Efficacy of the combined psychological intervention and goal-setting health education on negative emotions and treatment compliance in patients with menopausal dysfunctional uterine bleeding
Objective To observe the efficacy of a combined psychological intervention and goal-setting health education on the negative emotions and treatment compliance of patients with menopausal dysfunctional uterine bleeding,aiming to pro-vide a reference for clinical nursing decision-making.Methods A total of 208 patients with menopausal dysfunctional uterine bleeding who visited a hospital in Jiangsu from January 2021 to November 2022 were selected as the study participants and randomly assigned to a combined group(n=104)and a control group(n=104)using a random number table method.The control group patients were intervened using conventional nursing methods,while the combined group received a combined psychological intervention and goal-setting health education in addition to the control group's intervention.The improvement in clinical symptoms two months after intervention(menstrual cycle,menstrual volume,and disappearance time of dysfunc-tional bleeding)was compared between the two groups.The Mental Health Continuum-Short Form(MHC-SF)was used to compare the mental health status of the two groups before and after intervention.Treatment compliance during the interven-tion period was compared,and the World Health Organization Quality of Life Brief(WHOQOL-BREF)Scale was used to compare the quality of life before and after intervention.Results After intervention,the menstrual cycle of both groups was significantly elongated,and the combined group was significantly longer than the control group(P＜0.05);the menstrual volume of both groups was significantly reduced,and the combined group was significantly less than the control group(P＜0.05).Moreover,the disappearance time of dysfunctional bleeding in the combined group was significantly shorter than the control group(P＜0.05).Before intervention,no significant difference in the emotional well-being(EWB),psychological well-being(PWB),and social well-being(SWB)subscales of the MHC-SF between the two groups(P＞0.05);after inter-vention,the EWB,PWB,and SWB dimension scores of both groups were significantly increased(P＜0.05),and the com-bined group was significantly higher than the control group(P＜0.05).The treatment compliance of the combined group was better than the control group,with a significantly higher treatment compliance rate(P＜0.05).Before intervention,no significant difference in the physical(PHYS),psychological(PSYCH),social relationships(SOCIL),and environmental(ENVIR)subscale scores of the WHOQOL-BREF between the two groups(P＞0.05);after intervention,the PHYS,PSYCH,SOCIL,and ENVIR subscale scores of both groups were significantly increased(P＜0.05),and the combined group was significantly higher than the control group(P＜0.05).Conclusion The combined psychological intervention and goal-setting health education can effectively promote the clinical symptoms of patients with menopausal dysfunctional uterine bleeding,regulate negative emotions,and increase their quality of life and treatment compliance,and can be promoted for clinical use.
Combined psychological interventionGoal-setting health educationMenopausal dysfunctional uterine bleedingNegative emotionsTreatment compliance
万方数据
维普
