心身障碍患者的团体心理干预及护理预案研究  

Group psychological intervention of psychosomatic disorder patients and its nursing plan

作　　者：吴桂红[1] 王媛[1] 沈藕英 

机构地区：[1]浙江省绍兴市第七人民医院心身障碍病区,浙江绍兴312000

出　　处：《中国农村卫生事业管理》2016年第5期641-644,共4页Chinese Rural Health Service Administration

摘　　要：目的:探究心身障碍患者团体心理治疗模式以及有效的护理方案。方法:抽取绍兴市第七人民医院心身障碍患者100人,随机分成两组,干预组接受常规护理组加团体心理干预,对照组接受常规护理。在干预前后,使用症状自评量表(SCL-90),特质应对方式问卷、护理满意度调查表来评价各组成员情绪及满意度的情况。结果:1团体干预结束后,干预组和对照组SCL-90得分结果显示:干预组总分低于对照组其差异具有统计学意义(t=3.370,P=0.002),其中,躯体化、抑郁、焦虑得分低于对照组,其差别具有统计学意义(躯体化:t=3.645,P=0.002;抑郁:t=3.535,P=0.001;焦虑:t=2.962,P=0.006)。2团体干预后,干预组的积极应对得分比对照组高,其差异具有统计学意义(t=5.454,P=0.0001);消极应对得分低于对照组,其差异具有统计学意义(t=-4.621,P=0.0001)。3团体干预结束后,干预组的护理满意度要高于对照组,其差异具有统计学意义(χ2=9.76,P=0.001)。结论:团体心理干预,有助于宣泄身心障碍患者的负性情绪,积极应对方式有所提高,提高了病人护理满意度。Objective To explore psychotherapy pattern and effective nursing care plan of the patients with psychoso matic disorders. Methods We selected in The Seventh Hospital of Shaoxing 100 patients with psychosomatic disorders, who were randomized into two groups. The research group was given comprehensive care intervention,while the con- trol group received routine nursing. We have surveyed patients＇ emotion.and satisfaction with trait coping style ques tionnaire, SCL--90 and nursing satisfaction questionnaire. Results At the end of the intervention, the SCL--90 score re sults showed the total score in research group was lower than that of control group and the difference was statistically significant（t=3. 370, P=0. 002）. Somatization, depression,anxiety scores in research group were lower than those in control group with statistical significance （ somatization： t = 3.645, P = 0. 002 ; depression： t = 3.535, P = 0.001 ; anxiety ： t = 2. 962, P= 0. 006）. At the end of the intervention, positive coping scores in research group were higher than those in co＇ntrol group with significant difference（t= 5. 454, P= 0. 0001）while negative coping scores in research group were lower than those in control group with significant difference（t=4. 621 ,P=0. 0001）. At the end of the intervention, nursing satisfaction in research group was higher than that in control group with significant difference（x^2= 9.76, P= 0. 001）. Conclusions Group psychological intervention has contributed to the catharsis of negative emotion of patients with psychosomatic disorders, who may improve their positive coping style and have higher satisfaction with nursing.

关 键 词：心身障碍 团体干预 心理护理 满意度 

分 类 号：R473.73[医药卫生—护理学]