基于时机理论的心理教育在癫痫患者照护者中的应用

Effects of psychological education based on timing theory in caregivers of epileptic patients

目的探讨基于时机理论的心理教育在癫痫患者照护者中的应用效果。方法采用便利抽样法,选取2018年4月—2020年4月吉林大学中日联谊医院的160名癫痫患者照护者为研究对象,按照随机数字表法将照护者分成观察组和对照组,各80名。对照组实施常规干预,观察组在对照组基础上予以基于时机理论的心理教育干预。采用中文版抑郁-焦虑-压力量表(DASS-21)、WHO生存质量测定量表简表(WHOQOL-BREF)比较干预前后两组癫痫患者照护者的心理状态、生活质量。结果最终观察组77名、对照组75名完成研究。干预后,观察组DASS-21中的焦虑、压力、抑郁得分均低于对照组,差异有统计学意义(P<0.01);观察组WHOQOL-BREF中的生理领域、心理领域、社会关系领域得分均高于对照组,差异有统计学意义(P<0.01)。结论基于时机理论的心理教育应用于癫痫患者照护者,可减轻照护者不良心理状态,提高生活质量。

Objective To explore the effect of psychological education based on timing theory in caregivers of epileptic patients.Methods From April 2018 to April 2020,160 caregivers of epilepsy patients from China-Japan Union Hospital of Jilin University were selected as the study subject by convenience sampling.Caregivers were divided into observation group and control group according to random number table,80 in each group.The control group received routine intervention,while the observation group received psychological education based on timing theory on the basis of the control group.The Chinese version of the Depression Anxiety Stress Scale-21(DASS-21)and the World Health Organization Quality of Life Measurement Scale-Brief Version(WHOQOL-BREF)were used to compare the psychological status and quality of life of the caregivers of epilepsy patients in the two groups before and after the intervention.Results Finally,77 subjects in the observation group and 75 subjects in the control group completed the study.After intervention,the scores of anxiety,stress and depression in DASS-21 in the observation group were lower than those in the control group,with a statistically significant difference(P<0.01).The scores of WHOQOL-BREF in physiology,psychology and social relations in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.01).Conclusions The application of psychological education based on timing theory in the caregivers of epileptic patients can reduce their unhealthy psychological state and improve their quality of life.