CAJ | 학술논문

目的探讨催眠治疗对难治性肠易激综合征躯体症状、心理状况、生活质量的影响. 方法对23例难治性肠易激综合征患者按照催眠治疗程序进行肠-靶向催眠治疗,30 min·1次·w-1,观察12 w.于治疗前及治疗12 w末,采用简明心境问卷-简式评定情绪、精力状况,医用应对问卷评定应对状况,肠易激综合征-生命质量评定量表评定生命质量,临床症状评定量表评定肠道症状及睡眠状况.结果治疗12 w末,入组患者总有效率达82.6%;肠易激综合征-生命质量评定量表总分及各维度分均较治疗前有显著提高(P＜0.01);简明心境问卷-简式总分及5项因子分均较治疗前显著下降(P＜0.01),而精力因子分较治疗前显著提高(P＜0.01);医用应对问卷回避维度分较治疗前显著提高,而屈服维度分较治疗前显著下降(P＜0.01);临床症状评定量表肠道症状、肠外症状和睡眠障碍评分均较治疗前显著下降(P＜0.01). 结论催眠治疗能显著提高难治性肠易激综合征患者的生活质量和睡眠质量,纠正其不良认知和应对技巧,改善焦虑、抑郁、愤怒、敌意等负性情绪及肠道症状和肠外症状.
목적 탐토최면치료대난치성장역격종합정구체증상、심리상황、생활질량적영향. 방법 대23례난치성장역격종합정환자안조최면치료정서진행장-파향최면치료,30 min·1차·w-1,관찰12 w.우치료전급치료12 w말,채용간명심경문권-간식평정정서、정력상황,의용응대문권평정응대상황,장역격종합정-생명질량평정량표평정생명질량,림상증상평정량표평정장도증상급수면상황.결과치료12 w말,입조환자총유효솔체82.6%;장역격종합정-생명질량평정량표총분급각유도분균교치료전유현저제고(P＜0.01);간명심경문권-간식총분급5항인자분균교치료전현저하강(P＜0.01),이정력인자분교치료전현저제고(P＜0.01);의용응대문권회피유도분교치료전현저제고,이굴복유도분교치료전현저하강(P＜0.01);림상증상평정량표장도증상、장외증상화수면장애평분균교치료전현저하강(P＜0.01). 결론 최면치료능현저제고난치성장역격종합정환자적생활질량화수면질량,규정기불량인지화응대기교,개선초필、억욱、분노、활의등부성정서급장도증상화장외증상.
Objective To explore the effects of hypnotherapy on physical symptoms,mental status and quality of life of patients with refractory irritable bowel syndrome(RIBS). Methods Gut-directed hypnotherapies were conducted according to hypnotherapy procedure in 23 RIBS patients,30 minutes/time,once per week,observed for 12 weeks.Before treatment and at the end of the 12th week treatment, emotiona and vigour status were assessed with the the Profile of Mood States-Short Form(POMS-SF),coping status with the Medical Coping Modes Questionnaire (MCMQ),quality of life with the Irritable Bowel Syndrome-Quality of Life Measure( IBS-QOL) and bowel symptoms and sleep status with the Clinical Symptom Questionnaire(CSQ). Results At the end of the 12th week,the total effective rate was 82.6%; the total and each dimension score of the IBS-QOL were significantly higher compared with pretreatment(P<0.01); the total and 5 factor score of the POMS-SF were significantly lower(P<0.01) and vigour score significantly higher(P<0.01);avoidance score of the MCMQ was significantly higher and resigntion lower(P<0.01);according to the CSQ,intestinal,extraintestinal symptoms and sleep disorders scores were significantly lower(P<0.01). Conclusion Hypnotherapy can obviously improve the quality of life and sleep, correct unhealthy cognition and coping skill and improve negative emotions such as anxiety,depression,anger and hostility as well as intestinal and extraintestinal symptoms.