【摘要】 目的：观察基于共情的夫妻二元干预在异位妊娠腹腔镜手术患者中的应用效果。方法：将2022年3月-2024年5月于本院行腹腔镜手术的82例异位妊娠患者纳入研究，随机数字表法分为观察组、对照组各41例，对照组予以常规护理干预，观察组在对照组基础上予以基于共情的夫妻二元干预。比较两组自我表露水平[痛苦表露指数量表(DDI)评分]、夫妻亲密关系[婚姻调试量表(MAT)评分]、不良情绪[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、二元应对情况[二元应对量表(DCI)评分]、术后恢复情况及生活质量[(简明健康状况调查问卷(SF-36)评分]。结果：干预后观察组DDI(48.65±5.21分)、MAT(106.78±8.55分)、患者及配偶DCI(112.36±8.52分、128.74±8.15分)、SF-36评分均高于对照组(40.45±4.53分、81.65±6.74分、96.51±7.84分、117.28±7.42分),SDS(45.51±4.28分)、SAS(41.64±4.36分)评分均低于对照组(50.45±4.16分、48.71±4.29分),术后下床、首次排便、首次排气及术后住院时间均短于对照组(均P<0.05)。结论：实施基于共情的夫妻二元干预可提高异位妊娠腹腔镜手术患者自我表露水平，增进夫妻亲密关系，减轻不良情绪，且可提升二元应对水平，促进术后恢复，改善生活质量。更多还原

【Abstract】 Objective:To observe the effect of the empathy-based dyadic intervention for the couples of patients with the laparoscopic surgery of ectopic pregnancy.Methods:82 patients who underwent laparoscopic surgery of ectopic pregnancy from March 2022 to May 2024 were enrolled and were randomly divided into observation and control groups by the random number table.41 patients in the two groups received the routine nursing care,while 41 patients in the observation group received the additional empathy-based dyadic intervention for the couples.The self-disclosure level evaluated by distress disclosure index(DDI) score,the marital intimacy evaluated by marital adjustment test(MAT)score,the negative emotions evaluated by self-rating anxiety scale(SAS) score and self-rating depression scale(SDS)score,the dyadic coping evaluated by dyadic coping inventory(DCI) score,the postoperative recovery and the quality of life evaluated by short form -36 health survey(SF-36) score of the patients were compared between the two groups.Results:After intervention,the scores of DDI(48.65±5.21 points),MAT(106.78±8.55 points),DCI of the patients and their spouses(112.36±8.52 points and 128.74±8.15 points) and SF-36 of the patients in the observation group were significantly higher than those(40.45 ±4.53 points,81.65 ± 6.74 points,and 96.51 ± 7.84 points and 117.28±7.42 points) of the patients in the control group.The scores of SDS(45.51±4.28 points) and SAS(41.64±4.36points) of the patients in the observation group were significantly lower than those(50.45 ± 4.16 points and 48.71 ±4.29 points) of the patients in the control group.The time of firstly getting out of bed,the first defecation,the first exhaust and the postoperative hospital stay of the patients in the observation group were significantly shorter than those of the patients in the control group(all P<0.05).Conclusion:The implementation of the empathy-based dyadic intervention for the patients with the laparoscopic surgery of ectopic pregnancy can improve their self-disclosure level,enhance their marital intimacy,reduce their negative emotions,increase their dyadic coping level,promote their postoperative recovery and improve their quality of life.更多还原