叙事心理护理联合线上团体认知行为干预在慢性盆腔炎患者中的应用效果

Application effect of narrative psychological nursing combined with online group cognitive-behavioral intervention in patients with chronic pelvic inflammatory disease

目的 探讨叙事心理护理联合线上团体认知行为干预在慢性盆腔炎患者中的应用效果。方法 选取2020年7月至2023年7月铜川市耀州区妇幼保健计划生育服务中心收治的60例慢性盆腔炎患者作为研究对象,按照不同干预方案分为对照组(30例)与研究组(30例)。对照组采用常规护理,研究组采用叙事心理护理联合线上团体认知行为干预。比较两组心理弹性、疾病应对方式及生活质量。结果 干预后,与对照组相比,研究组中文版心理弹性量表评分更高(P<0.05)。干预后,研究组面对评分高于对照组,回避、屈服评分低于对照组(P<0.05)。干预后,研究组生活质量综合评定问卷评分高于对照组(P<0.05)。结论 叙事心理护理联合线上团体认知行为干预在慢性盆腔炎患者中应用可有效改善心理弹性及疾病应对方式,提高生活质量。

Objective To explore the application effect of narrative psychological nursing combined with online group cognitive-behavioral intervention in patients with chronic pelvic inflammatory disease.Methods A total of 60 patients with chronic pelvic inflammatory disease admitted to Maternal and Child Health and Family Planning Service Center of Yaozhou District in Tongchuan City from July 2020 to July 2023 were selected as the study subjects.All the patients were divided into the control group(30 cases)and the study group(30 cases)based on different intervention plans.The control group received routine nursing,while the study group received narrative psychological nursing combined with online group cognitive-behavioral intervention.The psychological resilience,disease coping style,and quality of life of the two groups were compared.Results After intervention,compared with the control group,the score of Connor-Davidson resilience scale in the study group was higher(P<0.05).After intervention,the score of facing in the study group was higher than that in the control group,the scores of avoidance and submission were lower than those in the control group(P<0.05).After intervention,the score of generic quality of life inventory-74 in the study group was higher than that in the control group(P<0.05).Conclusion The application of narrative psychological nursing combined with online group cognitive-behavioral intervention in patients with chronic pelvic inflammatory disease can effectively improve psychological resilience,disease coping style,and quality of life.