【摘要】 目的:探究基于“认知、行为、人本主义”三合一理念的心理干预对脉管畸形手术患者心理弹性、创伤后成长的影响。方法:选取某院2023.03-2024.11就诊的184例脉管畸形手术患者为研究对象，采用简单化随机分组(单双号法)将184例患者分为常规组(单号，n=92)和三合一组(双号，n=92),常规组予以常规干预，三合一组在常规组基础上予以“认知、行为、人本主义”三合一理念的心理干预。比较两组干预前后的应对方式[医学应对问卷量表(MCMQ)]、自我效能[自我效能感量表(GSES)]、心理弹性[心理弹性量表(CD-RISC)]、生活事件刺激量[家属均接受生活事件量表(LES)]、创伤后成长[创伤后成长评定量表(PTGI)]及生活质量[生活质量综合评定问卷(GQOLI-74)]评分差异。结果:干预后三合一组MCMQ中的面对评分较常规组升高，回避和屈服评分较常规组下降(t=-6.295,4.032,4.552;P<0.05);干预后三合一组GSES量表评分较常规组升高(t=-5.644,P<0.05);干预后三合一组CD-RISC量表中的坚韧、自强、乐观评分均较常规组升高(t=-6.469,-6.336,-5.845;P<0.05);干预后三合一组正性事件刺激量与常规组比较无统计学意义，负性事件刺激量和生活事件总刺激量均低于常规组(t=5.439,2.380;P<0.05);干预后三合一组PTGI量表中的与他人关系、新的可能性、个人力量、精神变化、对生活的欣赏评分均高于常规组(t=-5.980,-4.218,-4.229,-4.365,-4.176;P<0.05);干预后三合一组GQOLI-74量表中的躯体功能、心理功能、社会功能、物质生活状态评分均高于常规组(t=-3.553,-3.488,-4.471,-4.583;P<0.05)。结论:应用基于“认知、行为、人本主义”三合一理念的心理干预可有效提高脉管畸形手术患者自我效能，改善患者认知情况、应对方式、心理弹性水平及创伤后应激障碍，同时有助于提高患者生活质量。更多还原

【Abstract】 Objective:To explore the influence of psychological intervention based on three-in-one concept of "cognition, behavior and humanism" on psychological resilience and post-traumatic growth in patients undergoing vascular malformation surgery.Methods:A total of 184 patients with vascular malformation surgery in the hospital from March 2023 to November 2024 were selected as research subjects, and they were divided into conventional group(single number, n=92)and three-in-one group(double number, n=92)by simple random grouping(single-double number method).The conventional group was given conventional intervention, while the three-in-one group was given psychological intervention based on three-in-one concept of "cognition, behavior and humanism" on the basis of the conventional group.The scores of coping style[Medical Coping Modes Questionnaire(MCMQ)],self-efficacy[General Self-Efficacy Scale(GSES)],psychological resilience[Connor-Davidson Resilience Scale(CD-RISC)],life event stimulus[Family Accepted Life Event Scale(LES)],post-traumatic growth[Post-Traumatic Growth Inventory(PTGI)]and quality of life[Generic Quality of Life Inventory-74(GQOLI-74)]were compared between the two groups before and after intervention.Results:After intervention, the facing score of MCMQ in three-in-one group was higher than that in conventional group while the avoidance score and yielding score were lower than those in conventional group(t=-6.295,4.032,4.552;P<0.05).The GSES scale score in three-in-one group after intervention was higher than that in conventional group(t=-5.644,P<0.05).After intervention, the scores of tenacity, self-improvement and optimism of CD-RISC scale were higher in three-in-one group than those in conventional group(t=-6.469,-6.336,-5.845;P<0.05).There was no statistical significance in the positive event stimulus between three-in-one group and conventional group, and the negative event stimulus and total stimulus of life events were lower than those in conventional group(t=5.439,2.380;P<0.05).After intervention, the scores of relationship with others, new possibilities, personal strength, mental changes and appreciation of life of PTGI scale in three-in-one group were higher than those in conventional group(t=-5.980,-4.218,-4.229,-4.365,-4.176;P<0.05).After intervention, the scores of physical function, psychological function, social function and material life status of GQOLI-74 scale were higher in three-in-one group than those in conventional group(t=-3.553,-3.488,-4.471,-4.583;P<0.05).Conclusion:The application of psychological intervention based on three-in-one concept of "cognition, behavior and humanism" can effectively enhance the self-efficacy of patients undergoing vascular malformation surgery, improve the cognition status, coping styles, psychological resilience and post-traumatic stress disorder, and help to improve the quality of life of patients.更多还原