Abstract:

Objective　To study the effect of multi-dimensional psychological intervention supported by the wisdom theory for patients with hemoptysis caused by tuberculosis. Methods　One hundred and ten patients with hemoptysis caused by tuberculosis treated at Xinyang Fifth People's Hospital from June 2020 to May 2022 were selected for the random control trial. They were divided into a control group and a resourceful group by the random number table method, with 55 cases in each group. There were 31 males and 24 females in the control group; they were (38.26±4.85) years old. There were 34 males and 21 females in the resourceful group; they were (37.72±5.14) years old. The control group received routine nursing intervention; in addition, the resourceful group received multi-dimensional psychological intervention supported by the wisdom theory. The levels of resourcefulness [Resourcefulness Scale (RS)], self-efficacies [General Self-Efficacy Scale (GSES)], psychological status [Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS)], treatment compliances, and qualities of life [EuroQol Five Dimensions Questionnaire (EQOL-5D)] were compared between these two groups. t and χ² tests were applied. Results　After 3 months' intervention, the scores of RS and GSES in the resourceful group were higher than those in the control group [(108.42±11.25) vs. (94.58±10.87) and (32.45±2.76) vs. (26.74±3.28); both P<0.05]. After 3 months' intervention, the scores of SAS and SDS in the resourceful group were lower than those in the control group [(44.26±2.98) vs. (48.72±3.07) and (47.83±3.62) vs. (52.74±3.49); both P<0.05]. The treatment compliance of the resourceful group was higher than that of the control group [98.18% (54/55) vs. 85.45% (47/55); P<0.05]. After 3 months' intervention, the EQOL-5D score in the resourceful group was higher than that in the control group [(91.28±4.49) vs. (85.36±5.02); P<0.05]. Conclusion　Multi-dimensional psychological intervention supported by the wisdom theory for patients with hemoptysis caused by tuberculosis can improve their psychological status, resourcefulness, self-efficacy, treatment compliance, and quality of life.

Key words:

Tuberculosis, Hemoptysis, Wisdom theory, Multi-dimensional psychological intervention, Psychological status, Treatment compliance

摘要：

目的　研究智谋理论支持下的多维度心理干预在结核病咯血患者中的应用效果。方法　选取2020年6月至2022年5月信阳市第五人民医院收治的结核病咯血患者110例进行随机对照试验，采用随机数字表法将其分为对照组和智谋组，各55例。对照组男31例，女24例，年龄（38.26±4.85）岁，接受常规护理干预。智谋组男34例，女21例，年龄（37.72±5.14）岁，在对照组基础上予以智谋理论支持下的多维度心理干预。比较两组智谋水平［智谋量表（Resourcefulness Scale，RS）］、自我效能感［自我效能感量表（General Self-Efficacy Scale，GSES）］、心理状态［Zung焦虑自评量表（Self-Rating Anxiety Scale，SAS）、Zung抑郁自评量表（Self-Rating Depression Scale，SDS）］、治疗依从性及生活质量［欧洲五维度健康量表（EuroQol Five Dimensions Questionnaire，EQOL-5D）］。采用t检验、χ²检验。结果　干预3个月后，智谋组RS、GSES评分均高于对照组［（108.42±11.25）分比（94.58±10.87）分、（32.45±2.76）分比（26.74±3.28）分，均P<0.05］。干预3个月后，智谋组SAS、SDS评分均低于对照组［（44.26±2.98）分比（48.72±3.07）分、（47.83±3.62）分比（52.74±3.49）分，均P<0.05］。智谋组治疗依从性高于对照组［98.18%（54/55）比85.45%（47/55），P<0.05］。干预3个月后，智谋组EQOL-5D评分高于对照组［（91.28±4.49）分比（85.36±5.02）分，P<0.05］。结论　智谋理论支持下的多维度心理干预可改善结核病咯血患者心理状态，提高其智谋水平及自我效能，还有助于提升治疗依从性，改善生活质量。

关键词:

结核病, 咯血, 智谋理论, 多维度心理干预, 心理状态, 治疗依从性