摘要
目的探讨以自我表露为中心的团体心理疗法对肾移植患者心理痛苦、病耻感及创伤后成长的影响。方法将104例肾移植患者按随机数字表法分为研究组与对照组,各52例。两组均给予对症治疗及常规护理,研究组在此基础上给予以自我表露为中心的团体心理疗法,观察1个月。比较两组并发症发生率,干预前及干预1个月末采用心理痛苦温度计评定两组心理痛苦情况,社会影响量表评定两组病耻感情况,创伤后成长量表评定两组创伤后成长情况,自测健康评定量表评定两组健康状况,比较两组护理满意度。结果研究组并发症发生率显著低于对照组(P<0.05)。干预1个月末两组心理痛苦程度及社会影响量表各维度评分均显著低于干预前(P<0.01),研究组显著低于对照组(P<0.01)。干预1个月末两组创伤后成长量表、自测健康评定量表各维度评分均显著高于干预前(P<0.01),研究组显著高于对照组(P<0.01)。研究组护理总满意率显著高于对照组(P<0.01)。结论以自我表露为中心的团体心理疗法有助于降低肾移植术后并发症发生风险,缓解患者病耻感及心理痛苦,进一步提升创伤后成长水平,改善健康状况,提高护理满意度。
Objective To explore the effect of self-disclosure-centered group psychotherapy on psychological pain,stigma and post-traumatic growth of renal transplant patients.Methods A total of 104 renal transplant patients were divided into study group and control group according to random number table method,with 52 cases in each group.Both groups were given symptomatic treatment and routine care,and the study group was given self-disclosure-centered group psychotherapy on this basis for 1 month.The incidence of complications between the two groups was compared.Before the intervention and at the end of one month after the intervention,the psychological distress thermometer was used to assess the psychological distress of the two groups,the social impact scale(SIS)was used to assess the stigma of the two groups,the posttraumatic growth inventory(PTGI)was used to assess the post-traumatic growth of the two groups,and the self-rated health measurement scale(SRHMS)was used to evaluate the health status of the two groups.The nursing satisfaction of the two groups was compared.Results The incidence of complications in the study group was significantly lower than that in the control group(P<0.05).At the end of one month after intervention,the scores of psychological distress and SIS in the two groups were significantly lower than those before the intervention(P<0.01),and the study group was significantly lower than the control group(P<0.01).At the end of one month after intervention,the scores of PTGI and SRHMS in the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).The total satisfaction rate of nursing in the study group was significantly higher than that in the control group(P<0.01).Conclusions Self-disclosure-centered group psychotherapy can help reduce the risk of complications after kidney transplantation,alleviate patients'stigma and psychological pain,further enhance the level of post-traumatic growth,improve health status,and the satisfaction of nursing care is high.
作者
侯爱华
于江琪
郭丽姝
王光策
王锁刚
Hou Aihua;Yu Jiangqi;Guo Lishu;Wang Guangce;Wang Suogang(The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第2期51-56,共6页
Journal of Clinical Psychosomatic Diseases
基金
河南省中医药科学研究专项课题(编号2018ZY2077)。
关键词
肾移植术
自我表露
团体心理疗法
心理痛苦
病耻感
创伤后成长
renal transplantation
self-disclosure
group psychotherapy
psychological pain
stigma
post-traumatic growth
