CAJ | 학술논문

目的探讨心理治疗对溃疡性结肠炎(UC)患者心理状态和生命质量的影响。方法符合2000年成都会议诊断标准的39例UC患者随机分为2组，对照组给予常规治疗；试验组在常规对症治疗的基础上给予心理行为干预；12周为1疗程。于入组时、12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(SF236)对2组患者进行心理状态和生命质量评定。结果12周末试验组SAS和SDS评分比入组时均显著降低[分别为(35.25±9.36)分，(46.71±8.52)分；(40.28±7.15)分，(47.83±10.01)分](P＜0.01)。试验组患者治疗前后SF236各分量表值差异均有显著性(P＜0.05)；治疗后试验组与对照组表值比较除SF一项外均有显著性差异(P＜0.05)。结论心理行为干预有助于改善溃疡性结肠炎患者的心理状态，提高患者的生命质量。
목적탐토심리치료대궤양성결장염(UC)환자심리상태화생명질량적영향。방법부합2000년성도회의진단표준적39례UC환자수궤분위2조，대조조급여상규치료；시험조재상규대증치료적기출상급여심리행위간예；12주위1료정。우입조시、12주말채용초필자평량표(SAS)、억욱자평량표(SDS)、건강상황조사문권(SF236)대2조환자진행심리상태화생명질량평정。결과12주말시험조SAS화SDS평분비입조시균현저강저[분별위(35.25±9.36)분，(46.71±8.52)분；(40.28±7.15)분，(47.83±10.01)분](P＜0.01)。시험조환자치료전후SF236각분량표치차이균유현저성(P＜0.05)；치료후시험조여대조조표치비교제SF일항외균유현저성차이(P＜0.05)。결론심리행위간예유조우개선궤양성결장염환자적심리상태，제고환자적생명질량。
Objective To investigate the effect of the p sychological behavior intervention on the mentalstatus and the quality of life of patientswith ulcerative colitis. Methods 39 patientswith ulcerative colitis (UC)diagnosed by year 2000 chengdu conference diagnostic code were randomly divided into two groups: the studygroup and the control group. The two groups had the same clinical routine treatments for 12weeks as 1 course of treatment, and p sychological behavior intervention was added to the study group. The self2rat2ing anxiety scale (SAS) , self2rating dep ressive scale (SDS) were analyzed on mental status, and the health statuswas compared by SF236 before and after 12 weeks of treatment respectively. Results The scores of SAS and SDSscores of the study group after the treatment notably dropped [ SAS: (35.25±9.36, 46.71±8.52) , P<0.01;SDS: (40.28±7.15,47.83±10.01) , P<0.01] , and compared to the control group,while the scores on eachfactors of SF236 of the study group were significantly altered before and after treatment ( P<0.05) ; so was the oth2er factors excep t the SF score ofmeasuring scale on quality of life of the two groups. Conclusion Psychologicalbehavior intervention plays an important role in the treatment of patientwith ulcerative colitis to imp rove theirmen2tal status and quality of life.