认知行为干预结合正面激励对面部瘢痕整形患者心理健康的影响

Effects of Cognitive Behavior Intervention Combined with Positive Motivation on Mental Health of Patients with Facial Scar Plastic Surgery

目的:研究认知行为干预结合正面激励对面部瘢痕整形患者心理健康的影响。方法:纳入2018年1月-2020年4月笔者医院收治的72例面部瘢痕整形患者为研究对象,按照随机数字表法分为对照组(常规护理)及观察组(认知行为干预结合正面激励)。比较两组患者干预前及干预3个月后心理健康[症状自评量表(Symptom checklist 90,SCL-90)]、心理韧性[心理韧性量表(Connor-davidson resilience scale,CD-RISC)]、体象障碍[体象障碍自评量表(Body image rating scale,BIRS)]、躯体自信[躯体自信量表(The body-esteem scale,BES)]、幸福水平[总体幸福感量表(General well-being schedule,GWB)]。结果:干预3个月后,观察组SCL-90、BIRS评分水平明显低于干预前及同期对照组,差异有统计学意义(P<0.05)。干预3个月后,观察组CD-RISC、BES、GWB评分水平明显高于干预前及同期对照组,差异有统计学意义(P<0.05)。结论:认知行为干预结合正面激励能够改善面部瘢痕整形患者心理健康,提升其对自身的信心及幸福感。

Objective To study the effects of cognitive behavior intervention combined with positive motivation on mental health of patients with facial scar plastic surgery.Methods Totally 72 cases of patients with facial scar plastic surgery admitted to this hospital from January 2018 to April 2020 were enrolled as the research subjects.According to the random number table method,they were divided into control group(routine nursing)and observation group(cognitive behavior intervention combined with positive motivation).The mental health[Symptom Checklist(SCL-90)],psychological resilience[Connor-Davidson Resilience Scale(CD-RISC)],body image disorder[Body Image Rating Scale(BIRS)],body-esteem[Body-Esteem Scale(BES)]and well-being level[General Well-Being Schedule(GWB)]were compared between the two groups before intervention and after 3 months of intervention.Results After 3 months of intervention,the scores of SCL-90 and BIRS in observation group were significantly lower than those before intervention and those in control group during the same period(P<0.05).After 3 months of intervention,the scores of CD-RISC,BES and GWB in observation group were significantly higher than those before intervention and those in control group during the same period(P<0.05).Conclusion Cognitive behavior intervention combined with positive motivation can improve the mental health,and enhance the body-esteem and well-being of patients with facial scar plastic surgery.