摘要
目的:探究认知行为干预结合积极心理指导对面部瘢痕整形女性患者心理健康的影响。方法:选择2021年1月-2021年12月笔者科室收治的180例面部瘢痕整形患者为研究对象,采用随机数字表法将其分为对照组和观察组各90例。对照组给予常规护理干预,观察组给予认知行为干预结合积极心理指导护理。于干预前及干预4周后采用疾病不确定感量表(Mishel uncertainty in illness scale for adult,MUIS-A)、简易应对方式问卷(Simplified coping style questionnaire,SCSQ)及Morisky服药依从性量表(Morisky self-reported adherence questionnaire,MAQ)评价患者疾病不确定感、疾病应对方式及治疗依从性。采用体象障碍自评量表(Body image rating scale,BIRS)、凯斯勒心理困扰量表(Kessler psychological distress scale,K10)及心理弹性量表(Connor-davidson resilience scale,CD-RISC)评价患者心理健康水平。结果:观察组不明确、信息缺乏评分及MUIS-A总分低于对照组(P<0.05);观察组干预后BIRS及K10评分低于对照组,CD-RISC评分高于对照组(P<0.05);观察组干预后SCSQ评分中积极应对评分高于对照组,消极应对评分低于对照组(P<0.05);观察组MAQ评分高于对照组,治疗依从性优于对照组(P<0.05)。结论:认知行为干预结合积极心理指导可减轻面部瘢痕整形患者疾病不确定感,提高患者心理弹性水平,并能提高患者治疗依从性,改善患者疾病应对方式。
Objective To explore the effects of cognitive behavioral intervention combined with positive psychological guidance on psychological health of female patients with facial scar plastic surgery.Methods A total of 180 patients with facial scar plastic surgery admitted to our department from January 2021 to December 2021 were selected as the research objects.They were divided into the control group and the observation group by the random number table method,with 90 cases in each group.The control group was given routine nursing intervention while the observation group was given cognitive behavioral intervention combined with positive psychological guidance nursing.Mishel uncertainty in illness scale for adult(MUIS-A),simplified coping style questionnaire(SCSQ)and morisky medication adherence questionnaire(MAQ)were used to evaluate the disease uncertainty,coping styles and treatment compliance before intervention and after 4 weeks of intervention.Body image rating scale(BIRS),kessler psychological distress scale(K10)and connor-davidson resilience scale(CD-RISC)were adopted to evaluate the psychological health level of patients.Results The scores of dimensions of ambiguity and lack of information and total score of MUIS-A in observation group were lower than those in control group(P<0.05).The BIRS score and K10 score in observation group were lower compared with those in control group after intervention,while the total score of CD-RISC was higher compared with that in control group(P<0.05).After intervention,the positive coping score of SCSQ in observation group was higher than that in control group,while the negative coping score was lower than that in control group(P<0.05).The MAQ score in observation group was higher than that in control group,and the treatment compliance was better than that in control group(P<0.05).Conclusion Cognitive behavioral intervention combined with positive psychological guidance can relieve the disease uncertainty,improve the psychological resilience level,enhance the treatment compliance and improve the coping styles of patients with facial scar plastic surgery.
作者
刘书静
沈玲
LIU Shujing;SHEN Ling(Department of Plastic Surgery,the Third Hospital of Wuhan,Wuhan 430000,Hubei,China)
出处
《中国美容医学》
CAS
2023年第11期163-167,共5页
Chinese Journal of Aesthetic Medicine
关键词
认知行为干预
积极心理指导
面部瘢痕
整形手术
心理健康
cognitive behavioral intervention
positive psychological guidance
facial scar
plastic surgery
psychological health
