积极心理学干预对上消化道溃疡患者情绪及生存质量的影响  

The effects of positive psychological intervention on emotion and quality of life of upper digestive tract ulcer patients

作　　者：郭壁砖 郑斌芬[2] 肖波 

机构地区：[1]湛江市解放军四二二医院,广东湛江524005 [2]北京军区空军司令部门诊部,中国北京100061 [3]湛江市解放军92057部队医院,广东湛江524037

出　　处：《临床心身疾病杂志》2015年第4期97-99,103,共4页Journal of Clinical Psychosomatic Diseases

摘　　要：目的：探讨积极心理学干预对上消化道溃疡患者情绪及生存质量的影响。方法将62例上消化道溃疡患者随机分为两组，均予以消化内科常规治疗与护理，研究组在此基础上联合积极心理学干预。观察2周。于干预前后采用世界卫生组织生存质量测定量表简表、焦虑自评量表、抑郁自评量表及简单应对方式量表评定生存质量、情绪状态及应对方式。结果干预前两组各量表评分比较差异无显著性（P＞0．05）；干预后研究组焦虑自评量表、抑郁自评量表评分显著低于对照组（P＜0．05），世界卫生组织生存质量测定量表简表评分显著高于对照组（P＜0．05），积极应对维度分显著高于对照组（P＜0．05），消极应对维度分显著低于对照组（P＜0．05）。结论对上消化道溃疡患者予以积极心理学干预能显著改善患者的情绪状态，改变其应对方式，提高患者的生存质量。Objective To explore the effects of positive psychological intervention （PPI） on emotions and quality of life of upper digestive tract ulcer （UDTU）patients .Methods Sixty‐two UDTU patients were randomly divided into two groups ,both groups received routine treatment and nursing for digestive system diseases ,and on this basis research group was plus OOI for 2 weeks .Quality of life ,emotional states and coping styles were assessed with the WHO Quality of Life Scale （WHOQOL‐BREF） ,Self‐rating Anxiety Scale （SAS） ,Self‐rating Depression Scale （SDS） and Simplified Coping Style Questionnaire （SCSQ） be‐fore and after intervention .Results There were no significant group differences in each scale score before intervention （P〉0 .05）;after intervention the SAS and SDS score were significantly lower （P〈0 .05） , the WHOQOL‐BREF was higher （P〈0 .05） ,positive coping higher （P〈0 .05） and negative coping lower （P〈0 .05） in research than control group .Conclusion Positive psychology intervention in UDTU pa‐tients could notably improve patients’ emotional state ,change their coping styles and improve quality of lif e .

关 键 词：上消化道溃疡 心身疾病 心理干预 积极心理学 生存质量 情绪状态 世界卫生组织生存质量测定量表简表 焦虑自评量表 抑郁自评量表 

分 类 号：R364.16[医药卫生—病理学]