团体心理辅导结合引导式教育对强直性脊柱炎患者行为问题的影响  

The Effect of Group Counseling and Guidance Education on Behavior Problems in Ankylosing Spondylitis Patients

作　　者：庄建阳[1] 刘雪梅[1] 庄建艳 

机构地区：[1]哈尔滨医科大学附属第一医院风湿免疫科,黑龙江哈尔滨150000 [2]黑龙江省鸡西矿务局总医院手术室

出　　处：《中国健康心理学杂志》2018年第1期61-65,共5页China Journal of Health Psychology

基　　金：国家临床重点专科建设项目经费资助(编号2012-649)

摘　　要：目的：研究团体心理辅导结合引导式教育对强直性脊柱炎患者心理和行为问题的影响。方法：取我院于2014年3月-2016年8月住院部强直性脊柱炎患者64例进行研究,采取随机分组的方法分为研究组和对照组各32例,对照组采用传统护理模式,研究组在对照组基础上,采取团体心理辅导结合引导式教育模式护理。采用生活质量评定表（WHO）评定两组患者生活质量情况;抑郁自评量表（SDS）和焦虑自评量表（SAS）评价抑郁和焦虑情况;采用视觉模拟评分法（VAS）评估疼痛程度;采用匹兹堡睡眠质量指数（PSQI）评估睡眠状况;巴氏强直性脊柱炎功能指数（BASFI）评价关节功能。结果：护理前,各项评分均无差异。护理后,研究组患者的生存质量评分中心理健康（t=2.264）、社会关系（t=2.309）以及环境融洽度（t=3.093）评分均高于对照组患者,差异有统计学意义（P〈0.05）;研究组患者的疼痛程度（t=-2.257）、睡眠质量（t=-2.081）、关节功能评分（t=-2.430）显著低于对照组（P〈0.05）;研究组患者的SDS（t=-2.136）、SAS评分（t=-2.160）均低于对照组患者,差异有统计学意义（P〈0.05）。结论：实施团体心理辅导结合引导式教育,可有效改善患者社会关系和环境融洽度,缓解患者焦虑、抑郁情绪,改善患者生活质量。Objective：To study the effect of group counseling and guidance education on psychological and behavioral problems in ankylosing spondylitis patients.Methods：From March 2014 to August 2016,64 hospitalized ankylosing spondylitis patients were studied and randomly divided into study group and control group,with 32 cases in each group.The control group were given traditional nursing,the study group were given group psychological counseling combined guidance education on the basis of traditional nursing.WHO Quality of Life-BREF（WHOQOL-BREF）was used to evaluate the quality of life,self-rating Depression Scale（SDS）and self-rating Anxiety Scale（SAS）to evaluate depression and anxiety status;visual analogue scale（VAS）was used to evaluate the pain,the Pittsburgh sleep quality index（PSQI）to evaluate the condition of sleep,bath Ankylosing Spondylitis Functional Index（BASFI）to evaluate the joint function in two groups.Results：Before nursing,there were no statistical significance in scores between study group and control group.After nursing,the mental health（t=2.264,P〈0.05）,social relations（t=2.309,P〈0.05）and environmental harmony（t=3.093,P〈0.05）in the scale of WHOQOL-BREF in study group were higher than those in control group;The pain degree（t=-2.257,P〈0.05）,sleep quality（t=-2.081,P〈0.05）,joint function score（t=-2.430,P〈0.05）in the study group were lower than those in the control group;The SDS（t=-2.136,P〈0.05）,SAS score（t=-2.160,P〈0.05）in the study group were lower than those in the control group.Conclusion：The implementation of group counseling combined with guidance education can effectively improve the social relationship and environmental harmony,relieve anxiety and depression,and improve the quality of life in ankylosing spondylitis patients

关 键 词：团体心理辅导 引导式教育 强直性脊柱炎 行为问题 

分 类 号：R395.5[哲学宗教—心理学]