDS score, SAS score, score and coping style the quality of life. The results of the intervention in the two groups SDS and SAS were decreased significantly compared with those before intervention, all the scores of SF-36 were significantly increased (P0.05); observation group intervention SDS score, SAS score, self blame and avoidance scores were significantly lower than the control group, problem solving, help seeking and rationalization score and SF-36 scale of the scores were significantly higher than the control group, there was significant difference between two groups (P0.05). Conclusion psychological intervention based on cognitive restructuring can significantly relieve postoperative anxiety and depression in patients undergoing enterostomy, and improve their coping styles effectively, which is conducive to postoperative rehabilitation and quality of life.
【作者单位】：湖北医药学院附属东风医院;
【分类号】：R473.73
【正文快照】： 肠造口在直肠癌及其他胃肠疾病外科手术中比较常见,指的是于肠管某处造排泄口,即人工肛门。患者排便途径改变,排便难以自控,身心遭受巨大伤害[1]。原有生理构造的改变及手术造成的功能性损害等多种影响因素使患者易出现焦虑、抑郁、自卑等负性情绪,引发心理应激反应,不利于其

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