基于感恩拓延-建构理论的心理干预在广泛性焦虑障碍患者中的应用  

Application of Psychological Intervention Based on Gratitude Extension Construction Theory in Patients with Generalized Anxiety Disorder

作　　者：李瑞[1] 贺春艳[1] 翟琳[1] LI Rui;HE Chunyan;ZHAI Lin(Department of Psychological Medicine,Henan Provincial People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院心理医学科,河南郑州450003

出　　处：《河南医学研究》2023年第17期3236-3240,共5页Henan Medical Research

摘　　要：目的探讨基于感恩拓延-建构理论的心理干预在广泛性焦虑障碍患者中的应用效果。方法前瞻性选取河南省人民医院2020年1月至2022年12月收治的106例广泛性焦虑障碍患者,依据随机数字表法分为干预组与对照组,各53例。对照组患者接受常规心理干预,干预组患者接受基于感恩拓延-建构理论的心理干预,两组均干预3个月。对比两组干预前、干预后负性情绪、生活质量,同时对比两组干预后护理满意度。结果干预3个月后,两组患者汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、中文版神经症被束缚自评量表(SSTN)评分均下降,且干预组低于对照组(P<0.05);两组健康调查简表(SF-36)评分均升高,且干预组高于对照组(P<0.05);干预组护理工作满意度高于对照组(P<0.05)。结论对广泛性焦虑障碍患者应用基于感恩拓延-建构理论的心理干预可有效消除其焦虑、抑郁情绪,降低神经症被束缚状态,提高生活质量,并能够提高患者对护理工作满意度。Objective To explore the application effect of psychological intervention based on gratitude extension construction theory in patients with generalized anxiety disorder.Methods A prospective selection of 106 patients with generalized anxiety disorder admitted to Henan Provincial People’s Hospital from January 2020 to December 2022 was conducted.They were randomly divided into intervention group and control group,with 53 patients in each group.The control group received routine psychological intervention,while the intervention group received psychological intervention based on gratitude extension construction theory.Both groups received intervention for 3 months.The changes of negative emotions before and after intervention were compared between the two groups,and the quality of life before and after intervention was compared between the two groups.At the same time,the nursing satisfaction of the two groups after intervention was compared.Results After 3 months of intervention,the scores of Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)and Chinese version of neurosis self-rating scale of restraint(SSTN)in the two groups decreased,and the scores in the intervention group were lower than those in the control group(P<0.05).The 36-item short form survey(SF-36)scores of both groups increased,and the intervention group was higher than the control group(P<0.05).And the satisfaction with nursing work in the intervention group was higher than that in the control group(P<0.05).Conclusion Applying psychological intervention based on gratitude extension construction theory to patients with generalized anxiety disorder can effectively eliminate their anxiety and depression,reduce the fettered state of neurosis,improve their quality of life,and improve patients’satisfaction with nursing work.

关 键 词：广泛性焦虑障碍 感恩拓延-构建理论 心理干预 生活质量 护理满意度 

分 类 号：R473.74[医药卫生—护理学]