团体心理辅导对炎症性肠病患者自我概念及心理状况影响的混合研究  

A Mixed Study on the Effect of Group Counselling on Self-Concept and Psychological Condition in Patients with Inflammatory Bowel Disease

作　　者：陈逸飞 陈伟 

机构地区：[1]湖州师范学院护理学院,浙江 湖州 [2]盐城市第一人民医院消化内科,江苏 盐城

出　　处：《护理学》2024年第9期1195-1204,共10页Nursing Science

摘　　要：目的:分析团体心理辅导在炎症性肠病患者中的应用效果。方法:选取2022年9月至2023年1月江苏省某三甲医院消化内科炎症性肠病患者,采用随机数字表法分为对照组和干预组,各18例,干预组在对照组干预措施的基础上增加以心理剧为主体的团体心理辅导,对照组接受消化内科常规护理干预并在出院后建立微信群进行健康宣教,干预时长均为8周。比较两组干预前后自我概念量表评分、心理弹性量表评分、焦虑自评量表评分及睡眠状况自评量表评分的差异;对干预组18名患者参与团体心理辅导的感受分享采用Colaizzi 7步分析法分析、归纳、提炼资料。结果:干预前,两组自我概念量表评分、心理弹性量表评分、焦虑自评量表评分及睡眠状况自评量表评分比较,差异无统计学意义(P > 0.05);干预后,干预组自我概念量表评分、心理弹性量表评分均高于对照组(P > 0.05),焦虑自评量表评分、睡眠状况自评量表评分均低于对照组(P > 0.05);提炼出重塑自我、角色扩展、自我实现3个主题。结论:团体心理辅导可以提升炎症性肠病患者的自我概念,改善心理状态。Objective: This paper aims to analyze the application effect of group psychological counseling in patients with inflammatory bowel disease. Method: Patients with inflammatory bowel disease in the gastroenterology department of a tertiary hospital in Jiangsu Province from September 2022 to January 2023 were selected and randomly divided into a control group and an intervention group using a random number table method, with 18 cases in each group. The intervention group received group psychological counseling with psychodrama as the main body on the basis of the intervention measures in the control group. The control group received routine nursing intervention in the gastroenterology department and established a WeChat group for health education after discharge. The intervention duration was 8 weeks for b

关 键 词：团体心理辅导 心理剧 炎症性肠病 自我概念 心理状况 

分 类 号：R47[医药卫生—护理学]