婚恋家庭取向的心理干预对 SLE 患者家庭功能、幸福感指数影响的效果研究 |
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引用本文: | 钟欣,何淑蓉,张亚萍,翁其彪,杨凤池,谭树聪,赵振环.婚恋家庭取向的心理干预对 SLE 患者家庭功能、幸福感指数影响的效果研究[J].广州医药,2016(4):51-54. |
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作者姓名: | 钟欣 何淑蓉 张亚萍 翁其彪 杨凤池 谭树聪 赵振环 |
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作者单位: | 1. 东莞康华医院心理科 东莞523080;2. 东莞康华医院内分泌及免疫风湿中心 东莞523080;3. 南方医科大学珠江医院高压氧治疗中心 广州510282;4. 首都医科大学心理学教研室 北京100069;5. 广州医科大学附属脑科医院 广州 510450 |
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基金项目: | 2012年东莞市医疗卫生科技计划一般项目(201210515059229) |
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摘 要: | 目的:探讨婚恋家庭取向心理干预对系统性红斑狼疮患者家庭功能和幸福感指数的效果。方法将2012年6月1日—2014年5月31日就诊于东莞康华医院内分泌及风湿免疫中心的62名15~58岁的系统性红斑狼疮患者作为研究对象,根据随机化原则将其分成两组,其中30名为干预组,参加本研究设计的婚恋家庭取向的心理干预,余32名为对照组,采用家庭功能评定量表、幸福指数量表及狼疮活动指数量表,对两组进行干预前、干预后、干预后3月和干预后6月作问卷调查。采用重复测量的方差分析进行评估。结果家庭功能中的问题解决、情感反应、情感介入、总的功能分量表和总分两组干预后重复测量的方差分析两两比较均有统计学差异(P <0.05)。幸福感指数总分两组重复测量的方差分析无统计学意义,但如扩大置信空间至 P <0.1,则两组重复测量的方差分析两两比较中干预后3月及6月有一定统计学意义(P =0.08<0.1)。结论本研究中婚恋家庭取向的心理干预对 SLE 患者即家庭功能中问题解决、情感反应、情感介入、总的功能及家庭功能总分均有显著的改善作用,对幸福感指数总分则有一定的增进作用,而对已通过心身疾病方式表达了的 SLEDAI 没有干预作用。
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关 键 词: | 婚恋家庭取向 心理干预 系统性红斑狼疮 家庭功能 幸福感指数 狼疮活动指数 |
Effect of marital family-based psychological intervention in SLE patients on FAD and index of well-being |
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Abstract: | Objective To explore the effect of marital family-based psychological intervention in SLE patients on family assessment device FAD and index of well-being. Methods A total of 62 SLE patients,aged between 1 5 and 58,who were treated in out-patient of endocrine immune rheumatism center of Dongguan Kanghua hospital from June 1 ,201 2 to May 31 , 201 4.The experimental group was made up of 30 patients who,at random,volunteered to participate in an added marital family-based psychological intervention and the control group was composed of rest 32 cases.At the time of pre-intervention,post-inter-vention,3 months and 6 months after intervention,both groups were investigated with questionnaires of family assessment de-vice,index of well-being,index of general affect,and systemic lupus erythematosus disease activity index.The results were ana-lyzed with repeated measure variance analysis to explore the effect. Results There were significant multiple-comparison differ-ences by repeated measure variance analysis in the score of FAD’s total and sub-scale problem solving,affective responsiveness, affective involvement,general functioning (P <0.05)between experimental and control group after intervention.There were no significant repeated measure variance analysis differences in the score of index of well-being’total,but if enlarging confidence space to P <0.1 ,there were partial multiple-comparison differences between experimental and control group at the time of 3 months and 6 months after intervention (P =0.08 <0.1 ). Conclusion Marital family-based psychological intervention may significantly improve FAD’s problem solving,affective responsiveness,affective involvement,general functioning,and sum of FAD,and partially improve index of well-being,but can not improve SLEDAI which had developed by psychosomatic disease. |
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Keywords: | Marital family-based Psychological intervention SLE Family Assessment Device FAD Index of well-being SLEDAI |
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