The Effect of Cognitive-Emotional Training on Post-traumatic Stress and Growth in Discharged Patients with COVID-19

Medical-Surgical Nursing Journal Pub Date : 2023-11-15 DOI:10.5812/msnj-141927

Samaneh Khadish, A. Navidian, Mohammad Kazem Momeni, Z. Zolfaghari, Reyhaneh Khayyati

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Abstract

Background: The COVID-19 pandemic has led to various psychological consequences. Its sudden emergence has caused widespread confusion, disrupted people's daily lives, and inflicted severe psychological trauma. Objectives: This study seeks to explore the effectiveness of emotional cognitive training in reducing stress and promoting post-traumatic growth among COVID-19 patients discharged from Zahedan hospitals in 2021. Methods: This quasi-experimental study involved 70 COVID-19 patients who were discharged from Zahedan hospitals in 2021. The participants were selected using a convenience sampling method and randomly assigned to either the intervention or control group, with each group consisting of 35 patients. The intervention group received seven online sessions of cognitive-emotional training in groups of 4 to 6 people. The patients completed the Post-traumatic Growth Inventory (PTGI) and the post-traumatic stress disorder (PTSD) checklist before and 12 weeks after the cognitive-emotional training. The data were analyzed using SPSS version 22 and statistical tests such as analysis of covariance, chi-square, and independent t-tests. The significance level was considered < 0.05. Results: The independent t-test and analysis of the covariance test revealed that the mean score of post-traumatic stress in the intervention group (32.34 ± 5.75) was significantly lower than that in the control group (57.88 ± 4.28) following the cognitive-emotional training (P = 0.001). Additionally, the mean post-traumatic growth score in the intervention group (69.8 ± 11.73) was significantly higher than that in the control group (48.71 ± 5.08) after the training (P = 0.001). Conclusions: The results suggest that emotional cognitive training has a positive and significant impact on reducing stress and promoting post-traumatic growth among COVID-19 patients. Therefore, incorporating this online training into the standard treatment is recommended to enhance the well-being and welfare of patients with COVID-19 after discharge.

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认知情感训练对 COVID-19 出院患者创伤后应激和成长的影响

背景：COVID-19 大流行导致了各种心理后果。它的突然出现造成了广泛的混乱，扰乱了人们的日常生活，并造成了严重的心理创伤。研究目的本研究旨在探讨 2021 年从扎黑丹医院出院的 COVID-19 患者中，情绪认知训练在减轻压力和促进创伤后成长方面的效果。研究方法这项准实验研究涉及 70 名 2021 年从扎黑丹医院出院的 COVID-19 患者。研究人员采用方便抽样法选出，并随机分配到干预组或对照组，每组 35 名患者。干预组接受七节在线认知情绪训练课，每组 4 至 6 人。患者在接受认知情绪训练前和训练 12 周后填写创伤后成长量表（PTGI）和创伤后应激障碍（PTSD）检查表。数据采用 SPSS 22 版进行分析，统计检验包括协方差分析、卡方检验和独立 t 检验。显著性水平< 0.05。结果独立 t 检验和协方差分析检验显示，干预组创伤后应激反应的平均得分（32.34 ± 5.75）明显低于对照组（57.88 ± 4.28）（P = 0.001）。此外，干预组的创伤后成长平均得分（69.8 ± 11.73）明显高于对照组（48.71 ± 5.08）（P = 0.001）。结论结果表明，情绪认知训练对减轻 COVID-19 患者的压力和促进创伤后成长具有积极而显著的影响。因此，建议将这种在线培训纳入标准治疗中，以提高 COVID-19 患者出院后的幸福感和福利。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Medical-Surgical Nursing Journal

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