孟婷婷,费云慧,申曌,郑春菊
MENG Tingting,FEI Yunhui,SHEN Zhao,ZHENG Chunju

• 1:南京医科大学附属淮安第一医院消化内科
• 2:淮安市中医院中医肛肠科

摘要(Abstract)：

目的 探究积极心理学的家庭干预对炎症性肠病(IBD)患者疾病认知水平、心理状态及生活质量的影响。方法 住院治疗的128例IBD患者随机均分为对照组和观察组，对照组采用常规护理干预，观察组采用积极心理学的家庭干预；分别于干预前和干预1个月时，采用家庭坚韧性量表(FHI)评价两组IBD患者家庭坚韧性，采用克罗恩病与溃疡性结肠炎知识问卷(CCKNOW)分析两组IBD患者对疾病认知水平，采用Morisky服药依从性量表(MMAS)评价两组IBD患者服药依从性，采用接纳与行动问卷Ⅱ(AAQ-Ⅱ)和症状自评量表SCL-90)评价两组IBD患者心理状态，中文版IBD生活质量问卷(IBDQ)评价两组IBD患者生活质量，炎症性肠病自我效能量表(IBD-SES)评价两组IBD患者自我效能。结果 两组IBD患者干预后1个月时，FHI评分的3项指标较干预前升高、且观察组高于对照组(P<0.05);CCKNOW及MMAS评分较干预前明显升高，且观察组高于对照组(P<0.05);AAQ-Ⅱ及SCL-90评分较干预前明显下降，且观察组低于对照组(P<0.05);IBDQ的各单项评分及总分较干预前升高，且观察组高于对照组(P<0.05);IBD-SES各单项评分及总分较干预前上升，且观察组高于对照组(P<0.05)。结论 积极心理学家庭干预可有效提高IBD患者的家庭坚韧性及住院期间对疾病的认知，减轻患者的心理困扰，提高患者的服药依从性和自我效能，改善患者的生活质量。
Objective To explore the effects of family intervention of positive psychology on disease cognition, mental state and quality of life of patients with inflammatory bowel disease(IBD). Methods A total of 128 hospitalized IBD patients were randomly divided into control group and observation group. The control group was treated with routine nursing intervention, and the observation group was treated with family intervention of positive psychology. Family Hardiness Index(FHI) was used to evaluate the family fortitude of IBD patients in the two groups before intervention and one month after intervention. Crohn's and Colitis Knowledge Score(CCKNOW) was used to analyze the disease cognition level of IBD patients in the two groups. The Morisky Medication Adherence Scale(MMAS) was employed to evaluate the medication compliance of IBD patients in the two groups. The Acceptance and Action Questionnaire-Ⅱ(AAQ-Ⅱ) and Symptom Checklist-90(SCL-90) were used to evaluate the psychological state of IBD patients in the two groups. The simplified Chinese version of the Inflammatory Bowel Disease Questionnaire(IBDQ) was used to evaluate the quality of life of IBD patients in the two groups. The Inflammatory Bowel Disease Self-Efficacy Scale(IBD-SES) was utilized to evaluate the self-efficacy of patients with IBD in the two groups. Results One month after intervention, the three indicators of FHI score in two groups of IBD patients increased compared with before intervention, and the observation group was higher than the control group(P<0.05). The CCKNOW and MMAS scores were significantly higher than before intervention, and the observation group was higher than the control group(P< 0.05). The scores of AAQ-Ⅱand SCL-90 were significantly reduced compared to before intervention, and the observation group was lower than the control group(P<0.05). The individual scores and total scores of IBDQ and IBD-SES increased compared to before intervention, and the observation group was higher than the control group(P<0.05). Conclusion Family intervention of positive psychology can effectively improve family tenacity and disease cognition of patients with IBD during hospitalization, alleviate their psychological distress, and improve their medication compliance and self-efficacy, thereby improving their quality of life.

关键词(KeyWords)： 炎症性肠病;积极心理学;家庭干预;疾病认知水平;心理状态
inflammatory bowel disease(IBD);positive psychology;family intervention;disease cognition level;psychological state

Abstract:

Keywords:

基金项目(Foundation): 江苏省中医药科技发展计划项目（YB2020075）

作者(Author): 孟婷婷,费云慧,申曌,郑春菊
MENG Tingting,FEI Yunhui,SHEN Zhao,ZHENG Chunju

DOI: 10.19367/j.cnki.2096-8388.2023.06.019

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