目的：探讨理性情绪疗法对雌三醇联合乳酸菌治疗萎缩性阴道炎患者自我效能及自我管理能力的影响。方法采用随机数字表法将萎缩性阴道炎患者80例分为观察组和对照组，各40例，均采用雌三醇联合乳酸菌治疗，同时对照组采用常规的健康疗法，观察组在此基础上进行理性情绪疗法干预。结果干预前两组患者的应对方式(面对、回避、屈服)得分差异无统计学意义（ P﹥0.05），干预后3个月观察组“面对”得分高于对照组，“回避”“屈服”得分低于对照组（ P﹤0.05）。观察组患者经过理性情绪疗法教育后患者自我效能及自我管理能力评分高于对照组（ P﹤0.05）。干预前两组患者的自我管理行为得分差异无统计学意义（ P﹥0.05），两组患者干预后1个月和干预后3个月自我管理行为得分差异有统计学意义（ P﹤0.05）。结论理性情绪疗法能有效改善雌三醇联合乳酸菌治疗萎缩性阴道炎患者的自我效能及自我管理能力以及应对方式，具有临床意义。%Objective To study the influence of rational emotional therapy for self-efficacy and self-management ability of atrophic vaginitis patient with the treatment of estriol in combination with lactic acid bacteria . Methods 80 cases of atrophic vaginitis patients were selected in our hospital with treatment of estriol in combination with lactic acid bacteria, the patients were divided into observation group ( n=40 ) and control group ( n=40 ) . Results 3 months later the intervention groups face score higher than the control group, avoid and yield score lower than the control group, the difference was statistically significant ( P ﹤ 0. 05 ) . After rational emotional therapy education the self-efficacy and self-management ability score in observation group was higher than that in control group ( P ﹤ 0. 05 ) , the difference was statistically significant ( P ﹤ 0. 05 ) . Conclusion s Rational emotional therapy can effectively improve self-efficacy and self-management ability of atrophic vaginitis patient with estriol in combination with lactic acid bacteria, and their coping styles, with clinical significance.
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