积极情绪体验对择期心脏手术患者的应用价值研究

摘要

Objective To explore the application value of positive emotional experience for sufferers undergoing time-optional cardiac surgery.Methods 105 sufferers undergoing time-optional cardiac surgery w ere randomly divided into intervention group of 54 cases and control group of 51 cases,the former group w ere given psychological behavior intervention mainly based on positive emotional experience,while the latter group w ere given no intervention.SA S, SD S,SC L -90,TC SQ ,and SA Q w ere adopted to assess the mental health status in both groups before and after the intervention, and the changes in both groups before and after the intervention w ere analyzed.Results A fter the intervention, the scores of SA S,SD S,somatization,sensitivity of interpersonal relationship,depression,anxiety,and psychotic factors in the intervention group w ere low er than those before the intervention (P <0.05 or 0.01),and the scores of positive coping and self-acceptance w ere higher than those before the intervention(P<0.05).O ther factor scores show ed no difference of statistical significance(P>0.05).The scale scores in the control group before and after the intervention show ed no remarkable difference (P>0.05).Conclusion Psychological behavior intervention mainly based on positive emotional experience can help improve the negative emotions such as depression,anxiety,and psychosis among sufferers undergoing time-optional cardiac surgery,help themtake initiative coping style to enhance self-acceptance,w hich has favorable clinical application value.%目的：探讨积极情绪体验对择期心脏手术患者的应用价值。方法选取105例择期心脏手术患者，随机分为干预组54例和对照组51例，前者接受以积极情绪体验为主的心理行为干预，后者不作任何干预。应用焦虑自评量表( SAS )、抑郁自评量表( SDS )、症状自评量表( SCL-90)、特质应对方式问卷( TCSQ )和自我接纳问卷( SAQ )在干预前和干预后分别对两组进行心理健康状况测评，分析两组成员干预前后的变化。结果干预组干预后SAS、SDS、躯体化、人际关系敏感、抑郁、焦虑及精神病性因子分较干预前低(均P＜0.05或0.01)，积极应对、自我接纳得分高于干预前(均P＜0.05)，其余各因子分与干预前相比差异无统计学意义(均P＞0.05)。对照组各量表得分干预前后均无显著性差异(均P＞0.05)。结论以积极情绪体验为主的心理行为干预方法有助于改善择期心脏手术患者术前焦虑、抑郁及精神病性等负性情绪，并有助于患者采取积极的应对方式，增强自我接纳，具有良好的临床应用价值。