本文關鍵詞：心理干預對腸造口患者焦慮抑郁及生活質量的影響　出處：《國際精神病學雜志》2016年06期 　論文類型：期刊論文

  更多相關文章： 腸造口 心理干預 認知重構 焦慮 抑郁 生活質量

【摘要】：目的探討以認知重構為主的心理干預對腸造口患者術后焦慮抑郁心理及生活質量的影響。方法用隨機數字表法將90例腸造口手術患者分為對照組與觀察組,每組各45例,對照組采取常規(guī)護理,觀察組在對照組基礎上加以認知重構為主的心理干預,比較兩組患者干預前后SDS評分、SAS評分、應對方式評分及生活質量情況。結果兩組干預后SDS、SAS評分均較干預前顯著下降,SF-36量表各項評分較干預前顯著上升(P0.05);觀察組干預后SDS評分、SAS評分、自責、退避評分均明顯低于對照組,問題解決、求助、合理化評分及SF-36量表各項評分均明顯高于對照組,兩組比較差異有統(tǒng)計學意義(P0.05)。結論以認知重構為主的心理干預能明顯緩解腸造口患者術后焦慮、抑郁心理,有效改善其應對方式,有利于患者術后康復及生活質量的提高。
[Abstract]:Objective to explore the effect of psychological intervention based on cognitive reconstruction on anxiety and depression and quality of life in patients with enterostomy after operation. Methods randomly 90 cases of colostomy patients were divided into control group and observation group, 45 cases in each group, the control group received routine nursing care, the observation group in the control group psychological intervention on the basis of cognitive reconstruction, two groups were compared before and after intervention, SDS score, SAS score, score and coping style the quality of life. The results of the intervention in the two groups SDS and SAS were decreased significantly compared with those before intervention, all the scores of SF-36 were significantly increased (P0.05); observation group intervention SDS score, SAS score, self blame and avoidance scores were significantly lower than the control group, problem solving, help seeking and rationalization score and SF-36 scale of the scores were significantly higher than the control group, there was significant difference between two groups (P0.05). Conclusion psychological intervention based on cognitive restructuring can significantly relieve postoperative anxiety and depression in patients undergoing enterostomy, and improve their coping styles effectively, which is conducive to postoperative rehabilitation and quality of life.
【作者單位】： 湖北醫(yī)藥學院附屬東風醫(yī)院;
【分類號】：R473.73
【正文快照】： 腸造口在直腸癌及其他胃腸疾病外科手術中比較常見,指的是于腸管某處造排泄口,即人工肛門�；颊吲疟阃緩礁淖�,排便難以自控,身心遭受巨大傷害[1]。原有生理構造的改變及手術造成的功能性損害等多種影響因素使患者易出現焦慮、抑郁、自卑等負性情緒,引發(fā)心理應激反應,不利于其

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