目的：探讨基于Kumpher心理弹性理论的心理指导对溃疡性结肠炎病耻感的影响。方法：选取2021年1月—2023年12月在我院就诊的62例溃疡性结肠炎患者的临床资料进行研究。按照护理方法分为常规组（n=32）、试验组（n=30）。常规组患者使用常规护理,试验组患者联合基于Kumpher的心理弹性理论护理。比较两组患者干预前后的病耻感[炎症性肠病病耻感量表（stigma scale-inflammatory bowel disease,PSS-IBD）]、心理韧性[中文版Connor-Davidson心理韧性量表（Connor-Davidson resilience scale,CD-RISC-25）]、自我管理能力[慢性病自我管理研究测量表（chronic disease self-management study measures,CDSMS）]、生活质量[炎症性肠病生活质量量表（inflammatory bowel disease questionnaire,IBDQ）]以及护理满意度。结果：干预后：试验组患者PSS-IBD各维度得分低于常规组患者;试验组患者CDSMS各维度得分、IBDQ各维度得分、CD-RISC-25各维度得分高于常规组患者。两组护理满意度比较无统计学差异。结论：基于Kumpher的心理弹性理论可改善溃疡性结肠炎病耻感、心理韧性,提高患者自我管理能力、生活质量。
Abstract
Objective To explore the effects of psychological guidance based on Kumpher's psychological resilience theory on stigma in ulcerative colitis. Methods The clinical data were collected from 62 patients with ulcerative colitis treated in the hospital between January 2021 and December 2023. According to different nursing methods, patients were divided into routine group (n=32, routine nursing) and experimental group (n=30, nursing based on Kumpher's psychological resilience theory + routine nursing). The stigma [stigma scale-inflammatory bowel disease (PSS-IBD)], psychological resilience [Connor-Davidson resilience scale (CD-RISC-25)], self-management ability [chronic disease self-management study measures (CDSMS)], quality of life [inflammatory bowel disease questionnaire (IBDQ)] and nursing satisfaction in the two groups were compared before and after intervention. Results After intervention, PSS-IBD scores in experimental group were lower than those in routine group, scores of CDSMS, IBDQ and CD-RISC-25 were higher than those in routine group. There was no significant difference in nursing satisfaction between the two groups. Conclusion The psychological guidance based on Kumpher's psychological resilience theory can improve stigma, psychological resilience, self-management ability and quality of life in patients with ulcerative colitis.
关键词
Kumpher心理弹性理论 /
溃疡性结肠炎 /
病耻感 /
心理韧性 /
自我管理
Key words
Kumpher's psychological resilience theory /
ulcerative colitis /
stigma /
psychological resilience /
self-management
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 孟利珠, 卢诗旭. 同伴支持自我管理教育对溃疡性结肠炎患者认知水平及健康行为的影响[J]. 中国医药导报, 2021, 18(13): 168-171.
[2] 沈丹平. 多层螺旋CT肠道造影在评估溃疡性结肠炎病情程度中的应用价值探讨[J]. 中国CT和MRI杂志, 2021, 19(9): 128-130.
[3] 吴林晔, 阮佳音. 炎症性肠病患者病耻感体验的质性研究[J]. 中华现代护理杂志, 2020, 26(7): 869-875.
[4] 周美景, 罗丹, 林征, 等. 炎症性肠病患者疾病接受度现状及其影响因素研究[J]. 中国护理管理, 2021, 21(3): 352-357.
[5] 张建红. 基于kumpher框架的导管室护士工作生活质量与组织支持间作用机制研究[D]. 郑州: 郑州大学, 2022.
[6] 中华医学会消化病学分会炎症性肠病学组. 炎症性肠病诊断与治疗的共识意见(2018年·北京)[J]. 中国实用内科杂志, 2018, 38(9): 796-813.
[7] JONES MP, KEEFER L, BRATTEN J, et al.Development and initial validation of a measure of perceived stigma in irritable bowel syndrome[J]. Psychol Health Med, 2009, 14(3): 367-374.
[8] DOMINGUEZ-CANCINO KA, CALDERON-MALDONADO FL, CHOQUE-MEDRANO E, et al.Psychometric properties of the connor-davidson resilience scale for south America (CD-RISC-25SA) in peruvian adolescents[J]. Children (basel), 2022, 9(11): 1689.
[9] CONNOR KM, DAVIDSON JR.Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety, 2003, 18(2): 76-82.
[10] LORIG KR, SOBEL DS, STEWART AL, et al.Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial[J]. Med Care, 1999, 37(1): 5-14.
[11] 周薇, 尤黎明, 李瑜元, 等. 中文版炎症性肠病问卷的信度和效度研究[J]. 国际护理学杂志, 2006, 25(8): 620-622.
[12] 张甜甜. 结构-过程-结果三维质量结构护理模式在溃疡性结肠炎患者中的应用[J]. 罕少疾病杂志, 2023, 30(11): 100-102.
[13] 惠丽, 华萍. 基于信息-动机-行为模型的健康教育在溃疡性结肠炎患者中的应用[J]. 中华现代护理杂志, 2021, 27(6): 792-798.
[14] 徐丽娜, 林旭榕, 李雪, 等. 综合性中医护理干预对肝郁脾虚型溃疡性结肠炎患者感知病耻感、生活质量及免疫功能的影响[J]. 长春中医药大学学报, 2021, 37(1): 186-188.
[15] 乐燕婕, 卢丹儿, 徐婷婷. 中药保留灌肠联合中医特色护理对溃疡性结肠炎患者焦虑抑郁护理研究[J]. 新中医, 2020, 52(4): 155-157.
[16] 刘晶莲. 引导式健康教育对溃疡性结肠炎患者疾病认知及自我管理能力的影响[J]. 山西医药杂志, 2021, 50(3): 462-463.
[17] 汪永华, 孙层, 崔婷, 等. 溃疡性结肠炎患者生存质量与应对方式、心理状态的关系及其影响因素分析[J]. 现代生物医学进展, 2021, 21(15): 2877-2881+2920.
基金
江西省卫生健康委科技计划项目“新媒体联合Teach-back的健康教育在结肠镜检查肠道准备患者中的应用研究”（202311397）
PDF(1724 KB)
