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应激系统理论干预对主动脉夹层术后情绪状态和心理弹性的影响OA

Effect of intervention based on stress system theory on emotional state and resilience after aortic dissection

中文摘要英文摘要

目的:分析基于应激系统理论的干预对主动脉夹层患者术后情绪状态和心理弹性的影响.方法:将2021年12月-2022年12月于某院接受手术治疗的98例主动脉夹层患者依据随机数字表法分为两组.对照组49例术后予以常规临床干预,研究组49例术后在此基础上予以基于应激系统理论的干预.比较两组干预前后的情绪状态、心理弹性、社会支持、主观幸福感及生存质量.结果:干预后研究组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(t=-8.020,-10.104;P<0.05);干预后研究组心理弹性量表(CD-RISC)中坚韧、自强、乐观评分高于对照组(t=6.887,8.137,7.658;P<0.05);干预后研究组社会支持评定量表(SSRS)中客观支持、主观支持、支持利用度评分高于对照组(t=5.450,6.458,7.813;P<0.05);干预后研究组总体幸福感量表(GWS)中对生活的满足和兴趣、忧郁或愉快心境、精力、对健康的担忧、对情感和行为的控制、松弛和紧张评分高于对照组(t=7.494,11.224,7.991,8.002,7.160,4.629;P<0.05);干预后研究组生存质量测 定量表(WHOQOL-BREF)中生理、心理、社会关系及环境评分高于对照组(t=7.498,5.512,10.638,7.877;P<0.05).结论:基于应激系统理论的干预对主动脉夹层术后患者干预效果显著,可有效改善患者的情绪状态,提升其心理弹性水平及社会支持水平,提高其主观幸福感及生存质量.

Objective:To analyze the effect of stress system theory on emotional state and resilience of patients with aortic dissection after operation.Methods:Ninety-eight patients with aortic dissection who underwent surgical treat-ment in our hospital from December 2021 to December 2022 were randomly divided into two groups.The control group(49 cases)received routine clinical intervention,while the study group(49 cases)received intervention based on stress system theory.The emotional state,resilience,social support,subjective well-being and quality of life were compared between the two groups before and after intervention.Results:After the intervention,the scores of SAS and SDS in the study group were lower than those in the control group(t=-8.020,-10.104;P<0.05).After interven-tion,the scores of tenacity,self-reliance and optimism in CD-RISC in the study group were higher than those in the control group(t=6.887,8.137,7.658;P<0.05);After intervention,the scores of objective support,subjective support and utilization of support in the study group were higher than those in the control group(t=5.450,6.458,7.813;P<0.05);After the intervention,the scores of satisfaction and interest in life,depression or happy mood,en-ergy,worry about health,control of emotion and behavior,relaxation and tension in the study group were higher than those in the control group(t=7.494,11.224,7.991,8.002,7.160,4.629;P<0.05).After intervention,the scores of physiology,psychology,social relationship and environment in the study group were higher than those in the control group(t=7.498,5.512,10.638,7.877;P<0.05).Conclusion:The intervention based on stress system theory has significant effect on patients with aortic dissection after operation.It can effectively improve the emotional state of patients,enhance their psychological resilience and social support level,and improve their subjective well-being and quality of life.

周付娇;许雪

南阳医学高等专科学校第一附属医院重症医学科(心外) 473000河南中医药大学医学院免疫学系

基础医学

主动脉夹层应激系统理论情绪状态心理弹性幸福感社会支持生存质量

Aortic dissectionStress system theoryEmotional statePsychological resilienceWell-beingSo-cial supportQuality of life

《中国健康心理学杂志》 2024 (004)

562-567 / 6

河南省科技攻关计划项目(编号:202102310496)

10.13342/j.cnki.cjhp.2024.04.016

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