CAJ | 학술논문

目的：了解腰椎间盘突出症飞行人员的焦虑状态，观察将心理干预应用于临床治疗工作的实用价值。方法将接受冯氏手法复位治疗的60例腰椎间盘突出症飞行人员随机分为干预组和对照组，干预组在手法治疗前给予心理干预，对照组无心理干预。采用焦虑自评量表（self-rating anxiety scale，SAS）对2组飞行人员进行评定。结果2组飞行人员入院后SAS评分、血压和心率等各项指标差异无统计学意义（P＞0.05）。心理干预后的飞行人员SAS评分（27.9±5.3）分和住院天数（17.1±4.1）d均低于对照组飞行人员[（38.0±5.0）分，（23.9±6.2）d]（P＜0.01）；干预组飞行人员收缩压（116.1±5.7）mmHg和心率（82.8±7.6）次/min亦低于对照组飞行人员[（120.6±5.1）mmHg、（98.3±6.7）次/min]（P＜0.01），2组飞行人员舒张压差异无统计学意义（P＞0.05）。结论心理干预可以改善腰椎间盘突出症飞行人员手法治疗前的焦虑情绪。
목적：료해요추간반돌출증비행인원적초필상태，관찰장심리간예응용우림상치료공작적실용개치。방법장접수풍씨수법복위치료적60례요추간반돌출증비행인원수궤분위간예조화대조조，간예조재수법치료전급여심리간예，대조조무심리간예。채용초필자평량표（self-rating anxiety scale，SAS）대2조비행인원진행평정。결과2조비행인원입원후SAS평분、혈압화심솔등각항지표차이무통계학의의（P＞0.05）。심리간예후적비행인원SAS평분（27.9±5.3）분화주원천수（17.1±4.1）d균저우대조조비행인원[（38.0±5.0）분，（23.9±6.2）d]（P＜0.01）；간예조비행인원수축압（116.1±5.7）mmHg화심솔（82.8±7.6）차/min역저우대조조비행인원[（120.6±5.1）mmHg、（98.3±6.7）차/min]（P＜0.01），2조비행인원서장압차이무통계학의의（P＞0.05）。결론심리간예가이개선요추간반돌출증비행인원수법치료전적초필정서。
Objective We intended to investigate the anxiety condition of aircrew members with prolapse of lumber intervertebral disc and survey the practical value of the application of the psychological intervention to the clinical management. Methods 60 aircrew members were randomly divided into two groups which were managed with Feng’s manipulation. The pilots in the intervention group were managed with the psychological intervention before manipulation, while those in the control group were managed without the psychological intervention. All of them were assessed by Self-rating Anxiety Scale (SAS). Results There were no statistical differences in each index consisting of SAS score, blood pressure, and heart rate on both groups after the admission (P>0.05). After the psychological intervention, the SAS score (27.9±5.3) and hospitalized duration (17.1±4.1) days of the pilots were lower than those of the control group[ (38.0±5.0) score,(23.9±6.2) days] (P<0.01), systolic pressure (116.1±5.7) mmHg and heart rate (82.8±7.6)/min of intervention group were lower than those of the control group [(120.6±5.1)mmHg,(98.3±6.7) /min](P<0.01), and diastolic pressure had no significant difference in both groups (P>0.05). Conclusion The psychological intervention can improve the anxiety of the aircrew with prolapse of lumber intervertebral disc before manipulation.