应激系统理论的心理干预模式干预对子宫肌瘤术后患者自护能力及希望水平的影响  

Effect of psychological nursing mode intervention based on stress system theory on self-care ability and hope level of patients with hysteromyoma after surgery

作　　者：杨秀娟 晁蕊停 YANG Xiujuan;CHAO Ruiting(Department of Gynecology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院妇科五病区,450000

出　　处：《中国健康心理学杂志》2024年第12期1870-1874,共5页China Journal of Health Psychology

摘　　要：目的:回顾性分析基于应激系统理论的心理干预模式干预在子宫肌瘤术后中的临床应用效果。方法:选取2021年1月-2022年12月某院100例子宫肌瘤术后患者,按护理方法不同分为应激组(n=50)、对照组(n=50),对照组行常规护理,应激组在此基础上行基于应激系统理论的心理护理模式干预。比较两组术后恢复情况、自护能力[自我护理能力测定表(ESCA)]、心理状态[抑郁、焦虑自评量表(SDS、SAS)]、希望水平[中文版Herth希望量表(C-HHI)]、生活质量[生活质量量表(GQOL-74)]。结果:应激组排气时间、自主活动时间、住院时间均短于对照组(t=7.343,6.826,12.002;P<0.05);干预后应激组自我概念、自我责任感、自我护理技能、健康知识水平等ESCA评分均高于对照组(t=6.031,7.084,4.599,6.514;P<0.05);干预后应激组SDS、SAS评分均低于对照组(t=7.183,10678;P<0.05);干预后应激组对现实和未来的态度、积极行动、与他人保持亲密关系等C-HHI评分均高于对照组(t=8.963,8.622,7.058;P<0.05);干预后应激组躯体功能、物质功能、社会功能、心理功能等GQOL-74评分均高于对照组(t=6.342,5.228,8.647,8.407;P<0.05)。结论:对子宫肌瘤术后患者实施基于应激系统理论的心理护理模式干预,能改善心理状态,提高希望水平、自护能力,从而改善术后恢复情况、提高生活质量。Objective:To retrospectively analyze the clinical application effect of psychological nursing mode intervention based on stress system theory in postoperative hysteromyoma.Methods:A total of 100 patients with hysteromyoma in our hospital from January 2021 to December 2022 were selected and divided into stress group(n=50)and control group(n=50)according to different nursing methods.The control group received routine nursing,and the stress group received psychological nursing mode intervention based on stress system theory.Postoperative recovery,self-care ability[self-care ability Scale(ESCA)],mental state[Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS)],hope level[Chinese version of Herth Hope Index(C-HHI)]and quality of life[GQOL-74]of the two groups were compared.Results:The exhaust time,autonomous activity time and hospitalization time of stress group were shorter than those of control group(t=7.343,6.826,12.002;P<0.05).The ESCA scores of self-concept,self-responsibility,self-care skills and health knowledge in the post-intervention stress group were higher than those in the control group(t=6.031,7.084,4.599,6.514;P<0.05).The scores of SDS and SAS in the post-intervention stress group were lower than those in the control group(t=7.183,10678;P<0.05).The C-HHI scores of the post-intervention stress group were higher than those of the control group(t=8.963,8.622,7.058;P<0.05),such as attitude towards reality and future,positive action and keeping close relationship with others.The GQOL-74 scores of physical function,material function,social function and psychological function in the stress group after intervention were higher than those in the control group(t=6.342,5.228,8.647,8.407;P<0.05).Conclusion:The psychological nursing mode intervention based on stress system theory can improve the psychological state,improve the level of hope and self-care ability,and improve the postoperative recovery and quality of life of patients with uterine fibroids.

关 键 词：心理护理 自护能力 希望水平 应激系统理论 子宫肌瘤 

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