聚焦解决模式的心理干预措施对腹部手术后保留灌肠患者的心理弹性、知信行及并发症的影响  

Effects of focused solution mode psychological intervention on mental resilience,knowledge,belief and behavior and complications of patients with retention enema after abdominal surgery

作　　者：李想[1] 张静蕾 张楠[1] 郭凯利 高肖肖 娄宁宁 石洋 LI Xiang;ZHANG Jinglei;ZHANG Nan;GUO Kaili;GAO Xiaoxiao;LOU Ningning;SHI Yang(Department of General Surgery,First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou,Henan 450000,China;Reproductive Medicine Center of the First Affiliated Hospital of Sun Yat sen University)

机构地区：[1]河南中医药大学第一附属医院普外二科,郑州450000 [2]中山大学第一附属医院生殖医学中心

出　　处：《中国健康心理学杂志》2025年第4期587-592,共6页China Journal of Health Psychology

基　　金：河南省中医药科学研究专项课题(编号:2021JDZY050);国家中医优势专科(外科)建设项目(编号:cz0338-03)。

摘　　要：目的:探讨聚焦解决模式的心理干预措施对腹部手术后保留灌肠患者的心理弹性、知信行及并发症的影响。方法:选择2021年5月至2024年5月某院收治的90例腹部手术后接受保留灌肠患者作为研究对象,按照随机数表法分为观察组、对照组,各45例。两组患者术后均采用厚朴三物汤保留灌肠,对照组灌肠期间采用常规干预,观察组采用聚焦解决模式的心理干预措施。比较两组患者心理弹性量表中文版(CD-RISC)、知信行水平、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、焦虑、抑郁及并发症发生率。结果:干预后,观察组CD-RISC量表中乐观、坚韧、自强评分均低于对照组(t=8.500,7.437,8.550;P<0.05);观察组知信行问卷中知识、信念、行为评分均高于对照组(t=11.796,10.525,9.208;P<0.05);观察组SAS、SDS评分均低于对照组(t=5.380,3.810;P<0.05),焦虑、抑郁发生率均低于对照组(χ^(2)=5.075,3.873;P<0.05);观察组并发症发生率低于对照组(χ^(2)=4.444,P<0.05)。结论:聚焦解决模式的心理干预措施在腹部手术后保留灌肠患者中效果明显,可改善患者心理弹性、知信行行为,并降低并发症发生率。Objective:To explore the effect of psychological intervention of focused solution mode on mental resilience,knowledge,belief and behavior and complications of patients with retention enema after abdominal surgery.Methods:A total of 90 patients who received retention enema after abdominal surgery admitted to our hospital from May 2021 to May 2024 were selected as the study objects,and were divided into observation group and control group according to random number table method,with 45 cases in each group.Both groups were treated with Houpu Sanwu Decoction retention enema after operation,the control group was treated with routine intervention during enema,and the observation group was treated with focused solution mode psychological intervention.The Chinese version of Mental resilience Scale(CD-RISC),knowledge,belief and behavior,self-rating Anxiety Scale(SAS),self-rating Depression Scale(SDS)scores and the incidence of anxiety depression and complications were compared between the two groups.Results:After intervention,the scores of optimism,tenacity and self-improvement of CD-RISC were lower in the observation group than the control group(t=8.500,7.437,8.550;P<0.05);The scores of knowledge,belief and behavior of knowledge,belief and behavior questionnaire were higher in the observation group than the control group(t=11.796,10.525,9.208;P<0.05);The scores of SAS and SDS were lower in the observation group than the control group(t=5.380,3.810;P<0.05),the rates of anxiety and depression were lower than those of control group(χ^(2)=5.075,3.873;P<0.05);The complication rate in the observation group was lower than that in the control group(χ^(2)=4.444,P<0.05).Conclusion:The psychological intervention of focused solution mode has obvious effect in the patients with retention enema after abdominal operation,which can improve the mental resilience,knowledge,belief and behavior,and reduce the incidence of complications.

关 键 词：保留灌肠 聚焦解决模式 心理干预 心理弹性 知信行 并发症 

分 类 号：R395.5[哲学宗教—心理学]