基于性格色彩的特异性护理改善阴道再造术患者心理韧性及应对方式的价值观察  

Value of specific nursing based on character color in improving psychological resilience and coping styles of patients undergoing vaginal reconstruction

作　　者：陈骆杨 吴芳芳 CHEN Luoyang;WU Fangfang(Five Departments of Extrahepatic Diseases,Third Affiliated Hospital of Naval Medical University,Shanghai 200082,China)

机构地区：[1]海军军医大学第三附属医院肝外五科,上海200082 [2]海军军医大学第一附属医院整形外科,上海200082

出　　处：《中国美容整形外科杂志》2024年第11期680-683,共4页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 研究基于性格色彩的特异性护理在改善阴道再造术患者心理韧性及应对方式的价值。方法 选取2017年1月至2023年4月,海军军医大学第三附属医院肝外五科进行阴道再造术的60例患者作为研究对象,按照护理方法的不同分为对照组与观察组,30例/组。对照组给予常规的护理,观察组在对照组的基础上给予基于性格色彩的特异性护理,比较两组患者干预前后的心理韧性评分、自我病耻感量表(self-stigma of mental illness scale,SSMIS)评分、简易的应对方式问卷(simplified coping style questionnaire,SCSQ)评分及干预后患者的生存质量评分。结果 干预前两组的情绪控制、将来计划、家庭凝聚力、积极认知、人际协助评分比较,差异无统计学意义(P>0.05),干预后上述评分均增加,观察组评分显著高于对照组,差异有统计学意义(P<0.05);干预前两组的消极应对方式、积极应对方式评分比较,差异无统计学意义(P>0.05),干预后观察组的积极应对方式评分高于对照组,消极应对评分低于对照组,两组比较差异具有统计学意义(P<0.05);干预前两组患者的疏远、刻板印象的认可、社会回避、歧视经历、对抗病耻感的SSMIS评分比较,差异无统计学意义(P>0.05),干预后观察组疏远、刻板印象的认可、社会回避、歧视经历评分显著低于对照组,对抗病耻感评分高于对照组(P<0.05);干预后观察组患者的心理健康、情感角色、躯体功能、社会功能、健康状态、生活力、肌体疼痛、躯体角色生活质量评分显著高于对照组,差异有统计学意义(P<0.05)。结论 对阴道再造术患者实施基于性格色彩的特异性护理,能够提高患者的心理韧性,减轻患者的自我病耻感,患者能够更加积极应对,生存质量更高。Objective To study the value of specific nursing based on character color in improving psychological resilience and coping styles of patients undergoing vaginal reconstruction.Methods Sixty patients who had undergone vaginal reconstruction in the Five Departments of Extrahepatic Diseases,Third Affiliated Hospital of Naval Medical University between January 2017 and April 2023 were selected as the research subjects.They were divided into the control group and the observation group according to the nursing method,30 cases in each group.The control group was given routine nursing intervention,and the observation group was given specific nursing based on character color on the basis of routine nursing intervention.The psychological toughness scores,self-stigma of mental illness scale(SSMIS)scores,Simplified Coping Style Questionnaire(SCSQ)scores and quality of life scores of the two groups were compared before and after intervention.Results There were no significant differences in scores of emotional control,future plan,family cohesion,positive cognition and interpersonal assistance between the two groups before intervention(P>0.05).After intervention,the above scores increased,and the scores of observation group were significantly higher than those of the control group(P<0.05).There were no significant differences in scores of negative coping styles and positive coping styles between the two groups before intervention(P>0.05).After intervention,positive coping style scores of the observation group were higher than those of the control group,and the negative coping style scores were lower than those of the control group(P<0.05).There were no significant differences in SSMIS scores in terms of alienation,stereotype recognition,social avoidance,discrimination experience and anti-stigma between the two groups before intervention(P>0.05).After intervention,scores of alienation,stereotype recognition,social avoidance and discrimination experience of the observation group were significantly lower than those of the control

关 键 词：性格色彩 特异性护理 阴道再造术 心理韧性 应对方式 

分 类 号：R473.71[医药卫生—护理学]