摘要
目的 探讨合理情绪疗法在上消化道出血合并轻中度抑郁患者中的应用效果。方法 将120例上消化道出血合并轻中度抑郁患者按照随机数字表法分为研究组与对照组,各60例。两组均给予常规护理,研究组在此基础上给予合理情绪疗法,观察1个月。干预前后采用抑郁自评量表、汉密顿抑郁量表、一般自我效能感量表评定两组抑郁状况及应对压力的信念或知觉,采用田纳西自我概念量表评定两组患者自我概念,采用简易社会应对量表评定患者应对方式,比较两组护理满意度。结果 干预后两组抑郁自评量表及汉密顿抑郁量表评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.01),两组一般自我效能感量表评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。干预后两组田纳西自我概念量表各维度评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。干预后两组简易社会应对量表的积极应对评分较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01),消极应对评分较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.01)。研究组护理满意度显著高于对照组(P<0.05)。结论 合理情绪疗法可以有效缓解上消化道出血合并轻中度抑郁患者的抑郁情绪,提高自我效能,转变自我概念及应对方式,提高护理满意度。
Objective To investigate the effect of rational-emotive therapy in patients with upper gastrointestinal bleeding complicated with mild to moderate depression.Methods A total of 120 patients with upper gastrointestinal bleeding complicated with mild to moderate depression were divided into study group and control group according to random number table method,with 60 cases in each group.Both groups were given routine nursing care,and the study group was given rational-emotive therapy on this basis for 1 month.Before and after the intervention,the self-rating depression scale(SDS),Hamilton depression scale(HAMD)and general self-efficacy scale(GSES)were used to evaluate the depression status and the belief or perception of coping with stress in the two groups.Tennessee self-concept scale(TSCS)was used to assess the self-concept of the two groups,and the simple coping style questionnaire(SCSQ)was used to assess the coping style of the patients.The nursing satisfaction of the two groups was compared.Results After the intervention,the SDS and HAMD scores of 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).The GSES scores of 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).After the intervention,the scores of each dimension of TSCS 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).After the intervention,the positive coping scores of SCSQ 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 negative coping scores were significantly lower thanthose beforethe intervention ( P <0.01), and the study group was significantly lower than the control group ( P <0.01). The nursing satisfaction in the study group was significantly higher than that in the control group ( P <0.05). Conclusions Rational-emotive therapy can effectively relieve depression in patients with upper gastrointestinal bleeding complicated with mild to moderate depression, improve self-efficacy, change self-concept and coping style, and improve nursing satisfaction.
作者
米亚玲
王红玉
赵运芳
Mi Yaling;Wang Hongyu;Zhao Yunfang(General Hospital of Pingmei Shenma Medical Group,Pingdingshan 467000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第5期164-168,共5页
Journal of Clinical Psychosomatic Diseases
关键词
上消化道出血
轻中度抑郁
合理情绪疗法
自我效能
应对方式
upper gastrointestinal bleeding
mild to moderate depression
rational-emotive therapy
self-efficacy
coping style
