彭滟,石海燕
PENG Yan,SHI Haiyan

• 1:巴中市中心医院肾脏病风湿免疫科
• 2:巴中市中心医院消化内科

摘要(Abstract)：

目的 观察行为与心理干预对狼疮肾炎患者社会适应、心理弹性及希望水平的影响。方法 120例狼疮肾炎患者均为观察组和对照组，其中对照组接受常规干预，观察组在对照组基础上接受行为与心理干预，均干预2周；干预前后2组患者均采用疾病心理社会适应问卷修订版(PAIS-SR)评估患者社会适应水平、心理弹性量表(CD-RISC)评估患者心理弹性、中文版创伤后成长评定量表(C-PTGI)评估患者创伤后成长、Herth希望指数(HHI)评估患者希望水平。结果 干预后，两组PAIS-SR各维度得分及总分较本组干预前降低，CD-RISC、C-PTGI各维度得分及总分、HHI得分均较本组干预前上升，差异有统计学意义(P<0.05);观察组PAIS-SR各维度得分及总分低于对照组，CD-RISC、C-PTGI各维度得分及总分、HHI得分高于对照组，差异有统计学意义(P<0.05)。结论 行为与心理干预可促进狼疮肾炎患者社会适应，提高心理弹性和希望水平。
Objective To observe the effects of behavioral and psychological intervention on social adaptation, psychological resilience and hope level in patients with lupus nephritis(LN). Methods A total of 120 patients with LN treated in the hospital from March 2019 to March 2022 were recruited as the subjects, and were randomly divided into the observation group(60 cases) and the control group(60 cases). The control group received routine nursing while the observation group was given behavioral and psychological intervention on the basis of routine nursing for the control group. Both groups were intervened for 2 weeks. Before and after intervention, the social adaptation level of the subjects was assessed by Psychosocial Adjustment to Illness Scale-Self-Report(PAIS-SR), and Connor-Davidson Resilience Scale(CD-RISC) was used to assess their psychological resilience. Post-traumatic growth was evaluated by Chinese Posttraumatic Growth Inventory(C-PTGI), and the hope level was assessed by Herth Hope Index(HHI). Results After intervention, the scores of dimensions and total scores of PAIS-SR in the two groups were reduced compared with those before intervention while the scores of dimensions and total scores of CD-RISC and C-PTGI and the score of HHI were enhanced compared to before intervention(P<0.05). The scores of dimensions and total scores of PAIS-SR in the observation group were lower than those in the control group while the scores of dimensions and total scores of CD-RISC and C-PTGI and HHI score were higher than those of the control group(P<0.05). Conclusion Behavioral and psychological intervention can promote the social adaptation, and enhance the psychological resilience and hope level in patients with LN.

关键词(KeyWords)： 行为与心理干预;狼疮肾炎;社会适应;心理弹性;希望水平;创伤后成长
behavioral and psychological intervention;lupus nephritis;social adaptation;psychological resilience;hope level;posttraumatic growth

Abstract:

Keywords:

基金项目(Foundation): 四川省医学科研青年创新课题(Q17001)

作者(Author): 彭滟,石海燕
PENG Yan,SHI Haiyan

DOI: 10.19367/j.cnki.2096-8388.2023.11.021

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