CAJ | 학술논문

目的：探讨理性情绪疗法对雌三醇联合乳酸菌治疗萎缩性阴道炎患者自我效能及自我管理能力的影响。方法采用随机数字表法将萎缩性阴道炎患者80例分为观察组和对照组，各40例，均采用雌三醇联合乳酸菌治疗，同时对照组采用常规的健康疗法，观察组在此基础上进行理性情绪疗法干预。结果干预前两组患者的应对方式(面对、回避、屈服)得分差异无统计学意义（ P﹥0.05），干预后3个月观察组“面对”得分高于对照组，“回避”“屈服”得分低于对照组（ P﹤0.05）。观察组患者经过理性情绪疗法教育后患者自我效能及自我管理能力评分高于对照组（ P﹤0.05）。干预前两组患者的自我管理行为得分差异无统计学意义（ P﹥0.05），两组患者干预后1个月和干预后3个月自我管理行为得分差异有统计学意义（ P﹤0.05）。结论理性情绪疗法能有效改善雌三醇联合乳酸菌治疗萎缩性阴道炎患者的自我效能及自我管理能力以及应对方式，具有临床意义。
목적：탐토이성정서요법대자삼순연합유산균치료위축성음도염환자자아효능급자아관리능력적영향。방법채용수궤수자표법장위축성음도염환자80례분위관찰조화대조조，각40례，균채용자삼순연합유산균치료，동시대조조채용상규적건강요법，관찰조재차기출상진행이성정서요법간예。결과간예전량조환자적응대방식(면대、회피、굴복)득분차이무통계학의의（ P﹥0.05），간예후3개월관찰조“면대”득분고우대조조，“회피”“굴복”득분저우대조조（ P﹤0.05）。관찰조환자경과이성정서요법교육후환자자아효능급자아관리능력평분고우대조조（ P﹤0.05）。간예전량조환자적자아관리행위득분차이무통계학의의（ P﹥0.05），량조환자간예후1개월화간예후3개월자아관리행위득분차이유통계학의의（ P﹤0.05）。결론이성정서요법능유효개선자삼순연합유산균치료위축성음도염환자적자아효능급자아관리능력이급응대방식，구유림상의의。
Objective To study the influence of rational emotional therapy for self-efficacy and self-management ability of atrophic vaginitis patient with the treatment of estriol in combination with lactic acid bacteria . Methods 80 cases of atrophic vaginitis patients were selected in our hospital with treatment of estriol in combination with lactic acid bacteria, the patients were divided into observation group ( n=40 ) and control group ( n=40 ) . Results 3 months later the intervention groups face score higher than the control group, avoid and yield score lower than the control group, the difference was statistically significant ( P ﹤ 0. 05 ) . After rational emotional therapy education the self-efficacy and self-management ability score in observation group was higher than that in control group ( P ﹤ 0. 05 ) , the difference was statistically significant ( P ﹤ 0. 05 ) . Conclusion s Rational emotional therapy can effectively improve self-efficacy and self-management ability of atrophic vaginitis patient with estriol in combination with lactic acid bacteria, and their coping styles, with clinical significance.