基于Kumpher心理弹性理论的心理指导对溃疡性结肠炎病耻感的影响  

Effects of Psychological Guidance Based on Kumpher's Psychological Resilience Theory on Stigma in Ulcerative Colitis

作　　者：卢美兰 翁金华 许永春[1] 李安琪 闵结 陈卓敏[3] LU Meilan;WENG Jinhua;XU Yongchun;LI Anqi;MIN Jie;CHEN Zhuomin(Gastroenterology Department;Operating Room;Nursing Department,908th Hospital of PLA Joint Logistics Support Force,Nanchang,Jiangxi 330000,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇八医院消化内科,南昌330000 [2]中国人民解放军联勤保障部队第九〇八医院手术室,南昌330000 [3]中国人民解放军联勤保障部队第九〇八医院护理部,南昌330000

出　　处：《湖南师范大学学报(医学版)》2024年第6期109-113,共5页Journal of Hunan Normal University(Medical Sciences)

基　　金：江西省卫生健康委科技计划项目“新媒体联合Teach-back的健康教育在结肠镜检查肠道准备患者中的应用研究”(202311397)

摘　　要：目的:探讨基于Kumpher心理弹性理论的心理指导对溃疡性结肠炎病耻感的影响。方法:选取2021年1月—2023年12月在我院就诊的62例溃疡性结肠炎患者的临床资料进行研究。按照护理方法分为常规组(n=32)、试验组(n=30)。常规组患者使用常规护理,试验组患者联合基于Kumpher的心理弹性理论护理。比较两组患者干预前后的病耻感[炎症性肠病病耻感量表(stigma scale-inflammatory bowel disease,PSS-IBD)]、心理韧性[中文版Connor-Davidson心理韧性量表(Connor-Davidson resilience scale,CD-RISC-25)]、自我管理能力[慢性病自我管理研究测量表(chronic disease self-management study measures,CDSMS)]、生活质量[炎症性肠病生活质量量表(inflammatory bowel disease questionnaire,IBDQ)]以及护理满意度。结果:干预后:试验组患者PSS-IBD各维度得分低于常规组患者;试验组患者CDSMS各维度得分、IBDQ各维度得分、CD-RISC-25各维度得分高于常规组患者。两组护理满意度比较无统计学差异。结论:基于Kumpher的心理弹性理论可改善溃疡性结肠炎病耻感、心理韧性,提高患者自我管理能力、生活质量。Objective To explore the effects of psychological guidance based on Kumpher's psychological resilience theory on stigma in ulcerative colitis.Methods The clinical data were collected from 62 patients with ulcerative colitis treated in the hospital between January 2021 and December 2023.According to different nursing methods,patients were divided into routine group(n=32,routine nursing)and experimental group(n=30,nursing based on Kumpher's psychological resilience theory+routine nursing).The stigma[stigma scale-inflammatory bowel disease(PSS-IBD)],psychological resilience[Connor-Davidson resilience scale(CD-RISC-25)],self-management ability[chronic disease self-management study measures(CDSMS)],quality of life[inflammatory bowel disease questionnaire(IBDQ)]and nursing satisfaction in the two groups were compared before and after intervention.Results After intervention,PSS-IBD scores in experimental group were lower than those in routine group,scores of CDSMS,IBDQ and CD-RISC-25 were higher than those in routine group.There was no significant difference in nursing satisfaction between the two groups.Conclusion:The psychological guidance based on Kumpher's psychological resilience theory can improve stigma,psychological resilience,self-management ability and quality of life in patients with ulcerative colitis.

关 键 词：Kumpher心理弹性理论 溃疡性结肠炎 病耻感 心理韧性 自我管理 

分 类 号：R47[医药卫生—护理学]