结构式心理干预联合伦理情感支持在未婚异位妊娠输卵管单侧切除患者中的应用

Application of Structural Psychological Intervention and Ethical Emotional Support in Unmarried Ectopic Pregnancy Patients with Unilateral Salpingectomy

目的:探讨在未婚异位妊娠(EP)输卵管单侧切除患者中应用结构式心理干预联合伦理情感支持的效果。方法:选取2022年8月—2023年7月凉州区中西医结合医院接受输卵管单侧切除术治疗的86例未婚EP患者作为研究对象,以随机数表法分成干预组与对照组。对照组给予常规心理干预,干预组给予结构式心理干预联合伦理情感支持,比较两组围手术期指标、疾病不确定感、心理韧性、创伤后成长情况。结果:干预组首次进食、首次排气、首次排便及住院时间均较对照组更短,差异有统计学意义(P<0.05);两组中文版Mishel疾病不确定感量表(C-MUIS)评分下降,干预组较对照组更低,差异有统计学意义(P<0.05);两组心理韧性量表(CD-RISC)评分均升高,干预组较对照组更高,差异有统计学意义(P<0.05);出院时,两组创伤后成长评定量表(PTGI)评分均升高,干预组较对照组更高,差异有统计学意义(P<0.05)。结论:未婚EP输卵管单侧切除患者应用结构式心理干预联合伦理情感支持,能够改善围手术期指标,减轻疾病不确定感,提高心理韧性、创伤后成长水平。

Objective:To explore the effect of structural psychological intervention and ethical emotional support in unmarried ectopic pregnancy(EP)patients with unilateral salpingectomy.Method:A total of 86 unmarried EP patients who underwent unilateral salpingectomy in Liangzhou District Integrated Traditional Chinese and Western Medicine Hospital from August 2022 to July 2023 were selected as the study subjects and were randomly divided into the intervention group and the control group,with 43 cases in each group.The control group was given routine psychological intervention,and the intervention group was given structural psychological intervention combined with ethical emotional support.Perioperative indexes,disease uncertainty,psychological resilience and post-traumatic growth were compared between the two groups.Result:The time of first eating,first exhaust,first defecation and hospitalization in the intervention group were shorter than those in the control group,and the difference was statistically significant(P<0.05).When out of hospital,the Chinese version of Mishel Disease Uncertainty Scale(C-MUIS)score decreased between the two groups,and the intervention group was lower than the control group,the difference was statistically significant(P<0.05).When out of hospital,the score of Connor-Davidson Resilience Scale(CD-RISC)was higher in the two groups,and the difference was statistically significant(P<0.05).The score of Posttraumatic Growth Rating Scale(PTGI)was higher in the intervention group than in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of structural psychological intervention and ethical emotional support in unmarried EP patients with unilateral salpingectomy can improve perioperative indicators,reduce disease uncertainty,and enhance psychological resilience and post-traumatic growth levels.