压力管理模式干预对慢性胃炎患者情绪状态和健康行为的影响

Effect of stress management model intervention on emotional state and health behavior of patients with chronic gastritis

目的:探究压力管理模式干预对慢性胃炎患者情绪状态和健康行为的影响。方法:选取2021年3月-2022年3月于某院收治的120例慢性胃炎患者为研究对象,依据入院时间先后顺序分为对照组(n=60)和观察组(n=60)。对照组予以常规临床干预,观察组在对照组基础上予以压力管理模式干预。比较两组干预前后的情绪状态、健康行为、知觉压力及生活质量,干预后随访6个月,比较两组3个月、6个月的复发率。结果:干预后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均下降,且观察组低于对照组(t=-8.621,-11.798;P<0.05);干预后,两组健康促进生活量表(HPLP-Ⅱ)中人际关系、健康责任、压力管理、营养、体育运动、精神成长评分均升高,且观察组各维度评分高于对照组(t=6.240,8.325,10.083,8.817,8.813,8.232;P<0.05);干预后观察组的知觉压力较对照组明显减轻(Z=4.778,P<0.05);干预后,两组生活质量测定量表(WHOQOL-BREF)中生理、心理、社会关系、环境评分均升高,且观察组高于对照组(t=6.458,13.002,9.586,11.637;P<0.05);干预后3个月、6个月观察组的复发率明显低于对照组(χ^(2)=4.904,4.615;P<0.05)。结论:压力管理模式干预对慢性胃炎患者的干预效果显著,能明显改善患者的情绪状态及健康行为,减轻患者的知觉压力,有助于提高患者的生活质量,减低慢性胃炎的复发率。

Objective:To explore the effect of stress management intervention on the emotional state and health behavior of patients with chronic gastritis.Methods:A total of 120 patients with chronic gastritis admitted to our hospital from March 2021 to March 2022 were selected as research objects,and were divided into control group(n=60)and observation group(n=60)according to the order of admission time.The control group was given routine clinical intervention,and the observation group was given stress management mode intervention on the basis of the control group.The emotional state,health behavior,perceived stress and quality of life of the two groups were compared before and after the intervention.The patients were followed up for 6 months after the intervention,and the recurrence rate of the two groups was compared for 3 months and 6 months.Results:After intervention,the scores of SAS and SDS in the two groups decreased,and the scores in the observation group were lower than those in the control group(t=-8.621,-11.798;P<0.05);After intervention,the scores of interpersonal relationship,health responsibility,stress management,nutrition,sports,and spiritual growth in the Health Promotion Life Scale(HPLP-Ⅱ)in the two groups increased,and the scores of each dimension in the observation group were higher than those in the control group(t=6.240,8.325,10.083,8.817,8.813,8.232;P<0.05);After intervention,the perceived stress in the observation group was significantly reduced compared with that in the control group(Z=4.778,P<0.05);After intervention,the scores of physiology,psychology,social relations and environment in the WHOQOL-BREF of the two groups increased,and the scores in the observation group were higher than those in the control group(t=6.458,13.002,9.586,11.637;P<0.05);The recurrence rate of the observation group was significantly lower than that of the control group 3 months and 6 months after the intervention(χ^(2)=4.904,4.615;P<0.05).Conclusion:The intervention effect of stress management model on chronic gastritis patients is significant,which can significantly improve the emotional state and health behavior of patients,reduce the perceived stress of patients,help improve the quality of life of patients,and reduce the recurrence rate of chronic gastritis.