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中文摘要: 目的 探讨认知行为干预在子宫内膜异位症患者护理中的作用。方法 将2017年1月—2018年12月80例住院治疗的子宫内膜异位症患者按照随机数字表法分为对照组与干预组,每组各40例。对照组给予常规护理;干预组于常规护理基础上实施认知行为干预。采用症状自评量表(SCL-90)评价两组患者干预前后心理状态;采用生活质量量表评价两组干预前后生活质量。结果 80例子宫内膜异位症患者干预前人际关系、焦虑得分明显高于常模(P﹤0.05);躯体化、抑郁评分与常模比较(P﹥0.05)。生理领域、心理领域和社会关系领域明显低于常模(P﹤0.05)。两组干预后生活质量各因子评分较干预前明显提高,干预组各因子升高程度较对照组更明显(P﹤0.05)。两组患者干预后SCL-90各因子评分明显低于干预前,且干预后干预组各因子评分明显低于对照组(P﹤0.05)。结论 子宫内膜异位症患者存在一定心理问题,且生活质量受到影响;给予认知行为干预可改善其心理状态,提高生活质量,且达到常模水平以上,具有较高应用价值。
Abstract:OBJECTIVE To investigate the role of cognitive behavioral intervention in the care of patients with endometriosis. METHODS 80 patients with endometriosis who were hospitalized from January 2017 to December 2018 were randomly divided into control group and intervention group, with 40 cases in each group. The control group received routine care; the intervention group performed cognitive behavioral intervention on the basis of routine care. The symptomatic self-rating scale (SCL-90) was used to evaluate the psychological state of these two groups before and after intervention. The quality of life was used to evaluate the quality of life before and after intervention. RESULTS The interpersonal relationship and anxiety scores of 80 patients with endometriosis were were significantly higher than the norm, P<0.05; somatization and depression scores were compared with norm, P>0.05. The field of physiology, psychology and social relations was significantly lower than the norm, P<0.05; the environmental field was compared with the norm, P>0.05. The scores of quality factors of the two groups were significantly higher than those before the intervention. The increase of each factor in the intervention group was more obvious than that of the control group, P<0.05. The scores of SCL-90 factors in the two groups were significantly lower than those before the intervention, and the scores of the factors in the intervention group were significantly lower than those in the control group, P<0.05. CONCLUSION Patients with endometriosis had certain psychological problems and their quality of life were affected. Cognitive behavioral intervention could improve their psychological state, improve their quality of life, and reach the norm level, which had high application value.
文章编号:3201910012 中图分类号:R1-9 文献标志码:
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作者 | 单位 |
程笑嵘①,谈夏莺①,朱 薇① |
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