以同感心理论为指导的心理干预对颅咽管瘤患者创伤后成长及社会功能的影响

Effects of psychological intervention guided by the theory of empathy on post-traumatic growth and social function in patients with craniopharyngioma

目的探讨以同感心理论为指导的心理干预对颅咽管瘤患者创伤后成长及社会功能的影响。方法将79例颅咽管瘤患者按随机数字表法分为研究组(40例)与对照组(39例),两组均给予常规护理干预,研究组在此基础上联合以同感心理论为指导的心理干预,观察2周。干预前后采用创伤后成长问卷、个体和社会功能量表评定患者的创伤后成长状况及社会功能。结果干预后两组创伤后成长问卷总分及新的生活能力、与他人关系维度评分均显著高于干预前(P<0.05或0.01),两组个人能力维度评分比较差异无统计学意义(P>0.05),研究组创伤后成长问卷总分及新的生活能力、与他人关系维度评分显著高于对照组(P<0.01),两组个人能力维度评分比较差异无统计学意义(P>0.05)。干预后两组个体和社会功能量表评分均较干预前显著升高(P<0.01),研究组个体和社会功能量表评分显著高于对照组(P<0.01),对社会有用的活动、个人与社会关系、自我照顾3个领域严重程度显著轻于对照组(P<0.05或0.01),扰乱与攻击行为严重程度两组比较差异无统计学意义(P>0.05)。结论以同感心理论为指导的心理干预对颅咽管瘤患者创伤后成长与社会功能有较好的改善作用,医护人员应善于运用以同感心理论为指导的心理干预维护患者良好心理状态,进而促进患者康复。

Objective To explore the effects of psychological intervention guided by the theory of empathy on post-traumatic growth and social function in patients with craniopharyngioma.Methods A total of 79 patients with craniopharyngioma were divided into study group(n=40)and control group(n=39)according to random number table method.Both groups were given routine nursing intervention,and the study group was given psychological intervention guided by the theory of empathy on this basis for 2 weeks.The posttraumatic growth inventory(PTGI)and personal and social performance scale(PSP)were used before and after intervention to evaluate the post-traumatic growth status and social function of patients.Results The total score of PTGI and the scores of new living ability,relationship with others in the two groups after intervention were significantly higher than those before intervention(P<0.05 or 0.01),but there was no significant difference in the score of personal ability between the two groups(P>0.05).The total score of PTGI and the scores of new living ability,relationship with others in the study group were significantly higher than those in the control group(P<0.01),but there was no significant difference in the score of personal ability between the two groups(P>0.05).The scores of PSP in both groups after intervention were significantly higher than those before intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).The severity of socially useful activities,personal and social relations,and self-care was significantly lighter than that in the control group(P<0.05 or 0.01).There was no significant difference in the severity of disturbance and aggression between the two groups(P>0.05).Conclusions Psychological intervention guided by the theory of empathy has a better effect on post-traumatic growth and social function of patients with craniopharyngioma.Medical staff should be good at using psychological intervention guided by the theory of empathy to maintain a good psychological state of patients,so as to promote the recovery of patients.