文章摘要

弗洛伊德精神分析疗法对行代谢手术治疗的2型糖尿病患者疾病不确定性及焦虑的影响

作者: 1孟宪云, 1吴松岭, 1王辉
1 首都医科大学附属北京天坛医院普外科,北京 100070
通讯: 孟宪云 Email: mwmw121@sina.com
DOI: 10.3978/j.issn.2095-6959.2020.11.022

摘要

目的:探讨弗洛伊德精神分析疗法对行代谢手术治疗的2型糖尿病患者疾病不确定性及焦虑的影响。方法:选取首都医科大学附属北京天坛医院普外科于2017年3月至12月收治的30例采用代谢手术治疗的2型糖尿病患者,设为对照组,采用常规护理。选取同科室于2018年1月至10月收治的30例采用代谢手术治疗的2型糖尿病患者,设为观察组,在对照组的基础上采用弗洛伊德精神分析疗法。回顾性分析两组的临床资料。采用疾病不确定感量表(Mishel Uncertainty in Illness Scale,MUIS)评价患者手术的不确定性,医院焦虑自评量表(Self-rating Anxiety Scale,SAS)评价患者的焦虑情绪,并调查患者的访视满意度。结果:观察组MUIS和SAS评分均低于对照组,差异均有统计学意义(均P<0.05)。观察组的安全需求、业务素质、手术信息需求等访视满意度较高,两组相比差异有统计学意义(P<0.05)。结论:弗洛伊德精神分析疗法能增加2型糖尿病代谢手术患者的手术认知,减轻患者对手术治疗的不确定感和焦虑情绪,提高访视满意度。
关键词: 弗洛伊德精神分析疗法;代谢手术;2型糖尿病;焦虑;疾病不确定性

Effect of Freudian psychoanalytic therapy on disease uncertainty and anxiety in patients with type 2 diabetes undergoing metabolic surgery

Authors: 1MENG Xianyun, 1WU Songling, 1WANG Hui
1 Department of General Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China

CorrespondingAuthor: MENG Xianyun Email: mwmw121@sina.com

Abstract

Objective: To investigate the effect of Freudian psychoanalytic therapy on disease uncertainty and anxiety in patients with type 2 diabetes undergoing metabolic surgery. Methods: Thirty patients with type 2 diabetes treated by metabolic surgery in Department of General Surgery of Beijing Tiantan Hospital from March to December 2017 were selected as a control group, and routine nursing was performed. Thirty patients with type 2 diabetes treated by metabolic surgery in the same department from January to October 2018 were selected as an observation group, and Freudian psychoanalytic therapy was used on the basis of the control group. The clinical data were analyzed. Operative uncertainty, anxiety and nursing satisfaction were compared between the two groups. Results: After the intervention, the MUIs and SAS score of the observation group was significantly lower than those in the control group (all P<0.05). The satisfaction of surgical visit in safety requirements, professional quality and operation information needs of the observation group was higher than that of the control group (P<0.05). Conclusion: Freudian psychoanalytic therapy can increase the operation cognition of patients with type 2 diabetes mellitus metabolic surgery, reduce the uncertainty and anxiety, and improve the satisfaction of visiting.
Keywords: Freudian psychoanalytic therapy; metabolic surgery; type 2 diabetes mellitus; anxiety; disease uncertainty