积极心理干预对养老机构老年膝骨关节炎病人心理弹性的影响

Effect of positive psychological intervention on resilience in the patients with knee osteoarthritis in nursing homes

目的探讨基于心理弹性模型的积极心理干预对养老机构老年膝骨关节炎(KOA)病人心理弹性的影响。方法采用自身前后对照研究设计,于2018年8~11月随机抽取太原市某所养老机构33例老年KOA病人作为研究对象,干预前该33例病人接受常规的健康教育,干预方案采用积极心理干预方法,分别在干预前、干预12周后对病人的心理弹性、疼痛自我效能感、情绪状态以及生活质量进行比较。结果最终31例完成干预研究,失访率为6.06%。干预后病人坚韧性、自强性、乐观性3个维度得分及心理弹性总分均显著高于干预前,差异具有统计学意义(P<0.01);干预后病人疼痛自我效能感、情绪状态及生活质量得分均显著高于干预前,差异具有统计学意义(P<0.05)。结论基于心理弹性模型的积极心理干预方案对养老机构老年KOA病人的心理弹性水平、疼痛自我效能、情绪状态及生活质量均有积极影响。

Objective To explore the effect of positive psychological intervention on resilience in the patients with knee osteoarthritis in nursing home. Methods A total of 33 patients with knee osteoarthritis were conveniently selected from pension institutions in Taiyuan from August to November 2018. Before the intervention,33 patients received routine health education. The intervention program adopted positive psychological intervention method. Resilience,pain self-efficacy,emotional state and quality of life were assessed before and after 12 weeks intervention. Results Finally,31 cases completed the intervention study,and the missing rate was 6. 06%. The scores of hardiness,selfimprovement,optimism and psychological resilience after intervention were significantly higher than those before intervention( P< 0. 01). After intervention,the scores of pain self-efficacy,emotional state and quality of life were significantly higher than those before intervention( P<0. 05). Conclusions Positive psychological intervention based on resilience model shows a positive impact on the resilience level,pain self-efficacy,emotional state and quality of life of elderly patients with knee osteoarthritis in pension institutions.