PAC心理弹性理论对急性重症胰腺炎患者希望水平、心理韧性及生存质量的影响  

Effects of PAC psychological resilience theory on hope level,psychological resilience and quality of life in patients with severe acute pancreatitis

作　　者：吴婧文[1] 巩月英[1] 常红[2] 蔡庆玲[1] 李静[2] 黄萍 WU Jingwen;GONG Yueying;CHANG Hong;CAI Qingling;LI Jing;HUANG Ping(EICU,Qinghai Provincial People's Hospital,Xining 810007,China;Emergency Department,Qinghai Provincial People's Hospital)

机构地区：[1]青海省人民医院EICU,西宁810007 [2]青海省人民医院急诊科

出　　处：《中国健康心理学杂志》2023年第10期1499-1504,共6页China Journal of Health Psychology

基　　金：青海省卫健委审批课题(编号:2020-wjzdx-14)。

摘　　要：目的:探讨基于PAC心理弹性理论的心理干预对急性重症胰腺炎(SAP)患者希望水平、心理韧性及生存质量的影响。方法:选取2021年10月-2022年10月收治的130例SAP患者,随机分为对照组和干预组各65例,对照组患者接受常规心理干预,干预组患者采用基于PAC心理弹性理论的心理干预。于干预前、干预4周后,比较两组患者希望水平、心理韧性、健康行为能力;干预后3个月,评价患者生存质量。结果:干预4周后,干预组Herth希望量表(HHI)中对现实/未来的积极态度、采取积极行动、与他人保持亲密关系各维度评分及总分均显著高于对照组(t=7.155,5.117,4.104,6.480;P<0.05);心理弹性量表(CD-RISC)中坚韧、力量、乐观各维度评分及总分均显著高于对照组(t=4.762,4.440,6.689,8.062;P<0.05);健康行为能力自评量表(SRAHP)中心理安适、健康责任、营养、运动各维度评分及总分均显著高于对照组(t=4.130,3.236,4.329,3.661,5.985;P<0.05)。干预后3个月,干预组胃肠道生活质量指数(GIQLI)中自觉症状、生理功能状态、心理状态、社交活动状态各维度评分及总分均显著高于对照组(t=6.444,6.202,4.860,5.036,8.465;P<0.05)。结论:基于PAC心理弹性理论的心理干预可有效提高SAP患者希望水平、心理弹性、健康行为能力,有助于改善患者生存质量。Objective:To explore the effects of psychological intervention based on PAC psychological resilience theory on the hope level,psychological resilience and quality of life in patients with severe acute pancreatitis(SAP).Methods:Totally 130 patients with SAP who were treated between October 2021 and October 2022 were selected and randomly divided into control group and intervention group,with 65 cases in each group.The control group received routine psychological intervention while the intervention group was given psychological intervention based on PAC psychological resilience theory.The hope level,psychological resilience and health behavior ability were compared between the two groups before intervention and after 4 weeks of intervention.At 3 months after intervention,the quality of life of patients was evaluated.Results:After 4 weeks of intervention,the scores of dimensions of positive attitude towards reality/future,taking positive action and keeping close relationship with others and the total score of Herth Hope Inventory(HHI)in intervention group were significantly higher than those in control group(t=7.155,5.117,4.104,6.480;P<0.05).The scores of tenacity,strength and optimism and total score of Connor-Davidson Resilience Scale(CD-RISC)were significantly higher than those in control group(t=4.762,4.440,6.689,8.062;P<0.05).The scores of dimensions of psychological comfort,health responsibility,nutrition and exercise and the total score of Self-rated Abilities for Health Practices Scale(SRAHP)were significantly higher compared with those in control group(t=4.130,3.236,4.329,3.661,5.985;P<0.05).At 3 months after intervention,the scores of subjective symptom,physiological function state,psychological state and social activity state and total score of Gastrointestinal Quality of Life Index(GIQLI)were significantly higher in intervention group than those in control group(t=6.444,6.202,4.860,5.036,8.465;P<0.05).Conclusion:Psychological intervention based on PAC resilience theory can effectively enhance the hope le

关 键 词：急性重症胰腺炎 PAC心理弹性理论 希望水平 心理韧性 生存质量 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]