团队心理辅导干预在炎症性肠病患者中的应用效果

Effect of team psychological counseling in patients with inflammatory bowel disease

目的探讨团队心理辅导干预在炎症性肠病(IBD)患者中的应用效果。方法采用便利抽样法,选取2020年1—12月郑州大学第五附属医院消化内科收治的90例IBD患者为研究对象,按照随机数字表法将其分为观察组和对照组,各45例。对照组实施常规护理干预,观察组在此基础上实施团队心理辅导干预。采用Morisky服药依从性量表(MMAS)、炎症性肠病自我效能量表(IBD-SES)、医院焦虑抑郁量表(HADS)评估干预效果。结果干预后,观察组患者MMAS、IBD-SES评分高于对照组,HADS中焦虑、抑郁评分低于对照组,差异均有统计学意义(P<0.05)。结论团队心理辅导干预能够提高IBD患者的服药依从性及自我效能,改善患者的不良心理状态。

Objective To explore the effect of team psychological counseling in patients with inflammatory bowel disease(IBD).Methods From January to December 2020,90 IBD patients admitted to the Department of Gastroenterology of the Fifth Affiliated Hospital of Zhengzhou University were selected as the research object by convenience sampling.According to the random number table method,the patients were divided into the observation group and the control group,45 cases in each group.The control group carried out routine nursing,and the observation group conducted team psychological counseling on this basis.The Morisky Medication Adherence Scale(MMAS),Inflammatory Bowel Disease Self-efficacy Scale(IBD-SES)and the Hospital Anxiety and Depression Scale(HADS)were used to evaluate the intervention effect.Results After the intervention,the scores of MMAS and IBD-SES in the observation group were higher than those of the control group,and the anxiety scores and depression scores of HADS were lower than those of the control group,and the differences were all statistically signifcant(P<0.05).Conclusions Team psychological counseling can increase the medication compliance and self efficacy of IBD patients,alleviate the patients'poor psychological state.