摘要
Abstract
Objective To investigate effect of group sandplay therapy on postoperative physical and mental status of patients with colon stoma.Methods 60 patients with postoperative colon stoma were selected and randomized to routine nursing group and group sandplay group according to the nursing researchers’ discretion with 1∶1 allocation ratio.The routine nursing group received routine nursing intervention,and the group sandplay group received group sandplay therapy intervention in addition to routine nursing intervention.The changes of physical and mental status before and after the intervention were evaluated by the Hamilton Depression Scale (HAMD),Hamilton Anxiety Scale (HAMA),the self-care ability score and SF-36 scale.Results After intervention,the HAMD total score of group sandplay group was (15.09±3.16),HAMA total score (12.40±2.37),the total score of self-care ability (132.07± 20.78),respectively.The total scores of HAMD,HAMA and self-care ability in the group sandplay group were significantly lower than those before intervention and were better than those in the routine nursing group [(25.94±4.63),(21.76±4.87),and (89.81±18.01),respectively].Each dimension score of the SF-36 scale in group sandplay group was significantly higher than those before the intervention and better than those in the routine nursing group.Conclusion In patients with colon stoma,group sandplay can effectively reduce postoperative HAMD and HAMA score,improve the patient's anxiety and depression and other negative emotions,improve the self-care ability of the patients,and improve the level of quality of life of patients.It could be an effective treatment to manage the postoperative negative physical and mental state in these patients.关键词
团体沙盘游戏/结肠造口/身心状态/影响Key words
group sandplay/colon stoma/physical and mental state/effect分类
医药卫生
