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团体心理辅导结合引导式教育对强直性脊柱炎患者行为问题的影响

庄建阳 刘雪梅 庄建艳

中国健康心理学杂志2018,Vol.26Issue(1):61-65,5.
中国健康心理学杂志2018,Vol.26Issue(1):61-65,5.DOI:10.13342/j.cnki.cjhp.2018.01.018

团体心理辅导结合引导式教育对强直性脊柱炎患者行为问题的影响

The Effect of Group Counseling and Guidance Education on Behavior Problems in Ankylosing Spondylitis Patients

庄建阳 1刘雪梅 1庄建艳2

作者信息

  • 1. 中国.哈尔滨医科大学附属第一医院风湿免疫科,黑龙江 哈尔滨 150000
  • 2. 黑龙江省鸡西矿务局总医院手术室
  • 折叠

摘要

Abstract

Objective:To study the effect of group counseling and guidance education on psychological and behavioral problems in ankylosing spondylitis patients. Methods:From March 2014 to August 2016, 64 hospitalized ankylosing spondylitis patients were studied and randomly divided into study group and control group, with 32 cases in each group. The control group were given traditional nursing, the study group were given group psychological counseling combined guidance education on the basis of traditional nursing. WHO Quality of Life-BREF( WHOQOL-BREF) was used to evaluate the quality of life, self-rating Depression Scale(SDS)and self-rating Anxiety Scale(SAS)to evaluate depression and anxiety status;visual analogue scale(VAS)was used to evaluate the pain, the Pittsburgh sleep quality index(PSQI)to evaluate the condition of sleep, bath Ankylosing Spondylitis Functional Index(BASFI)to evaluate the joint function in two groups. Results:Before nursing, there were no statistical significance in scores between study group and control group. After nursing, the mental health(t =2. 264, P<0. 05 ), social relations(t =2. 309, P<0. 05)and environmental harmony(t =3. 093, P<0. 05)in the scale of WHOQOL-BREF in study group were higher than those in control group;The pain degree(t =-2. 257, P<0. 05), sleep quality(t =-2. 081. P<0. 05), joint function score(t =-2. 430, P<0. 05)in the study group were lower than those in the control group;The SDS(t =-2. 136, P<0. 05). SAS scorc(t =-2. 160, P<0. 05)in the study group were lower than those in the control group. Conclusion:The implementation of group counseling combined with guidance education can effectively improve the social relationship and environmental harmony, relieve anxiety and depression, and improve the quality of life in ankylosing spondylitis patients.

关键词

团体心理辅导/引导式教育/强直性脊柱炎/行为问题

Key words

Group counseling/Guidance education/Ankylosing spondylitis/Behavior problems

分类

医药卫生

引用本文复制引用

庄建阳,刘雪梅,庄建艳..团体心理辅导结合引导式教育对强直性脊柱炎患者行为问题的影响[J].中国健康心理学杂志,2018,26(1):61-65,5.

基金项目

国家临床重点专科建设项目经费资助(编号2012-649) (编号2012-649)

中国健康心理学杂志

2096-4811

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