配偶参与式正念认知行为训练对阴道感染患者病情控制及心理状态的影响

Effect of Spouse Participatory Mindfulness Cognitive Behavior Training on Condition Control and Psychological State of Patients with Vaginal Infection

目的:探讨配偶参与式正念认知行为训练对阴道感染患者病情控制及心理状态的影响。方法:选取2016年12月1日~2019年3月31日收治的64例阴道感染患者作为研究对象,按照1∶1配对随机分为对照组和观察组各32例;对照组采取常规护理干预,观察组在常规护理干预基础上接受配偶参与式正念认知行为训练;比较两组症状改善情况(采用Nugent评分量表)、正念认知水平[采用正念注意觉知量表(MAAS)]、自我感受负担[采用自我感受负担量表(SPBS)]、自我效能感评分[采用自我效能感量表(GSES)]、应对方式[采用医学应对方式问卷(MCMQ)]、婚姻质量(采用Olson婚姻质量调查问卷)、患者及配偶护理满意度。结果:两组训练后Nugent评分、SPBS评分、MCMQ中屈服和回避维度评分及总分均低于训练前(P<0.05),且观察组低于对照组(P<0.01);两组训练后MAAS评分、GSES评分、MCMQ中面对维度评分、Olson婚姻质量评分、患者及配偶护理满意度均高于训练前(P<0.05),且观察组高于对照组(P<0.01)。结论:配偶参与式正念认知行为训练,能减轻阴道感染患者不适症状,提高正念认知水平,促进患者积极应对疾病,增强自我效能感,降低自我负担,提升婚姻质量,增强患者及家属对护理工作的满意度。

Objective:To explore the effect of spouse participatory mindfulness cognitive behavior training on the condition control and psychological state of patients with vaginal infection.Methods:From December 1,2016 to March 31,2019,64 patients with vaginal infections were selected as the research subjects,and were randomly divided according to 1∶1 matching into the control group and the observation group,32 cases in each group.The control group adopted the routine nursing intervention,and the observation group received the spouse participatory mindfulness cognitive behavior training based on the routine nursing.Comparison was made on the improvement of symptoms(with Nugent score scale),mindfulness awareness level(with MAAS),self-feeling burden(with SPBS),self-efficacy score(GSES),coping style(with MCMQ)quality of marriage(with Olson questionnaire,and satisfaction of patients and spouses in the two groups.Results:After training,the Nugent scores,SPES scores,and the scores of yielding and avoiding way dimension in the observation group were lower than those before training(P<0.05);and lower in the observation group than those in the control group(P<0.01).The MAAS scores,the GSES scores,the face dimension scores in MCMQ,the Olson marriage quality scores,and the scores of satisfaction in patients and their parners were higher in the observation group than those before training(P<0.05);and higher in the observation group than those in the control group(P<0.01).Conclusion:The spouse participatory mindfulness cognitive behavior training can alleviate the discomfort symptoms of patients with vaginal infection,improve the awareness level of mindfulness,and actively cope with diseases,enhance self-efficacy,reduce self-burden,improve the quality of marriage,and increase satisfaction with nursing work among patients and their relatives.