中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
11期
8-10
,共3页
刘春霞%王玉霞%张西亮%陈玉龙
劉春霞%王玉霞%張西亮%陳玉龍
류춘하%왕옥하%장서량%진옥룡
认知行为干预%炎症性肠病%生活质量
認知行為榦預%炎癥性腸病%生活質量
인지행위간예%염증성장병%생활질량
Cognition behavior intervention%Inflammatory bowel disease%Quality of life
目的 探讨认知行为干预对炎症性肠病(IBD)伴情绪障碍患者心理状态和生活质量的影响.方法 对符合2000年成都会议诊断标准且伴情绪障碍的45例IBD患者随机分为两组,对照组(n=22)给予常规治疗;研究组(n=23)在常规对症治疗的基础上给予认知行为干预;10周为1疗程.于入组时、10周末采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、健康状况调查问卷(SF-36)对两组患者进行心理状态和生活质量评定.结果 10周末研究组SAS和SDS评分比入组时均显著降低[分别为(47.11±8.82,38.25±9.33);(48.13±9.33),(41.28±7.13)](P<0.01,P<0.01);治疗后研究组与对照组比较[分别为(38.25±9.33),(45.31±6.30);(41.28±7.1),(46.43±8.06)](P<0.01,P<0.05).研究组患者治疗前后SF-36各分量表值差异均有显著性(P<0.05);治疗后研究组与对照组表值比较除SF一项外均有显著性差异(P<0.05).结论 认知行为干预有助于改善炎症性肠病患者的心理状态,提高患者的生活质量.
目的 探討認知行為榦預對炎癥性腸病(IBD)伴情緒障礙患者心理狀態和生活質量的影響.方法 對符閤2000年成都會議診斷標準且伴情緒障礙的45例IBD患者隨機分為兩組,對照組(n=22)給予常規治療;研究組(n=23)在常規對癥治療的基礎上給予認知行為榦預;10週為1療程.于入組時、10週末採用焦慮自評量錶(SAS)、抑鬱自評量錶(SDS)、健康狀況調查問捲(SF-36)對兩組患者進行心理狀態和生活質量評定.結果 10週末研究組SAS和SDS評分比入組時均顯著降低[分彆為(47.11±8.82,38.25±9.33);(48.13±9.33),(41.28±7.13)](P<0.01,P<0.01);治療後研究組與對照組比較[分彆為(38.25±9.33),(45.31±6.30);(41.28±7.1),(46.43±8.06)](P<0.01,P<0.05).研究組患者治療前後SF-36各分量錶值差異均有顯著性(P<0.05);治療後研究組與對照組錶值比較除SF一項外均有顯著性差異(P<0.05).結論 認知行為榦預有助于改善炎癥性腸病患者的心理狀態,提高患者的生活質量.
목적 탐토인지행위간예대염증성장병(IBD)반정서장애환자심리상태화생활질량적영향.방법 대부합2000년성도회의진단표준차반정서장애적45례IBD환자수궤분위량조,대조조(n=22)급여상규치료;연구조(n=23)재상규대증치료적기출상급여인지행위간예;10주위1료정.우입조시、10주말채용초필자평량표(SAS)、억욱자평량표(SDS)、건강상황조사문권(SF-36)대량조환자진행심리상태화생활질량평정.결과 10주말연구조SAS화SDS평분비입조시균현저강저[분별위(47.11±8.82,38.25±9.33);(48.13±9.33),(41.28±7.13)](P<0.01,P<0.01);치료후연구조여대조조비교[분별위(38.25±9.33),(45.31±6.30);(41.28±7.1),(46.43±8.06)](P<0.01,P<0.05).연구조환자치료전후SF-36각분량표치차이균유현저성(P<0.05);치료후연구조여대조조표치비교제SF일항외균유현저성차이(P<0.05).결론 인지행위간예유조우개선염증성장병환자적심리상태,제고환자적생활질량.
Objective To investigate the effect of the Cognition behavior intervention on the mental status and the quality of life of patients with inflammatory bowel disease with mood disorders. Methods 45 patients with inflammatory bowel disease (IBD) who diagnosed by year 2000 chengdu IBD conference diagnostic code with mood disorders were randomly divided into two groups: the study group( n = 23 ) and the control group (n =22). The two groups had the same clinical routine treatments for 10 weeks as 1 course of treatment, and Cognition behavior intervention was added to the study group. The Self-Rating Anxiety Scale (SAS), self-rating depressive scale (SDS) were analyzed on mental status, and the health status was compared by SF-36 before and after 10 weeks of treatment respectively. Results The scores of SAS and SDS scores of the study group after the treatment notably dropped [ SAS: ( 47. 11 ± 8. 82 ), ( 38.25 ± 9. 33 ), P < 0. 01; SDS: ( 48.13 ± 9. 33 ),(41.28 ±7.13) ,P <0. 01 ] ,and compared to the control group [SAS: (38.25 ±9. 33), (45.31 ±6. 30) ,P <0.01; SDS: (41.28 ± 7. 1 ), (46.43 ± 8.06 ), P < 0. 05 ], while The scores on each factors of SF-36 of the study group were significantly altered before and after treatment( P < 0. 05 ) ;so was the other factors except the SF score of measuring scale on quality of life of the two groups. Conclusion Cognition behavior intervention plays an important role in the treatment of patient with inflammatory bowel disease to improve their mental status and quality of life.