早期合理信念替代干预对脑出血患者术后心理应激和心理弹性的影响

Effect of early reasonable belief substitution intervention on psychological stress and psychological resilience in patients with cerebral hemorrhage after operation

目的:分析早期合理信念替代干预对脑出血患者术后心理应激和心理弹性的影响。方法:将2020年11月-2022年11月于某院行手术治疗的84例脑出血患者随机分为两组。对照组42例予以常规临床干预,观察组42例予以早期合理信念替代干预。比较两组干预前后的心理应激水平、心理弹性水平、应对方式、遵医行为及生活质量。结果:干预后观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(t=3.314,3.692;P<0.05);干预后观察组的心理弹性量表(CD-RISC)中坚韧、自强、乐观评分均高于对照组(t=-4.499,-4.042,-2.623;P<0.05);干预后观察组的积极应对评分较对照组升高,消极应对评分较对照组降低(t=4.296,5.738;P<0.05);观察组的遵医率明显高于对照组(χ^(2)=4.941,P<0.05);干预后观察组的生活质量量表(WHOQOL-BREF)中生理、心理、社会关系及环境评分均高于对照组(t=-5.771,-7.472,-4.586,-5.396;P<0.05)。结论:在脑出血患者术后进行早期合理信念替代干预可有效降低患者的心理应激水平,提升患者的心理弹性水平,改善患者的应对方式及遵医行为,有助于提高其生活质量。

Objective:To analyze the effect of early rational belief substitution intervention on psychological stress and psychological resilience in patients with cerebral hemorrhage after operation.Methods:Eighty-four patients with cerebral hemorrhage who underwent surgical treatment in our hospital from November 2020 to November 2022 were randomly divided into two groups.42 cases in the control group were given routine clinical intervention,and 42 cases in the observation group were given early reasonable belief replacement intervention.The psychological stress level,psychological resilience level,coping style,compliance behavior and quality of life were compared between the two groups before and after intervention.Results:After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group(t=3.314,3.692;P<0.05).After intervention,the scores of tenacity,self-reliance and optimism in CD-RISC in the observation group were higher than those in the control group(t=-4.499,-4.042,-2.623;P<0.05).After intervention,the scores of positive coping in the observation group were higher than those in the control group,and the scores of negative coping were lower than those in the control group(t=4.296,5.738;P<0.05).The compliance rate of the observation group was significantly higher than those in the control group(χ^(2)=4.941,P<0.05),showing statistically significant difference(P<0.05).After the intervention,the scores of physiology,psychology,social relation and environment in WHOQOL-BREF in the observation group were higher than those in the control group(t=7-5.771,-7.472,-4.586,-5.396;P<0.05).Conclusion:Early intervention of rational belief replacement in patients with cerebral hemorrhage after operation can effectively reduce the level of psychological stress,enhance the level of psychological resilience,improve the coping style and compliance behavior of patients,and help to improve their quality of life.