增强自我效能干预对癫痫患者自尊、总体幸福感及应对方式的影响

目的 探讨增强自我效能干预对癫痫患者自尊、总体幸福感及应对方式的影响.方法 将112例癫痫患者随机均分为研究组和对照组,对照组实施一般健康教育,研究组进行增强自我效能干预,内容包括:激励、社会支持、行为方法.学习采用集体授课和个别教育相结合的形式.采用自尊量表(SES)和缺陷感量表(FIS)、总体幸福感量表(GWB)及应付方式问卷对患者进行训练前后自身对照和两组相互对照,在患者出院1年时进行效果评价.结果 研究组经干预治疗后SES、FIS及GWB评分均明显高于对照组,不成熟的应付方式(自责、幻想、退避)明显低于对照组(P<0.01).结论 增强自我效能干预,能消除自卑、增强其自信心和自尊心,能使患者使用积极的应付方式解决问题,能明显提高癫痫患者的总体幸福感.

The effect of enhancing self-efficacy intervention on self-esteem, overall well-being and coping Styles of patients With epilepsy

Objective To explore the effect of enhancing self-efficacy intervention on self-esteem, overall well-being and coping styles of patients with epilepsy. Methods A total of 112 patients with epilepsy were randomly divided into the study group and control group, the control group was given the general health education, and the study groups was given the enhancing self-efficacy intervention, including incentives, social suppor, behavioral approach. Use of The self-esteem scale (SES) and the feelings of inadequacy scale (F1S) , the overall well-being scale (GWB) , and coping style questionnaires was used to evaluate the therapeutic effect before and after training in patients with self-control and two sets of cross-referencing, when the patient was discharged a year impact Results After intervention the SES, FIS, and GWB scores of study group were significantly higher than those of control group , and the immature coping styles scores of study group (self-blame, fantasy, retreat) were significantly lower than those of the control group (P < 0. 01) . Conclusions To enhance self-efficacy intervention, eliminate low self-esteem, enhance their self-confidence and self-esteem and cope with a positive approach to solve the problem can significantly improve the overall well-being in patients with epilepsy.