亲情疏导的心理干预对心脏瓣膜病术后患者创伤后成长及心理弹性的影响  

Effect of psychological intervention based on family counseling on post-traumatic growth and psychological resilience of patients with valvular heart disease after operation

作　　者：胡青霞[1] 李茜 张伟华[1] 朱礼阳 HU Qingxia;LI Qian;ZHANG Weihua;ZHU Liyang(Department of Cardiovascular Surgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Cardiovascular Surgery,First Affiliated Hospital of Zhengzhou University)

机构地区：[1]郑州大学第一附属医院心血管外科,450052 [2]郑州大学第一附属医院心血管外科医学部

出　　处：《中国健康心理学杂志》2025年第4期578-582,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20220280)。

摘　　要：目的:探讨基于亲情疏导的心理干预对心脏瓣膜病术后患者创伤后成长及心理弹性的影响。方法:选取某院2023年5月—2024年5月收治的86例拟行心脏瓣膜手术的患者,以随机数字表法将其分成A组和B组(各43例)。A组给予常规干预,B组在A组基础上实施基于亲情疏导的心理干预。比较两组创伤后成长水平[创伤后成长量表(PTGI)评分]、负面情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]、心理弹性[心理弹性量表(CD-RISC)评分]、生活质量[简明健康调查问卷(SF-36)评分]和术后并发症发生情况。结果:干预后,B组PTGI各维度及总分均高于A组(t=5.871,5.338,6.411,4.336,3.852,8.236;P<0.05);B组HAMA、HAMD评分均低于A组(t=10.226,13.236;P<0.05);B组CD-RISC各维度及总分均高于A组(t=4.799,4.930,2.747,4.027;P<0.05);B组SF-36各维度及总分均高于A组(t=3.374,2.487,3.634,2.340,2.967;P<0.05);B组术后并发症总发生率低于A组(χ^(2)=5.108,P<0.05)。结论:亲情疏导的心理干预可提升心脏瓣膜病术后患者的创伤后成长水平,缓解其负面情绪,提高心理弹性和生活质量,减少术后并发症发生。Objective:To explore the influence of psychological intervention based on family counseling on post-traumatic growth and psychological resilience of patients with valvular heart disease after operation.Methods:From May 2023 to May 2024,86 patients who were to undergo heart valve surgery in our hospital were randomly divided into group A and group B(43 cases each).Group A was given routine intervention,and group B was given psychological intervention based on family counseling on the basis of group A.The levels of post-traumatic growth[post-traumatic growth inventory(PTGI)score],negative emotions[Hamilton anxiety rating scale(HAMA),Hamilton depression rating scale(HAMD)score],psychologicalresilience[connor-davidson resilience scale(CD-RISC)score],quality of life[the MOS 36-item short form health survey(SF-36)score]and postoperative complications were compared between the two groups.Results:After intervention,all dimensions and total scores of PTGI in group B were higher(t=5.871,5.338,6.411,4.336,3.852,8.236;P<0.05).The scores of HAMA and HAMD in group B were lower(t=10.226,13.236;P<0.05).All dimension and total score of CD-RISC in group B were higher(t=4.799,4.930,2.747,4.027;P<0.05).The dimensions and total score of SF-36 in group B were higher(t=3.374,2.487,3.634,2.340,2.967;P<0.05).The total incidence of postoperative complications in group B was lower(χ^(2)=5.108;P<0.05).Conclusion:Psychological intervention based on family counseling can improve the post-traumatic growth level of patients with valvular heart disease,relieve their negative emotions,improve their psychological resilience and quality of life,and reduce postoperative complications.

关 键 词：心脏瓣膜病 亲情疏导 心理干预 创伤后成长 心理弹性 

分 类 号：R395.5[哲学宗教—心理学]