【摘要】 目的 探讨反刍性沉思的心理健康干预对内镜下息肉切除患者焦虑、抑郁情绪的影响。方法 选取都昌县人民医院2021年1月至2022年2月收治的具焦虑、抑郁情绪的内镜下息肉切除患者162例，随机分为对照组和试验组，各81例。对照组入院后接受常规护理。试验组除常规护理外，还接受反刍性沉思的心理健康干预。使用中文事件相连反刍性沉思问卷(Chinese version of event related rumination inventory, CERRI)和焦虑自评量表(self-rating anxiety scale, SAS)、抑郁自评量表(self-rating depression scale, SDS),对患者进行问卷调查，比较2组干预前后反刍性沉思情况及焦虑抑郁情况。结果 干预后试验组目的性反刍性沉思、反刍性沉思总分值均高于对照组(均P<0.05),而侵入性反刍性沉思分值低于对照组(P<0.05)。干预后SAS、SDS评分均比干预前明显下降(均P<0.05),试验组SAS、SDS评分明显低于对照组(均P<0.05)。结论 反刍行沉思的心理健康干预对内镜下息肉切除患者产生的焦虑、抑郁情绪影响具有积极作用，能够增加患者克服困难的信心，提高患者目的性反刍沉思能力，改善患者的焦虑、抑郁情绪。更多还原

【Abstract】 Objective To explore the effect of psychological intervention with rumination on anxiety and depression in patients undergoing endoscopic polypectomy.Methods A total of 162 endoscopic polypectomy patients with anxiety and depression admitted to Duchang County People’s Hospital from January 2021 to February 2022 were selected in this study.These patients were randomly given routine nursing alone(control group, n=81) or in combination with psychological rumination intervention(experimental group, n=81).All patients were surveyed by using the Chinese Version of Event Related Rumination Inventory(CERRI),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS).The conditions of rumination, anxiety and depression were compared between the two groups.Results After intervention, the score of purposeful rumination and the total score of rumination in the experimental group were higher than those in the control group, while the score of invasive rumination in the experimental group was lower than that in the control group(P<0.05).The SAS and SDS scores significantly decreased after intervention in both groups, and those in the experimental group were lower than those in the control group(P<0.05).Conclusion Rumination has a positive impact on the anxiety and depression of patients undergoing endoscopic polypectomy.The psychological intervention can increase patients’ confidence to overcome difficulties, improve their ability of purposeful rumination, and relieve their anxiety and depression.更多还原