齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
JOURNAL OF QILU NURSING
2015年
1期
2-5
,共4页
谷利斌%徐浩翔%谭娟%王挺%徐德国
穀利斌%徐浩翔%譚娟%王挺%徐德國
곡리빈%서호상%담연%왕정%서덕국
慢性湿疹%整合式心理治疗%心理健康状况%病情变化
慢性濕疹%整閤式心理治療%心理健康狀況%病情變化
만성습진%정합식심리치료%심리건강상황%병정변화
Chronic eczema%Integrated psychotherapy%Mental health status%Changes of patientˊs conditions
目的：探讨整合式心理治疗对慢性湿疹患者心理健康状况和病情变化的影响。方法：将52例慢性湿疹患者随机分为干预组25例和对照组27例，干预组进行整合式心理治疗；对照组仅电话随访，每2周1次，不涉及心理干预内容，主要是督促患者规律用药和定期随诊。比较治疗前后两组SAS、SDS量表评分和病情评估结果。结果：治疗前，两组患者SAS和SDS评分与常模比较差异有统计学意义（P＜0.01），所有患者SAS和SDS的评分与皮损严重程度（EASI）和瘙痒程度（VAS）有显著正相关性（P＜0.01）；治疗后，干预组SAS、SDS、EASI、VAS评分显著降低，与对照组比较差异有统计学意义（ P＜0.05，P＜0.01）。结论：在药物治疗的基础上结合整合式心理治疗，能有效改善患者的不良心理因素，从而促进患者心理健康，减轻疾病症状，促进疾病康复，为临床护理工作提供参考。
目的：探討整閤式心理治療對慢性濕疹患者心理健康狀況和病情變化的影響。方法：將52例慢性濕疹患者隨機分為榦預組25例和對照組27例，榦預組進行整閤式心理治療；對照組僅電話隨訪，每2週1次，不涉及心理榦預內容，主要是督促患者規律用藥和定期隨診。比較治療前後兩組SAS、SDS量錶評分和病情評估結果。結果：治療前，兩組患者SAS和SDS評分與常模比較差異有統計學意義（P＜0.01），所有患者SAS和SDS的評分與皮損嚴重程度（EASI）和瘙癢程度（VAS）有顯著正相關性（P＜0.01）；治療後，榦預組SAS、SDS、EASI、VAS評分顯著降低，與對照組比較差異有統計學意義（ P＜0.05，P＜0.01）。結論：在藥物治療的基礎上結閤整閤式心理治療，能有效改善患者的不良心理因素，從而促進患者心理健康，減輕疾病癥狀，促進疾病康複，為臨床護理工作提供參攷。
목적：탐토정합식심리치료대만성습진환자심리건강상황화병정변화적영향。방법：장52례만성습진환자수궤분위간예조25례화대조조27례，간예조진행정합식심리치료；대조조부전화수방，매2주1차，불섭급심리간예내용，주요시독촉환자규률용약화정기수진。비교치료전후량조SAS、SDS량표평분화병정평고결과。결과：치료전，량조환자SAS화SDS평분여상모비교차이유통계학의의（P＜0.01），소유환자SAS화SDS적평분여피손엄중정도（EASI）화소양정도（VAS）유현저정상관성（P＜0.01）；치료후，간예조SAS、SDS、EASI、VAS평분현저강저，여대조조비교차이유통계학의의（ P＜0.05，P＜0.01）。결론：재약물치료적기출상결합정합식심리치료，능유효개선환자적불양심리인소，종이촉진환자심리건강，감경질병증상，촉진질병강복，위림상호리공작제공삼고。
Objective:To explore the impact of the integrated psychological therapy on mental health status and change of conditions of patients with chronic eczema. Methods:52 patients with chronic eczema were randomly divided into the intervention group(n=25)and the control group(n=27). The integrated psychological therapy was adopted in the intervention group;only telephone follow-up was conduc-ted one time every 2 weeks and no psychological intervention was implemented in the control group. The scores of SAS and SDS and the as-sessment results of patientsˊconditions were compared between the two groups before and after treatment. Results:There were statistically significant differences in the comparison of SAS and SDS scores between the two groups before treatment(P<0. 01);the SAS and SDS scores of all the patients were positively correlated with severity of lesions(EASI)and severity of pruritus(VAS)(P<0. 01);SAS,SDS, EASI and VAS scores significantly decreased in the intervention group after treatment and the differences between the two groups were sta-tistically significant(P<0. 05,P<0. 01). Conclusion:The integrated psychotherapy based on medication can effectively relieve the bad mood of patients and mitigate the symptoms of the disease so as to promote patientˊs rehabilitation.
