摘要
目的:探讨萨提亚模式团体干预对慢性乙型肝炎肝硬化患者心理应激的影响。方法:选择2018年2月至2019年1月某院收治的130例慢性乙型肝炎肝硬化患者,按照随机数字表法分为对照组和观察组,各65例。对照组给予常规健康干预,观察组在对照组干预基础上给予萨提亚模式团体干预,比较两组患者干预前后心理状态、自尊、心理弹性和应对方式。结果:干预后,观察组汉密尔顿焦虑量表(HAMA)评分(t=-3.820,P<0.05)、汉密尔顿抑郁量表(HAMD)评分(t=-2.904,P<0.05)均显著低于对照组;干预后,观察组自尊评分(t=3.729,P<0.05)高于对照组;干预后,观察组坚韧与控制(t=5.114,P<0.05)、力量(t=3.011,P<0.05)、乐观(t=3.942,P<0.05)评分均高于对照组;干预后,观察组患者积极应对评分(t=2.443,P<0.05)高于对照组,消极应对评分(t=-2.149,P<0.05)低于对照组。结论:萨提亚模式团体干预可有效调节慢性乙型肝炎肝硬化患者负性心理,增强其心理弹性,改善应对方式,减轻心理应激程度。
Objective:To explore the effects of Satir model group intervention on psychological stress in patients with chronic hepatitis B cirrhosis.Methods:A total of 130 patients with chronic hepatitis B cirrhosis admitted to our hospital from February 2018 to January 2019 were selected and divided into control group and observation group according to the random number table method, with 65 cases in each group.Control group was given routine health intervention, and observation group was given Satir model group intervention on the basis of intervention in control group.The psychological states, self-esteem, psychological resilience and coping styles were compared between the two groups before and after intervention.Results:After intervention, the Hamilton anxiety scale(HAMA)score(t=-3.820,P<0.05)and Hamilton Depression Scale(HAMD)score(t=-2.904,P<0.05)in observation group were significantly lower than those in control group.After intervention, the self-esteem score(t=3.729,P<0.05)in observation group was higher than that in control group.After intervention, the scores of toughness and control(t=5.114,P<0.05),strength(t=3.011,P<0.05)and optimism(t=3.942,P<0.05)in observation group were higher than those in control group.After intervention, the positive coping score(t=2.443,P<0.05)in observation group was higher than that in control group while the negative coping score(t=-2.149,P<0.05)was lower than that in control group.Conclusion:Satir model group intervention can effectively regulate the negative psychology of patients with chronic hepatitis B cirrhosis, enhance the psychological resilience, improve coping styles and reduce the psychological stress.
作者
孟园园
曾艳丽
王歌
MENG Yuanyuan;ZENG Yanli;WANG Ge(Department of Infection,Henan Provincial People’s Hospital,Zhengzhou 450003,China)
出处
《中国健康心理学杂志》
北大核心
2021年第8期1150-1154,共5页
China Journal of Health Psychology
基金
国家自然科学基金资助项目(编号:U1704179)
河南省医学科技攻关计划项目(编号:HWYX2019137)。
关键词
萨提亚模式团体干预
慢性乙型肝炎肝硬化
心理应激
焦虑抑郁
Satir model group intervention
Chronic hepatitis B cirrhosis
Psychological stress
Anxiety and depression
