问题解决疗法对尿失禁患者早期创伤后成长的影响

摘要

Objective To study the effect of problem solving therapy on early posttraumatic growth for patients with uroclepsia.Methods 160 patients with uroclepsia were randomly divided into control group(n=80) and intervention group(n=80).Patients in control group was treated with conventionally post-operative intervention.Patient in intervention group was added with problem-solving therapy on the basis of the control(A total of 5 times, each time 30min).The level of posttraumatic growth was analyzed after 3 months.Results Total score of posttraumatic growth(PTG) in intervention group was higher than that of the in control(P<0.05), and each dimensionality other than interpersonal relationship were superior to that of control(P<0.05).Conclusion Problem-solving therapy can significantly improve negative emotion for patients uroclepsia, and enhance the ability of solving social problem.%目的 探讨问题解决疗法对尿失禁患者早期创伤后成长的影响.方法 将160例功能性尿失禁患者按就诊先后顺序分为对照组(n=80)和干预组(n=80),对照组实施常规术后心理干预(术后每月1次电话随访),干预组在对照组基础上加以问题解决疗法干预(共5次,每次30min).比较3个月后两组患者创伤后成长水平.结果 干预后,干预组PTGI(创伤后成长)总分显著高于对照组(P<0.05),而且除了人际关系维度外其余各维度得分均优于对照组(P<0.05).结论 问题解决疗法能够有效改善尿失禁患者的负性情绪,并增强其解决社会问题的能力.