情绪释放疗法对老年冠心病患者社会心理适应能力和自我和谐水平的影响

Effects of emotional release therapy on social psychological adaptability and serf-consistency and congruence among elderly patients with coronary disease

目的探讨情绪释放疗法对老年冠心病患者社会心理适应能力和自我和谐水平的影响。方法采用方便抽样法,选取2015年3月—2017年3月于四川省雅安市人民医院心血管内科住院治疗的老年冠心病患者148例,根据入院先后顺序分为观察组和对照组,每组各74例。对照组给予心内科常规护理和健康知识教育,观察组在对照组基础上联合情绪释放疗法,两组均持续干预4周。干预前后采用社会心理适应能力评价量表和自我和谐量表(SCCS)比较两组患者社会心理适应能力和自我和谐水平。结果两组干预后社会心理适应能力量表总分及各维度评分均高于干预前,且观察组高于对照组(P<0.01)。观察组干预后自我与经验的不和谐和自我刻板性2个维度评分较干预前降低,且低于对照组,自我灵活性评分升高,且高于对照组,差异均有统计学意义(P<0.05)。结论情绪释放疗法可以增强老年冠心病患者社会心理适应能力,促进自我和谐水平的提高。

Objective To explore the effects of emotional release therapy on social psychological adaptability and self-consistency and congruence among elderly patients with coronary disease.Methods From March 2015 to March 2017, we selected 148 elderly patients with coronary disease of Department of Cardiology at Yaan People's Hospital of Sichuan Province by convenience sampling. All of the patients were divided into observation group and control group according to hospital admission sequence, 74 cases in each group. Control group received routine nursing and health education in Department of Cardiology. On the basis of that in control group, observation group carried out emotional release therapy. The intervention of two groups all lasted for four weeks. Before and after intervention, the social psychological adaptability and self-consistency and congruence were all evaluated with the Ostomy Adjustment Inventory (OAI) and Self-Consistency and Congruence Scale (SCCS) .Results After intervention, the total score and scores of OAI of two groups were all higher than those before intervention and those of observation group higher than those of control group (P<0.01) . After intervention, the scores of two dimensions (disharmony between oneself and experience, self-stiffness) reduced compared with those before intervention in observation group, along with being lower than those in control group; besides, the score of self-flexibility increased in observation group higher than that in control group with significant differences (P<0.05) .Conclusions Emotional release therapy can improve social psychological adaptability and self-consistency and congruence among elderly patients with coronary disease.