护理干预对难治性肠易激综合征患者心理状况及应对方式的影响

Nursing intervention on the mentality and coping styles of patients with refractory irritable bowel syndrome

目的:探讨护理干预对难治性肠易激综合征(IBS)患者心理状况及应对方式的影响。方法:采用症状自评量表(SCL-90)、焦虑自评量表(SAS)和抑郁自评量表(SDS)、简易应对方式问卷对38例难治性IBS患者进行评估,对心理问题严重者给予相应护理干预,干预后再次进行评估,将SCL-90、SAS、SDS干预前的结果分别同全国常模、护理干预后的测评结果进行比较,简易应对方式干预前的结果同全国常模、护理干预后进行比较。结果:难治性IBS患者干预前SCL-90、SAS、SDS得分高于全国常模,具有极显著性差异(P<0.01);干预后简易应对问卷积极面对纬度评分明显提高,消极回避评分纬度明显降低(P<0.05)。结论:护理干预可改善患者的心理状态,增强心理应对能力。

Objective ： To explore nursing intervention on the mentality and coping styles of patients with refractory irritable bowel syndrome. Methods ： Symptom Checklist 90 （ SCL - 90 ） , Self - rating Anxiety Scale （ SAS） and the Self - rat- ing Depression Scale （ SDS ） , coping styles questionnaire were used to assess the mental state of 38 patients with ？ refractory IBS and efficient nursing intervention was given to those patients who had the serious psychological problems. Assessment was made again after intervention . The comparison was made with national norm and previous assessment after intervention. The results of SCL - 90, SAS and SDS before intervention were compared with national norms and also compared with the results of SCL - 90, SAS and SDS after nursing intervention. Results ： The scores of SAS, SDS and SCL - 90 of the patients with refractory IBS before intervention were higher than that of national norm （ P 〈 0. 01 ） ; after the intervention, positive response to the latitude score markedly improved, and the negative response to the latitude score decreased significantly （ P 〈 0. 05 ）. Conclusion ： Nursing intervention can improve the mental state of patients and enhance their response capacity.