基于智谋理论的心理疗法对脑出血患者负性情绪、自我效能及希望水平的影响

Effect of psychotherapy based on resourcefulness scale on negative emotion,self-efficacy and hope level in patients with intracerebral hemorrhage

目的:研究基于智谋理论的心理疗法对脑出血(intracranial hemorrhage,ICH)患者负性情绪、自我效能及希望水平的影响。方法:选取2017年1月至2019年1月在某院就诊的ICH患者126例,随机分为对照组和观察组各63例。其中对照组采用常规疗法,观察组采用基于智谋理论的心理疗法,连续干预治疗3个月。比较观察组与对照组智谋评分、负性情绪、自我效能及希望水平。结果:治疗结束后,观察组智谋量表(RS)评分明显高于对照组(t=0.656,P<0.05);观察组负面情绪焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均显著低于对照组(t=-6.802,-2.925;P<0.05);观察组自我效能感量表(GSES)显著高于对照组(t=7.888;P<0.05);观察组Herth希望量表(HHI)积极态度评分显著高于对照组(t=3.070;P<0.05);观察组HHI积极行动评分显著高于对照组(t=4.410;P<0.05);观察组HHI亲密关系评分显著高于对照组(t=2.529;P<0.05)。结论:ICH患者经过基于智谋理论的心理疗法治疗后,患者智谋评分显著升高、负性情绪减轻、自我效能及希望水平提高。

Objective:To study the effect of psychotherapy based on resourcefulness scale on negative emotion, self-efficacy and hope level in patients with intracerebral hemorrhage(ICH).Methods:From January 2017 to January 2019,126 patients with ICH were randomly divided into control group(n=63)and observation group(n=63).Among them, the control group was treated with routine therapy, and the observation group was treated with psychotherapy based on resourcefulness scale for continuous intervention for 3 months.The scores of intelligence, negative emotion, self-efficacy and hope were compared between the observation group and the control group.Results:After treatment, the score of Resourcefulness Scale(RS)in the observation group was significantly higher than that in the control group(t=3.688,P<0.05),while the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were significantly lower than those in the control group(t=-7.368,-4.537;P<0.05).The General Self-Efficacy Scale(GSES)in the observation group was significantly higher than that in the control group(t=7.460;P<0.05),the positive attitude score of Herth hope scale(HHI)in the observation group was significantly higher than that in the control group(t=4.758;P<0.05),the positive action score of HHI in the observation group was significantly higher than that in the control group(t=6.926;P<0.05),and the intimate relationship score of HHI in the observation group was significantly higher than that in the observation group(t=5.506.P<0.05).Conclusion:After the psychotherapy of resourcefulness scale, the patients with ICH have significantly higher intelligence score, less negative emotion, higher self-efficacy and higher level of hope.