结构式心理干预配合个体化健康教育对急性胰腺炎患者健康行为的影响

Effect of structural psychological intervention combined with individualized health education on healthy behavior of patients with acute pancreatitis

目的:探讨结构式心理干预配合个体化健康教育对急性胰腺炎(acute pancreatitis,AP)患者心理状态、自我效能及健康行为的影响。方法:选取西南医科大学附属医院收治的60例AP患者,按照入院单双顺序分为对照组(n=30)和观察组(n=30)。对照组给予常规护理干预,观察组给予结构式心理干预配合个体化健康教育,比较两组心理状态[汉密顿焦虑量表(Hamilton Anxiety Scale,HAMA),汉密顿抑郁量表(Hamilton Depression Scale,HAMD)]、自我效能评分、健康行为评分及患者满意度。结果:干预后,观察组HAMA,HAMD评分均显著低于对照组(P<0.05);观察组沟通交流、生理症状应对、心理症状应对、治疗依从性评分均显著高于对照组(P<0.05);观察组健康责任、生理症状应对、运动和锻炼、营养、自我实现、人际间关系、压力应对评分均显著高于对照组(P<0.05);观察组服务态度评分、服务内容评分、人员素质评分及总分均显著高于对照组(P<0.05)。结论:结构式心理干预配合个体化健康教育能够降低AP患者负性情绪,养成良好的健康行为习惯,提高自我效能和满意度。

Objective:To explore effects of structural psychological intervention combined with individualized health education on psychological status,self-efficacy and health behavior of patients with acute pancreatitis(AP).Methods:Sixty AP patients who were admitted to Affiliated Hospital of Southwest Medical University were enrolled.They were divided into a control group(n=30)and an observation group(n=30)according to evenodd order of admission.The control group was given routine nursing intervention,while the observation group was given structural psychological intervention combined with individualized health education intervention.The psychological status[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],scores of self-efficacy and health behavior,and patient satisfaction were compared between the two groups.Results:After the intervention,HAMA and HAMD scores of the observation group were significantly lower than those of the control group(P<0.05).After the intervention,scores of communication,physiological symptom response,psychological symptom response,and treatment compliance in the observation group were significantly higher than those in the control group(P<0.05);scores of health responsibility,physical symptom response,exercise and training,nutrition,self-realization,interpersonal relationship,and stress response in the observation group were significantly higher than those in the control group(P<0.05);scores of service attitude,service content and personnel quality,and total score in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Structural psychological intervention combined with individualized health education can reduce negative emotion of AP patients,improve self-efficacy,health behavior and satisfaction.