Abstract: Objective　To examine the effect of rational emotive therapy on negative emotions among advanced schistosomiasis patients with repeated hospitalizations. Methods　A total of 97 advanced schistosomiasis patients with anxiety and depressive emotions that were hospitalized in Xiangyue Hospital of Hunan Institute of Schistosomiasis Control for three times or more were enrolled, and given rational emotive therapy for 4 weeks in addition to routine nursing care. The scores for anxiety, depression and quality of life were estimated in patients before and after the rational emotive therapy using the Self?Rating Anxiety Scale (SRS), the Self?Rating Depression Scale (SDS) and WHOQOL?BREF Form. Results　The SAS and SDS scores were significantly lower 4 weeks following rational emotive therapy than before the intervention (SAS score, 45.40 ± 7.77 vs. 59.25 ± 9.29, t = 14.021, P < 0.01; 51.48 ± 8.01 vs. 63.93 ± 9.59, t = 12.991, P < 0.01). The percentages of patients with moderate and severe anxiety and depression were significantly lower 4 weeks following rational emotive therapy than before the intervention (P < 0.01), and the scores for each item in the quality of life were all significantly greater 4 weeks following rational emotive therapy than before the intervention (P < 0.01). Conclusion　Rational emotive therapy may improve the negative emotions and the quality of life of advanced schistosomiasis patients with repeated hospitalizations.

Key words: Advanced schistosomiasis, Rational emotive therapy, Negative emotion, Intervention effect

摘要： 目的　探讨合理情绪疗法对反复住院晚期血吸虫病（晚血）患者负性情绪的干预效果。方法　选取在湖南省血吸虫病防治所湘岳医院97例住院 ≥ 3 次且合并焦虑或（和）抑郁情绪的晚血患者为研究对象，在常规护理的基础上给予持续4周的合理情绪疗法干预。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、WHO生存质量测定量表简表（WHOQOL?BREF）比较干预前和干预4 周后晚血患者焦虑、抑郁和生活质量评分。结果　干预4周后，晚血患者SAS和SDS评分分别为（45.40 ± 7.77）分和（51.48 ± 8.01）分，显著低于干预前的（59.25 ± 9.29）分和（63.93 ± 9.59）分（t = 14.021、12.991，P均< 0.01）；干预4周后，中、重度焦虑、抑郁患者比例均较干预前显著降低（χ2 = 82.019、62.698，P均 < 0.01），生活质量各领域评分均较干预前显著提高（P均 < 0.01）。结论　合理情绪疗法可以改善反复住院晚血患者负性情绪，提高其生活质量。

关键词: 晚期血吸虫病, 合理情绪疗法, 负性情绪, 干预效果