团体心理咨询对肝硬化患者应对方式及生活质量的影响

The effect of group counseling on coping style and life quality of patients with liver cirrhosis

目的探讨团体心理咨询对肝硬化患者应对方式及生活质量的影响。方法将100例肝硬化患者随机分为对照组和观察组各50例。对照组采用常规护理,观察组在对照组的基础上给予团体心理咨询。治疗前和治疗8周后分别采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、医学应对问卷(medical coping modes questionnaire,MCMQ)和生存质量测定量表(QOL-100)对其进行评定。结果治疗后观察组SAS和SDS评分低于对照组,生活质量评分高于对照组,患者面对应对方式的分值提高,回避和屈服应对方式的分值降低。结论团体心理咨询可以有效改善肝硬化患者的负性情绪及生活质量。

Objective To explore the effect of group counseling on coping style and life quality of patients with liver cirrhosis.Methods A total of 100 liver cirrhosis patients were divided into an observation group（n=50）and a control group（n=50）.Both groups received routine nursing,while the observation group was additionally given group counseling for 8weeks.All the patients were evaluated using self-rating anxiety scale（SAS）,self-rating depression scale（SDS）,the quality of life instrument of the world health organization（WHOQOL-100）and medical coping modes questionnaire（MCMQ）.Results After the intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group,but the score of WHOQOL-100 was significantly higher than the latter.In the observation group,the score of facing coping style increased,but the scores of avoiding and surrendering coping style decreased.Conclusion Group counseling can relieve negative emotions of patients with liver cirrhosis effectively and promote their life quality.