治疗性沟通对门诊小型手术患者负性情绪及应对方式的影响

Effect of Therapeutic Communication on Negative Emotion and Coping Style of Patients with Small Surgical Operation

目的:探讨治疗性沟通对门诊小型手术患者负性情绪及应对方式的影响。方法:将120例门诊小型手术患者随机分为观察组和对照组各60例,对照组应用常规性护理,观察组在对照组基础上应用治疗性沟通,比较两组焦虑自评量表(SAS)、抑郁自评量表(SDS)及应对方式量表评分。结果:两组干预后SAS、SDS评分均低于同组干预前(P<0.05),观察组干预后SAS、SDS评分低于对照组干预后(P<0.05);两组干预后解决问题、求助、合理化等正性应对方式维度评分高于同组干预前(P<0.05),且观察组干预后高于对照组干预后(P<0.05);两组干预后自责、幻想、退避等负性应对方式评分低于同组干预前(P<0.05),且观察组干预后低于对照组干预后(P<0.05)。结论:治疗性沟通能改善门诊小型手术患者焦虑、抑郁情绪,学习积极应对方式。

Objective： To explore the effect of therapeutic communication on negative emotion and coping style of patients with small surgical operation. Methods： A total of 120 cases of outpatient small-scale operation were randomly divided into the observation group and the control group,each with 60 cases. The control group was used the conventional care,while the observation group based on the control group applied therapeutic communication. Self-rating Anxiety Scale（ SAS）,Self-rating Depression Scale（ SDS） and coping style scale were compared between two groups. Results： The SAS and SDS scores of two groups were significantly lower than those of the same group before intervention（ P〈 0. 05）,and afte the intervention the SAS and SDS scores in the observation group were signigicantly lower than those in the control group（ P 〈0. 05）. The scores of positive coping style,such as problem-solving,help seeking and rationalization,were significantly higher in two groups than those in the same group before intervention（ P〈 0. 05）,and the observation group score was significantly higher than that of the control group（ P〈 0. 05）. Two groups scores after the intervention of self-blame,fantasy,withdrawal and other negative coping style were lower than those of the same group before intervention（ P 〈0. 05）,and the observation group score was significantly lower than that in the control group（ P〈 0. 05）. Conclusion： Therapeutic communication can improve the anxiety and depression of the patients with small operation,and learn the positive coping style.