合理情绪疗法对反复住院晚期血吸虫病患者负性情绪的干预效果

Effect of rational emotive therapy on negative emotion in advanced schistosomiasis patients with repeated hospitalization

目的探讨合理情绪疗法对反复住院晚期血吸虫病(晚血)患者负性情绪的干预效果。方法选取在湖南省血吸虫病防治所湘岳医院97例住院≥3次且合并焦虑或(和)抑郁情绪的晚血患者为研究对象,在常规护理的基础上给予持续4周的合理情绪疗法干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、WHO生存质量测定量表简表(WHO-QOL-BREF)比较干预前和干预4周后晚血患者焦虑、抑郁和生活质量评分。结果干预4周后,晚血患者SAS和SDS评分分别为(45.40±7.77)分和(51.48±8.01)分,显著低于干预前的(59.25±9.29)分和(63.93±9.59)分(t=14.021、12.991,P均<0.01);干预4周后,中、重度焦虑、抑郁患者比例均较干预前显著降低(χ^2=82.019、62.698,P均<0.01),生活质量各领域评分均较干预前显著提高(P均<0.01)。结论合理情绪疗法可以改善反复住院晚血患者负性情绪,提高其生活质量。

Objective To examine the effect of rational emotive therapy on negative emotions among advanced schistosomia-sis patients with repeated hospitalizations.Methods A total of 97 advanced schistosomiasis patients with anxiety and depres-sive emotions that were hospitalized in Xiangyue Hospital of Hunan Institute of Schistosomiasis Control for three times or morewere enrolled, and given rational emotive therapy for 4 weeks in addition to routine nursing care. The scores for anxiety, depres-sion and quality of life were estimated in patients before and after the rational emotive therapy using the Self-Rating AnxietyScale(SRS), the Self-Rating Depression Scale(SDS) and WHOQOL-BREF Form.Results The SAS and SDS scores were signifi-cantly lower 4 weeks following rational emotive therapy than before the intervention(SAS score, 45.40 ± 7.77 vs. 59.25 ± 9.29,t = 14.021, P < 0.01;51.48 ± 8.01 vs. 63.93 ± 9.59, t = 12.991, P < 0.01). The percentages of patients with moderate and severeanxiety and depression were significantly lower 4 weeks following rational emotive therapy than before the intervention(P <0.01), and the scores for each item in the quality of life were all significantly greater 4 weeks following rational emotive therapythan before the intervention(P < 0.01).ConclusionRational emotive therapy may improve the negative emotions and the quali-ty of life of advanced schistosomiasis patients with repeated hospitalizations.