【摘要】 目的探讨积极心理学导向的团体辅导对不孕症妇女心理健康状况和主观幸福感的影响。方法选取2014年10月—2017年8月来我院就诊的87例不孕症妇女作为研究对象,按患者就诊顺序依次采用抛硬币的方法将其分为对照组(43例)和观察组(44例),对照组在所患疾病临床治疗基础上予以常规护理干预,观察组在对照组基础上应用积极心理学导向的团体辅导模式进行干预,二组不孕症妇女均护理干预8周,护理干预结束后比较二组不孕症妇女的心理健康状况及主观幸福感,并记录二组不孕症妇女对护理的满意度情况。结果 (1)二组不孕症妇女干预后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较干预前明显降低,且观察组干预后SAS、SDS评分明显低于对照组(t=3.897,P<0.001;t=4.687,P<0.001),差异有统计学意义;(2)观察组干预后的幸福度总分、正性情感分、正性体验分提高较对照组更明显,负性情感分、负性体验分均较对照组降低(t=10.277,P<0.001;t=3.529,P<0.001;t=5.999,P<0.001;t=7.344,P<0.001;t=2.151,P=0.032),差异有统计学意义;(3)观察组的护理总满意度(95.45%)明显高于对照组(74.42%),比较差异有统计学意义(χ~2=7.572,P=0.006)。结论积极心理学导向的团体辅导可明显减轻不孕症妇女其焦虑和抑郁程度,提高患者的心理健康水平及主观幸福感,且更易被患者所接受,可作为不孕症妇女的首选心理护理模式。更多还原

【Abstract】 Objective To investigate the impact of Group guidance based on positive psychology on mental health status and subjective well-being of infertility women.Methods The clinical data of 87 infertility women treated in author′s hospital from October 2014 to August 2017 were retrospectively analyzed.They were divided into the control group and the study group according to different nursing methods.43 cases in the control group was given routine nursing intervention,and 44 cases in the study group was given Group guidance based on positive psychology on the basis of the control group,tid for 8 weeks.After nursing intervention,their mental health status and subjective well-being were compared,and their satisfaction degree was recorded.Results The SAS and SDS scores of infertility women in both groups were significantly decreased after intervention,and the scores of SAS and SDS in the study group were significantly lower than those in the control group(P< 0.05),the difference was statistically significant(t= 3.897,P< 0.001;t=4.687,P< 0.001).After the intervention,the happiness score,positive emotion score and positive experience score increased more obviously in the study group than those in the control group.The negative emotion score and negative experience score of the study group were lower than those of the control group(t=10.277,P<0.001;t=3.529,P<0.001;t=5.999,P<0.001;t=7.344,P<0.001;t=2.151,P=0.032).The total nursing satisfaction in the study group was 95.45%,which was significantly higher than74.42%in the control group,the difference was statistically significant(χ~2= 7.572,P= 0.006).Conclusion Group guidance based on positive psychology can significantly reduce the degree of anxiety and depression of infertile women,improve the patient′s mental health and subjective well-being,and more easily accepted by patients,which can be used as the preferred psychological nursing model for infertility women.更多还原