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认知行为干预对子宫内膜异位症患者疾病不确定感及应对方式的影响

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目的 研究认知行为干预对子宫内膜异位症(endometriosis,EMs)患者疾病不确定感及应对方式的影响.方法 选取2015年1月~2016年10月浙江省嘉兴市海盐县妇幼保健院住院部收治的80例子宫内膜异位症患者作为研究对象.根据随机数表法分为对照组40例,接受常规护理干预;实验组40例,在对照组护理基础上实施认知行为干预.比较2组患者干预后疾病不确定感、应对方式评分.结果干预前2组患者疾病不确定感比较,差异无统计学意义;干预后2组患者不明确性、复杂性、不可预测、信息缺乏评分均低于干预前,差异有统计学意义(P<0.05);干预后实验组不明确性、复杂性、不可预测、信息缺乏评分均低于对照组,差异有统计学意义(P<0.05).干预前2组患者应对方式评分比较,差异无统计学意义;干预后2组患者面对、乐观、寻求支持评分均高于干预前,逃避评分均低于干预前,差异有统计学意义(P<0.05);干预后实验组面对、乐观、寻求支持评分均高于对照组,逃避评分低于对照组,差异有统计学意义(P<0.05).结论 采用认知行为干预能有效降低EMs患者疾病不确定感,减少负性情绪,提高应对能力.
Effect of Cognitive-Behavior Intervention on Illness Uncertainty and Coping Style in Patients with Endometriosis
Objective To study the effect of cognitive-behavior intervention on illness uncertainty and coping style in patients with endometriosis (EMs). Methods 80 EMs patients admitted into our inpatient department of hospital from January 2015 to October 2016 were selected as research object. According to random number table, patients were divided into control group (40 cases) which took routine nursing intervention;and experimental group (40 cases) which took cognitive-behavior intervention on the basis of control group. The illness uncertainty, scores of coping style of two groups after intervention were compared. Results There was no statistical difference in the illness uncertainty between the two groups before intervention ; After intervention, the scores of uncertainty, complexity, unpredictability, poor information of two groups were lower than before intervention (P<0.05); After intervention, the scores of uncertainty, complexity, unpredictability, poor information of experimental group were lower than control group (P<0.05); There was no statistical difference in the scores of coping style between the two groups before intervention; After intervention, the scores of confront, optimism, seeking support of two groups were higher than before intervention, and escape scores were lower than before intervention (P<0.05); After intervention, the scores of confront, optimism, seeking support of experimental group were higher than control group, and escape score was lower than control group (P<0.05). Conclusion Cognitive-behavior intervention for EMs patients can effectively decrease illness uncertainty, reduce negative emotion and improve coping capacity.

cognitive-behavior interventionendometriosisuncertainty in illnesscoping style

陈娅

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浙江省嘉兴市海盐县妇幼保健院,浙江 嘉兴 314300

认知行为干预 子宫内膜异位症 疾病不确定感 应对方式

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(10)
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