团体积极心理辅导在溃疡性结肠炎患者中的应用

Application of positive group psychological counselling in patients with ulcerative colitis

目的:探讨团体积极心理辅导对溃疡性结肠炎患者自我效能及病耻感的影响,为临床干预提供依据。方法:采用便利抽样法,选取2018年7月—2019年6月在新乡医学院第一附属医院住院的溃疡性结肠炎患者100例为研究对象。采用随机数字表法将其分为对照组(n=50)和观察组(n=50)。对照组采用常规护理,观察组采用团体积极心理辅导。采用炎症性肠病自我效能量表(IBD-SES)、社会影响量表(SIS)评估干预的效果。最终对照组获得47份有效问卷,观察组获得48份有效问卷。结果:干预后两组患者IBD-SES中的压力和情绪管理、医疗护理管理、病症管理、缓解期的维持管理维度得分比较差异均有统计学意义(P<0.05)。干预后两组患者SIS中的社会隔离维度得分比较差异有统计学意义(P<0.05),社会排斥、经济歧视、内在羞耻感维度得分比较差异无统计学意义(P>0.05)。结论:团体积极心理辅导能够提高溃疡性结肠炎患者的自我效能感,但对于病耻感的影响还需进一步大样本、长期研究。

Objective:To explore the effect of positive group psychological counselling on self-efficacy and stigma of patients with ulcerative colitis so as to provide a basis for clinical intervention.Methods:By the convenient sampling method,a total of 100 patients with ulcerative colitis who were hospitalized in the First Affiliated Hospital of Xinxiang Medical University from July 2018 to June 2019 were selected as research subjects.According to the random number table method,they were divided into the control group(n=50)and the observation group(n=50).The control group was given routine nursing while the observation group was given positive group psychological counselling.Inflammatory Bowel Disease Self-Efficacy Scale(IBD-SES)and Social Impact Scale(SIS)were used to evaluate the effect of the intervention.Results:After intervention,scores of stress and emotion management,medical care management,disease management and maintenance management during remission period in the IBD-SES between the two groups had statistically significant differences(P<0.05).There was statistically significant difference in the score of social isolation dimension in SIS between the two groups after intervention(P<0.05).There were no statistically significant differences in the scores of social exclusion,economic discrimination and intrinsic shame(P>0.05).Conclusions:Positive group psychological counselling can improve the self-efficacy of patients with ulcerative colitis,but the effect on the stigma needs further large samples and long-term research.