摘要
目的探讨合理情绪疗法对反复住院晚期血吸虫病(晚血)患者负性情绪的干预效果。方法选取在湖南省血吸虫病防治所湘岳医院97例住院≥3次且合并焦虑或(和)抑郁情绪的晚血患者为研究对象,在常规护理的基础上给予持续4周的合理情绪疗法干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、WHO生存质量测定量表简表(WHO-QOL-BREF)比较干预前和干预4周后晚血患者焦虑、抑郁和生活质量评分。结果干预4周后,晚血患者SAS和SDS评分分别为(45.40±7.77)分和(51.48±8.01)分,显著低于干预前的(59.25±9.29)分和(63.93±9.59)分(t=14.021、12.991,P均<0.01);干预4周后,中、重度焦虑、抑郁患者比例均较干预前显著降低(χ^2=82.019、62.698,P均<0.01),生活质量各领域评分均较干预前显著提高(P均<0.01)。结论合理情绪疗法可以改善反复住院晚血患者负性情绪,提高其生活质量。
Objective To examine the effect of rational emotive therapy on negative emotions among advanced schistosomia-sis patients with repeated hospitalizations.Methods A total of 97 advanced schistosomiasis patients with anxiety and depres-sive emotions that were hospitalized in Xiangyue Hospital of Hunan Institute of Schistosomiasis Control for three times or morewere enrolled, and given rational emotive therapy for 4 weeks in addition to routine nursing care. The scores for anxiety, depres-sion and quality of life were estimated in patients before and after the rational emotive therapy using the Self-Rating AnxietyScale(SRS), the Self-Rating Depression Scale(SDS) and WHOQOL-BREF Form.Results The SAS and SDS scores were signifi-cantly lower 4 weeks following rational emotive therapy than before the intervention(SAS score, 45.40 ± 7.77 vs. 59.25 ± 9.29,t = 14.021, P < 0.01;51.48 ± 8.01 vs. 63.93 ± 9.59, t = 12.991, P < 0.01). The percentages of patients with moderate and severeanxiety and depression were significantly lower 4 weeks following rational emotive therapy than before the intervention(P <0.01), and the scores for each item in the quality of life were all significantly greater 4 weeks following rational emotive therapythan before the intervention(P < 0.01).ConclusionRational emotive therapy may improve the negative emotions and the quali-ty of life of advanced schistosomiasis patients with repeated hospitalizations.
作者
周瑞红
余慧琼
刘佳新
肖翠兰
潘洁
来如意
李丽乐
ZHOU Rui-Hong;YU Hui-Qiong;LIU Jia-Xin;XIAO Cui-Lan;PAN Jie;LAI Ru-Yi;LI Li-Le(Hunan Institute of Parasitic Diseases,WHO Collaborating Center on Schistosomiasis Control in Lake Regions,Hunan Key Laboratory of Immunology and Transmission Control of Schistosomiasis,National Key Clinical Specialty,Yueyang 414000,China)
出处
《中国血吸虫病防治杂志》
CAS
CSCD
北大核心
2020年第3期308-310,共3页
Chinese Journal of Schistosomiasis Control
基金
国家临床重点专科建设项目(卫办医政函2012-649)。
关键词
晚期血吸虫病
合理情绪疗法
负性情绪
干预效果
Advanced schistosomiasis
Rational emotive therapy
Negative emotion
Intervention effect
