中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
4期
423-425
,共3页
心理疗法%关节炎,类风湿%情绪%生活质量
心理療法%關節炎,類風濕%情緒%生活質量
심리요법%관절염,류풍습%정서%생활질량
Psychotherapy%Arthritis,rheumatoid%Emotions%Quality of life
目的 探讨心理干预对类风湿关节炎(RA)患者负性情绪及生活质量的影响. 方法 112例RA患者随机分为干预组和对照组,干预组在常规治疗基础上给予心理干预措施.对照组给予常规治疗,比较两组治疗前后Zung氏自评抑郁量表(SDS)及自评焦虑量表(SAS)评分、RA疾病活动度和病情的评定及相关实验室指标:红细胞沉降率(ESR)、C反应蛋白(CRP)、类风湿因子(RF).结果 治疗6个月后,干预组SDS评分(29.6±4.4)分、SAS评分(32.6±5.1)分低于对照组SDS评分(31.7±4.7)分和SAS评分(34.7±5.3)分(t=2.441、=2.119、均P＜0.05)；干预组患者的关节压痛(5±3)个、关节肿胀(4±3)个、晨僵(36±16)min、健康评估问卷残疾指数(HAQ-DI) (0.89±0.73)分、视觉模拟评分(VAS)(6.1±l.6)分、疾病活动指数28(DAS28)(3.2±1.7)分及CRP(34±14)mg/L均低于对照组治疗后关节压痛(7±4)个、关节肿胀(5±3)个、晨僵(42±19)min、HAQ-DI(1.20±0.77)分、VAS(6.8±1.8)分、DAS28(3.9±1.9)分及CRP(37±17)mg/L,t=2.054、2.393、1.995、2.136、2.406、2.135、2.406,均P＜0.05). 结论 常规治疗基础上实施心理干预能够有效改善类风湿关节炎患者负性情绪及生活质量.
目的 探討心理榦預對類風濕關節炎(RA)患者負性情緒及生活質量的影響. 方法 112例RA患者隨機分為榦預組和對照組,榦預組在常規治療基礎上給予心理榦預措施.對照組給予常規治療,比較兩組治療前後Zung氏自評抑鬱量錶(SDS)及自評焦慮量錶(SAS)評分、RA疾病活動度和病情的評定及相關實驗室指標:紅細胞沉降率(ESR)、C反應蛋白(CRP)、類風濕因子(RF).結果 治療6箇月後,榦預組SDS評分(29.6±4.4)分、SAS評分(32.6±5.1)分低于對照組SDS評分(31.7±4.7)分和SAS評分(34.7±5.3)分(t=2.441、=2.119、均P＜0.05)；榦預組患者的關節壓痛(5±3)箇、關節腫脹(4±3)箇、晨僵(36±16)min、健康評估問捲殘疾指數(HAQ-DI) (0.89±0.73)分、視覺模擬評分(VAS)(6.1±l.6)分、疾病活動指數28(DAS28)(3.2±1.7)分及CRP(34±14)mg/L均低于對照組治療後關節壓痛(7±4)箇、關節腫脹(5±3)箇、晨僵(42±19)min、HAQ-DI(1.20±0.77)分、VAS(6.8±1.8)分、DAS28(3.9±1.9)分及CRP(37±17)mg/L,t=2.054、2.393、1.995、2.136、2.406、2.135、2.406,均P＜0.05). 結論 常規治療基礎上實施心理榦預能夠有效改善類風濕關節炎患者負性情緒及生活質量.
목적 탐토심리간예대류풍습관절염(RA)환자부성정서급생활질량적영향. 방법 112례RA환자수궤분위간예조화대조조,간예조재상규치료기출상급여심리간예조시.대조조급여상규치료,비교량조치료전후Zung씨자평억욱량표(SDS)급자평초필량표(SAS)평분、RA질병활동도화병정적평정급상관실험실지표:홍세포침강솔(ESR)、C반응단백(CRP)、류풍습인자(RF).결과 치료6개월후,간예조SDS평분(29.6±4.4)분、SAS평분(32.6±5.1)분저우대조조SDS평분(31.7±4.7)분화SAS평분(34.7±5.3)분(t=2.441、=2.119、균P＜0.05)；간예조환자적관절압통(5±3)개、관절종창(4±3)개、신강(36±16)min、건강평고문권잔질지수(HAQ-DI) (0.89±0.73)분、시각모의평분(VAS)(6.1±l.6)분、질병활동지수28(DAS28)(3.2±1.7)분급CRP(34±14)mg/L균저우대조조치료후관절압통(7±4)개、관절종창(5±3)개、신강(42±19)min、HAQ-DI(1.20±0.77)분、VAS(6.8±1.8)분、DAS28(3.9±1.9)분급CRP(37±17)mg/L,t=2.054、2.393、1.995、2.136、2.406、2.135、2.406,균P＜0.05). 결론 상규치료기출상실시심리간예능구유효개선류풍습관절염환자부성정서급생활질량.
Objective To explore the effects of psychological intervention on negative emotions and quality of life in patients with rheumatoid arthritis (RA).Methods A total of 112 patients with rheumatoid arthritis were divided into two groups:the intervention group and the control group.All patients were given drugs for treatment of RA.Additionally,patients in the intervcntion group were received psychological intervention.Zung's self-rating depression scale (SDS),Zung's self-rating anxiety scale (SAS),RA disease activity score (DAS28),visual analog scale (VAS),disability index of health assessment questionnaire (HAQ-DI) were assessed,and the related laboratory parameters such as erythrocyte sedimentation rate (ESR),C reactive protein (CRP),rheumatoid factor (RF)were determined.Results 6 months after the treatment,there were significant differences in SDS and SAS between the treatment group and the control group [SDS:(31.7±4.7)scores vs.(29.6±4.4)scores; SAS:(34.7±5.3)scoresvs.(32.6±5.1)scores; t=2.441,-2.119,both P＜0.05].The patients with tender joints,joint swelling and morning stiffness time were less in the treatment group than in control group [(5±3) vs.(7±4),(4±3) vs.(5±3),(36±16) min vs.(42±19)min.respectively,t=2.054,2.393,1.995,all P＜0.05].The scores of HAQ-DI,VAS and DAS28were lower in the treatment group than in control group [(0.89±0.73) vs.(1.20±0.77),(6.1±1.6) vs.(6.8±1.8),(3.2±1.7) vs.(3.9±1.9),respectively,t=2.136,2.406,2.135,all P＜0.05].There was a significant difference in CRP between the treatment group and the control group [(34±14) mg/L vs.(37± 17)mg/L,t=2.406,P＜0.05].Conclusions Psychological intervention can improve the negative emotions and quality of life in patients with rheumatoid arthritis.
