结构式团体心理干预在疝气手术患者心理弹性及依从性中的效果分析  

Analysis of the efect of structured group psychological intervention on psychological resilience and compliance in patients undergoing hernia surgery

作　　者：王玉丽 谢晶晶 刘丽 WANG Yuli;XIE Jingjing;LIU Li(Xuyi Hospital of Traditional Chinese Medicine,Huai'an 211700,China)

机构地区：[1]盱眙县中医院,江苏淮安211700

出　　处：《心理月刊》2024年第24期217-219,共3页

摘　　要：目的 分析结构式团体心理干预在疝气手术中的具体优势。方法 纳入疝气手术患者80例,于2021年1月~2023年12月入院,按照数字表法随机分组,对照组(n=40)、观察组(n=40),对照组采用常规护理,观察组在对照组的基础上联合结构式团体心理干预。两组均干预1个月,于干预前、干预1个月后比较两组患者的心理弹性、不良情绪、病耻感和应对方式;于干预1个月后,比较两组患者的依从性。结果 干预1个月后,观察组成人心理弹性量表(RSA)评分显著高于对照组(P<0.05)。干预1个月后,观察组自我感受负担量表(SPB)评分、抑郁-焦虑-应激自评量表(DASS-21)评分量表中压力(DASS-S)、抑郁(DASS-D)、焦虑(DASS-A)中的评分均显著低于对照组(P<0.05)。干预1个月后,观察组Link病耻感量表评分中贬低-歧视感知、应对方式、情感体验的评分显著低于对照组(P<0.05),观察组创伤后成长评定量表(PTGI)评分较对照组显著增高(P<0.05)。干预1个月后,两组依从性对比有差异,其中观察组更高(P<0.05)。结论 结构式团体心理干预在疝气手术中有显著优势,可明确改善心理弹性和不良情绪,有效缓解病耻感,促使其以积极的态度面对疾病,有利于改善依从性。Objective To analyze the specific advantages of structural group psychological intervention in hernia surgery.Methods A total of 80 patients with hernia surgery were enrolled and admitted from January 2021 to December 2023.randomly divided into control group(n=40)and observation group(n=40)according to the numerical table method,the control group received routine nursing,and the observation group combined structural group psychological intervention on the basis of the control group.Both groups were treated for 1 month.The psychological resilience,negative emotions,stigma and coping styles of the two groups were compared before and after intervention.After 1 month of intervention,the compliance of the two groups was compared.Results After 1 month of intervention,the scores of human resilience scale for adults(RSA)were significantly higher than those of control group(P<0.05).After 1 month of depression-anxiety-stress scale-stress(DASS-S),depression-anxiety-stress scale-depressed(DASS-D)and depression-anxiety-stress scale-anxiety(DASS-A)in the observation group were significantly lower than those in the control group(P<0.05).After 1 month of intervention,the scores of disparage-discrimination perception,coping style and emotional experience in the Link stigma scale in the observation group were significantly lower than those in the control group(P<0.05),and the scores of the post-traumatic growth rating scale(PTGI)in the observation group were significantly higher than those in the control group(P<0.05).After 1 month of intervention,there was a difference in compliance between the two groups,and the observation group was higher(66.00%control group vs 84.00%observation group)(P<0.05).Conclusion Structural group psychological intervention has significant advantages in hernia surgery,which can clearly improve psychological resilience and bad emotions,effectively alleviate stigma,promote patients to face the disease with a positive attitude,and help improve compliance.

关 键 词：结构式团体心理干预 疝气 心理弹性 依从性 

分 类 号：R47[医药卫生—护理学]