摘要
目的 探讨激励式心理干预对肺结核患者心理弹性、应对方式及生活质量的影响。方法 将80例肺结核患者随机分为观察组和对照组,各40例。对照组患者给予常规治疗及心理干预,观察组患者在对照组基础上给予激励式心理干预。两组患者均干预3个月。干预前后,比较两组患者心理弹性[心理弹性量表(CD-RISC)评分]、应对方式[医学应对方式问卷(MCMQ)评分]、生活质量[生活质量综合评定问卷(GQOLI-74)评分]。结果 干预后,两组患者CD-RISC、GQOLⅠ-74总分及各维度评分较干预前升高,且观察组高于对照组(P<0.05或0.01);两组患者MCMQ面对维度评分较干预前升高,回避、屈服维度评分较干预前降低,且观察组优于对照组(P<0.01)。结论 激励式心理干预在肺结核患者中的应用效果较好,能提高心理弹性,改善应对方式及生活质量,促进患者全面康复。
Objective To explore the effects of incentive psychological intervention(IPI)on psychological resilience,coping styles,and quality of life of pulmonary tuberculosis(PT)patients.Methods Eighty PT patients were randomly assigned to observation and control group,with 40 ones in each.Controls received routine treatment and psychological intervention and observation group did the IPI on the basis of controls for 3 months.Before and after intervention psychological resilience(Connor-Davidson Resilience Scale[CD-RISC]scores),coping modes(Medical Coping Modes Questionnaire[MCMQ]score)and qualities of life(Generic Quality of Life Inventory[GQOLI-74]scores)were compared between two groups.Results After intervention,the total and each dimension scores of both the CD-RISC and GQOLⅠ-74 elevated in both groups compared with preintervention and those were higher in observation than control group(P<0.05 or 0.01);the confronce dimension scores of the MCMQ elevated and avoidance and resignation lowered in both groups,observation group was superior to controls(P<0.01).Conclusion The IPI has a good application effect in PT patients,can improve psychological resilience,coping style and quality of life,and promotes patients'comprehensive recovery.
作者
刘捷凌
王宁
汤友勤
孙晓柯
Liu Jieling;Wang Ning;Tang Youqin;Sun Xiaoke(Henan Provincial Chest Hospital,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
2025年第5期76-80,共5页
Journal of Clinical Psychosomatic Diseases
基金
河南省医学科技攻关计划联合共建项目(编号LHGJ20200214)。
关键词
激励式心理干预
肺结核
心理弹性
应对方式
生活质量
incentive psychological intervention
pulmonary tuberculosis
psychological resilience
coping style
quality of life
