奥马哈系统理论干预对老年急性缺血性脑卒中患者心理状况及主观幸福感的影响  

Effect of Omaha system theory intervention on psychological status and subjective well-being of elderly patients with acute ischemic stroke

作　　者：苏婕[1] 杨宝成 迟鑫姝[3] SU Jie;YANG Baocheng;CHI Xinshu(Haojing College,Shaanxi University of Science and Technology,Xi'an 712046,China;Department of Radiology,Xianyang Central Hospital,China Railway First Bureau;Department of Obstetrics,Shengjing Hospital,China Medical University)

机构地区：[1]陕西科技大学镐京学院,西安712046 [2]中铁一局咸阳中心医院放射科 [3]中国医科大学附属盛京医院产科

出　　处：《中国健康心理学杂志》2023年第8期1181-1186,共6页China Journal of Health Psychology

摘　　要：目的:探讨奥马哈系统理论应用于急性缺血脑卒中老年患者对心理状况和主观幸福感的影响。方法:选取某院收治的46例急性缺血脑卒中老年患者(2018年2月-2019年1月收治)纳入对照组,采用常规模式干预,而观察组46例患者(2019年2月-2020年2月收治)则采用马哈系统理论干预模式干预,两组患者均为期干预4周,观察组干预后两组患者心理状况、心理弹性、应对方式、奥马哈系统结局评价效果、生活质量、主观幸福感。结果:与对照组相比,干预后观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分明显较低(t=-2.623,-3.465;P<0.05),观察组患者心理弹性量表(CD-RISC)各维度评分明显较高(t=6.254,4.631,5.402;P<0.05);观察组患者简易应对方式量表(SCSQ)积极应对维度评分明显较高(t=5.816,P<0.05),消极应对维度评分明显较低(t=-9.121,P<0.05),观察组患者奥马哈系统结局评价中认知、行为及现况评分明显较高(t=3.431,2.917,3.642;P<0.05),观察组患者生活质量量表(GQOLI-74Q)各维度评分明显较高(t=2.287,2.429,5.135,3.325;P<0.05),观察组患者纽芬兰纪念大学幸福感量表(MUNSH)中正性情感、正性体验维度评分及总分明显较高(t=3.358,5.585,9.435;P<0.05),负性情感、负性体验维度评分明显较低(t=-5.850,-6.217;P<0.05)。结论:急性缺血性卒中老年患者实施奥马哈系统理论干预能有效缓解患者的不良情绪,增强其心理弹性水平,转变患者的应对方式,并有助于提高患者的生活质量和主观幸福感。Objective:To investigate the effect of Omaha system theory on psychological status and subjective well-being in elderly patients with acute ischemic stroke.Methods:A total of 46 elderly patients with acute ischemic stroke admitted in our hospital(admitted from February 2018 to January 2019)were included in the control group,and the conventional mode intervention was used,while 46 patients in the observation group(admitted from February 2019 to February 2020)were intervened by Omaha system theory intervention mode.Both groups were treated for 4 weeks.Observation after intervention in the two groups of patients included psychological status,mental resilience,coping style,Omaha system outcome evaluation effect,quality of life,subjective well-being.Results:Compared with the control group,the scores of SAS and SDS in the observation group after intervention were significantly lower(t=-2.623,-3.465;P<0.05),and the scores of CD-RISC in the observation group were significantly higher(t=6.254,4.631,5.402;P<0.05);The score of positive coping dimension in the simple coping style scale(SCSQ)of patients in the observation group was significantly higher(t=5.816,P<0.05),the score of negative coping dimension was significantly lower(t=-9.121,P<0.05),and the scores of cognition,behavior and current situation in the Omaha system outcome evaluation of patients in the observation group were significantly higher(t=3.431,2.917,3.642;P<0.05),The scores of each dimension of the quality of life scale(GQOLI-74Q)in the observation group were significantly higher(t=2.287,2.429,5.135,3.325;P<0.05);the scores of positive emotion,positive experience dimension and total score in the Memorial University of Newfoundland Happiness Scale(MUNSH)in the observation group were significantly higher(t=3.358,5.585,9.435;P<0.05),and the scores of negative emotion and negative experience dimension were significantly lower(t=-5.850,-6.217;P<0.05).Conclusion:The Omaha system theory intervention in elderly patients with acute ischemic stroke can effectively re

关 键 词：急性缺血性脑卒中 奥马哈系统 心理状况 心理弹性 主观幸福感 

分 类 号：R749.92[医药卫生—神经病学与精神病学]