| 张莉萍,毕俊荣,付巍巍,封玉东,史语实,张磊晶.精神心理干预对慢性肛周湿疹患者治疗效果、心理状态及生活质量的影响[J].,2019,19(11):2184-2187 |
| 精神心理干预对慢性肛周湿疹患者治疗效果、心理状态及生活质量的影响 |
| Effect of Psychological Intervention on Therapy Efficacy, Psychological State and Quality of Life in Patients with Chronic Perianal Eczema |
| 投稿时间：2019-02-26 修订日期：2019-03-21 |
| DOI：10.13241/j.cnki.pmb.2019.11.040 |
| 中文关键词: 慢性肛周湿疹 精神心理干预 生活质量 心理状态 |
| 英文关键词: Chronic perianal eczema Psychological intervention Quality of life Psychological state |
| 基金项目:黑龙江省教育厅科学技术研究项目（12541567） |
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| 中文摘要: |
| 摘要 目的：探讨精神心理干预对慢性肛周湿疹患者治疗效果、心理健康及生活质量的影响，为临床治疗提供新的切入点。方法：选取122例慢性肛周湿疹患者为研究对象，采用随机数字表法分为干预组和对照组各61例。对照组接受常规治疗，干预组在对照组的基础上接受精神心理干预，两组患者均治疗8周。对比两组患者的临床疗效，观察并比较两组患者治疗前后的心理状态以及生活质量的变化情况。结果：干预组的总有效率为85.25 %，明显高于对照组的62.30 %（P<0.05）。治疗8周后，两组患者焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、皮肤病生活质量指数（DLQI）评分和匹兹堡睡眠质量指数（PSQI）评分均降低，且干预组患者治疗后的SAS评分、SDS评分、DLQI 评分和PSQI评分均明显低于对照组（P<0.05）。两组患者治疗后的心理弹性量表（CD-RISC）评分升高，且与对照组相比，干预组患者治疗后的CD-RISC评分显著升高（P<0.05）。结论：精神心理干预联合常规治疗对慢性肛周湿疹具有较好的疗效。对患者实施精神心理干预可有效减轻患者焦虑、抑郁等负性情绪，提高患者心理韧性水平，促进患者生活质量的提升。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the influence of psychological intervention on therapy efficacy, psychological health and quality of life in patients with chronic perianal eczema, and provide a new entry point for clinical treatment. Methods: 122 patients with chronic perianal eczema were enrolled in the study. They were divided into intervention group and control group by 61 cases using random num- ber table method. They were divided into intervention group and control group according to random number table method, each group contains 61 cases. The control group received routine treatment, while the intervention group was additionally treated with psychosocial intervention on the basis of the control group. Two groups were treated for 8 weeks. The clinical efficacy of the two groups of patients ware compared. The psychological state and quality of life of the two groups were observed and compared before and after treatment. Results: The total effective rate of the intervention group was 85.25 %, which was significantly higher than 62.30 % of the control group (P<0.05). After 8 weeks of treatment, the Self-Rating Anxiety Scale (SAS) scores, Self-Rating Depression Scale (SDS) scores, Connor-Davidson Resilience Scale (CD-RISC) scores and the Dermatology Life Quality Index (DLQI) scores of the two groups were decreased. And the SAS score, SDS score, DLQI score and the PSQI score of the intervention group were significantly lower than those of the control group (P<0.05). The Connor-Davidson Resilience Scale (CD-RISC) scores were increased in both groups after treatment. And compared with the control group, the score of CD-RISC in the intervention group were significantly increased after treatment (P<0.05). Conclusion: Psychosocial intervention combined with routine treatment has a good effect on chronic perianal eczema. Psychosocial intervention can effectively alleviate patients' negative emotions such as anxiety and depression, improve patient's psychological resilience, and promote the improvement of patients' quality of life. |
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