背景:创伤后成长(PTG)促进计划的研究,特别是叙事疗法(NT),炎症性肠病(IBD)患者的治疗仍然有限。这项初步研究旨在发展一项NT计划,以推广PTG并评估其可行性,初步效果,参与者的经验和改进建议。
方法:NT程序最初是通过文献综述开发的,采访IBD患者和专家小组讨论。进行了随机对照试点试验,以评估该方案的可行性和初步有效性。新界小组的参与者连续每周接受五次课程,对照组接受标准护理。结果包括PTG,焦虑,测量抑郁和生活质量。进行了定性访谈,以探索参与者的经验和对计划修改的建议。
结果:NT程序是科学严谨的。招聘率和保留率分别为62.5%和96.7%,分别。观察到焦虑水平显着降低,NT组有PTG表现。与会者提出了改善NT计划的建议。
结论:在这项研究中,NT计划旨在促进IBD患者的PTG,进一步为其可行性和潜在的积极心理变化提供初步证据。然而,需要大规模的研究来验证其在更广泛的应用中的有效性。
BACKGROUND: The research on posttraumatic growth (PTG) promotion programmes, particularly narrative therapy (NT), for patients with inflammatory bowel disease (IBD) remains limited. This pilot study aims to develop an NT programme to promote PTG and evaluate its feasibility, preliminary effectiveness, participants\' experiences and improvement suggestions.
METHODS: The NT programme was initially developed through literature review, interviews with IBD patients and expert panel discussions. A randomized controlled pilot trial was conducted to assess the feasibility and preliminary effectiveness of the programme. Participants in the NT group received five consecutive weekly sessions of the programme, while the control group received standard care. Outcomes including PTG, anxiety, depression and quality of life were measured. Qualitative interviews were conducted to explore participants\' experiences and suggestions for programme modifications.
RESULTS: The NT programme was developed with scientific rigour. The recruitment rate and retention rate were 62.5% and 96.7%, respectively. A significant reduction in anxiety levels was observed, and manifestations of PTG were reported in the NT group. Suggestions for improvement of the NT programme were received from the participants.
CONCLUSIONS: The NT programme was constructed to promote PTG in IBD patients in this study, further offering preliminary evidence for its feasibility and potential positive psychological change. However, large-scale research is needed to validate its effectiveness for broader applications.