摘要
目的探讨正念放松训练结合认知行为护理对子宫肌瘤术后患者应对方式、心理健康状态的影响。方法选取2022年1月-2023年1月于本院行子宫肌瘤术的80例患者为研究对象,按随机数字表法将其分为对照组及观察组。其中对照组(n=40)采取认知行为护理,观察组(n=40)加用正念放松训练,比较两组干预前后应对方式(医学应对方式问卷)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及康复指标比较。结果干预前,两组应对方式及心理健康状态比较,组间差异无统计学意义(P>0.05);干预后2个月,观察组回避评分(11.85±2.34)分、屈服评分(7.55±2.35)分均低于对照组,面对评分(23.34±1.53)分高于对照组,SAS评分(38.82±5.12)分及SDS评分(39.68±6.02)分均低于对照组,下床活动时间(10.17±3.15)h、创口拆线时间(9.66±2.83)h及平均住院时间(5.87±1.13)d均短于对照组,组间差异有统计学意义(P<0.05)。结论子宫肌瘤术后患者采用正念放松训练、认知行为护理干预,效果显著,有助于改变患者应对方式,改善患者心理健康状态及康复情况。
Objective To explore the effects of mindfulness relaxation training combined with cognitive behavioral nursing on the coping style and mental health status of patients with hysteromyoma after surgery.Methods 80 patients who underwent hysteromyoma surgery in our hospital from January 2022 to January 2023 were selected as the study objects and divided into a control group and an observation group according to random number table method.The control group(n=40)was given cognitive behavioral nursing,and the observation group(n=40)was given mindfulness relaxation training.The coping style(Medical coping style questionnaire)scores,Self-rating Anxiety Scale(SAS)score,Self-rating Depression Scale(SDS)score and rehabilitation indicators were compared between the two groups before and after the intervention.Results Before the intervention,there was no significant difference in coping style and mental health between the two groups(P>0.05).2 months after intervention,the avoidance score(11.85±2.34)points and yield score(7.55±2.35)points of the observation group were lower than those of the control group,and the face score(23.34±1.53)points was higher than that of the control group,the observation group of SAS and SDS(38.82±5.12)points,(39.68±6.02)points are lower than the control group,the ambulation time(10.17±3.15)h,wound suture removal time(9.66±2.83)h and average hospitalization time(5.87±1.13)d in the observation group were shorter than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion After hysteromyoma surgery,patients were treated with mindfulness relaxation training and cognitive behavioral nursing intervention,which had significant effects,which helped to change patients'coping styles and improve their mental health status and rehabilitation.
作者
葛玲玉
杜晓洁
崔丽霞
GE Lingyu;DU Xiaojie;CUI Lixia(Department of Gynecology,Rizhao Maternal and Child Health Hospital,Rizhao Shandong,276800,China)
出处
《反射疗法与康复医学》
2023年第21期188-191,共4页
Reflexology And Rehabilitation Medicine
关键词
子宫肌瘤
正念放松训练
认知行为护理
应对方式
心理健康状态
Uterine fibroids
Mindfulness relaxation training
Cognitive behavioral nursing
Coping style
Mental health status
作者简介
葛玲玉(1984-),女,山东日照人,本科,主管护师,研究方向:妇科护理。
