配偶同步治疗性沟通对永久性结肠造口患者自我感受负担的影响

Effects of spouse synchronous therapeutic communication on self-perceived burden in patients with permanent colostomy

目的探讨配偶同步治疗性沟通对永久性结肠造口患者自我感受负担(SPB)的影响。方法选取2015年12月~2017年6月该院收治的直肠癌永久性结肠造口患者56例,随机分为对照组和实验组,各28例。对照组患者给予永久性结肠造口常规护理及一般性沟通干预;实验组患者在对照组患者的基础上,配偶同步接受治疗性沟通干预。干预前后采用自我感受负担量表(SPBS)对患者自我感受负担情况进行评价,观察两组患者SPB变化情况。结果干预前,两组患者SPBS各个维度得分及总分比较无明显差异;干预后两组患者SPBS各维度得分及总分均有下降,但实验组患者与对照组患者比较下降更明显,差异均有统计学意义(均P<0.05);实验组患者SPB程度明显优于对照组患者,差异有统计学意义(P<0.05)。结论对永久性结肠造口患者及配偶同步实施治疗性沟通干预,能帮助患者建立社会-家庭支持系统,提高社会支持水平,有效缓解患者及配偶负性情绪,提高患者应对能力,从而降低患者SPB。

Objective To investigate the effect of spouse synchronous therapeutic communication on self-perceived burden (SPB) in patients with permanent colostomy.Methods A total of 56 patients with permanent colostomy of rectal cancer admitted to the hospital from December 2015 to June 2017 were selected and were randomly divided into the control group and the experimental group,28 cases of each group.Patients in the control group were given routine nursing and general communication intervention for permanent colostomy.Patients in the experimental group received therapeutic communication intervention simultaneously with their spouses on the basis of those in the control group.Before and after the intervention,the self-perceived burden scale (SPBS) was used to evaluate the self-perceived burden of patients,and the SPB changes in the two groups were observed.Results Before intervention,there was no significant difference in SPBS scores and total scores between the two groups in all dimensions.After the intervention,SPBS scores of all dimensions and total scores of patients in the two groups decreased,but those in the experimental group decreased more significantly than those in the control group,with statistically significant differences (P<0.05).SPB degree of patients in the experimental group was significantly better than that in the control group,and the difference was statistically significant (P<0.05).Conclusions The simultaneous implementation of therapeutic communication intervention for patients with permanent colostomy and their spouses can help patients establish a social-family support system,improve the level of social support,effectively alleviate negative emotions of patients and their spouses,improve their coping ability,and thus reduce SPB.