认知行为心理治疗降低消化性溃疡患者疾病不确定感的效果研究

The Study of the Effect with the Cognitive Behavioral Therapy reduced Disease Uncertainty of the Patient with Peptic Ulcer

目的探讨认知行为治疗降低消化性溃疡患者疾病不确定感的效果,为临床护理提供依据。方法 60例住院消化性溃疡患者按抛硬币分组法随机分为研究组和对照组,各30例。两组均给予常规药物治疗,对照组采用临床常规护理,研究组在此基础上则给予以健康教育,心理指导以及音乐疗法为干预措施的认知行为心理治疗。分别于入院时及出院时,采用Mishel的疾病不确定感量表(MUIS)评价两组疾病不确定程度。结果入院时,两组MUIS评分无显著性差异(P>0.05),出院时,研究组MUIS评分明显低于对照组(P<0.01)。结论认知行为心理治疗能够降低消化性溃疡患者疾病不确定感,对患者的治疗和康复具有积极的作用。

Objective To explore the effect wich the cognitive behavioral therapy reduced disease uncertainty of the patient with peptic ulcer,in order to offer the basis for clinincal nursing.Methods 60 patients with Peptic ulcer who was in hospital were invided into study group（30 patients） and contral group（30 patients） by coin dividing group method,Two groups all were given conventional medical treatment,the contral group was given clinical conventional nuring,on that basis,the study grpup was given the cognitive behavioral therapy that the intervening measure wsa health education psychology rirection and musicotherapy.At the time when they were admitted to hospital and when they left hospital,the disease not sure degree of two groups was evaluated by MUIS.Results At the time when they were admitted to hospital,the score of MUIS in two groups was not different（P0.05）,when they left hospital,the score of MUIS in study group was lower than that in contral group（P0.01）.Conclusion The cognitive behavioral therapy could reduced disease uncertainty of the patient with peptic ulcer,it had active part for the therapy and rehabilitation of the patient.