理性情绪疗法在癫痫患儿照护者慢性悲伤心理护理中的应用

摘要

Objective To explore the effect of rational emotive therapy on chronic sorrow in psychological nursing in families of epileptic children .Methods A total of 90 epileptic-children patients were randomly divided into intervention group (n=45) and control group (n=45).The control group received the routine therapy and nursing care , while those in the intervention group were received rational emotive therapy , formulated “cognitive training-behavior regulation-emotional expression”.Adapted Burke Questionnaire ( ABQ) and the Coping Health Inventory for Parents ( CHIP ) were used to assess two groups before and after 4 weeks intervention.Results Through the rational emotive therapy ,the scores of the ABQ and fear, anger, anxiety, pain, despair, fear, guilt in the study group were lower than before (t=3.193,3.081,2.972,3.279,5.023, 3.834,3.494,3.199,respectively;P<0.05).The scores of CHIP and 3 subscales were better than before (t=2.889,3.107,4.275,3.031,respectively;P <0.05).Conclusions Rational emotive therapy can help the patients with chronic sorrow , which could be widely used in clinical application .%目的：探讨理性情绪疗法对癫痫患儿照护者慢性悲伤心理的作用效果。方法将90名癫痫患儿照护者按随机数字表法分为对照组和干预组各45名，对照组实施常规治疗和护理，干预组根据评估结果及理性情绪行为疗法理论，制定“认知训练行为调节情绪表达”团体干预方法，分别于干预前及干预4周后采用改编伯克问卷（ ABQ）和家长用应对方式量表（ CHIP）评估两组患儿照护者的情绪状态和应对方式。结果经理性情绪干预治疗后，干预组ABQ问卷总分及担心、愤怒、焦虑、痛苦、绝望、害怕、自责各因子均明显低于对照组，差异有统计学意义（ t 分别为3．193，3．081，2．972，3．279，5．023，3．834，3．494，3．199；P＜0．05）；干预组应对方式总分及3个分量表评分明显优于对照组，差异有统计学意义（t分别为2．889，3．107，4．275，3．031；P＜0．05）。结论理性情绪疗法可以有效改善癫痫患儿照护者的慢性悲伤心理，是一种积极心理干预方法，可以广泛应用于临床。