摘要
目的探讨心理行为干预对老年反流性食管炎患者心理状态和疗效的影响。方法对符合诊断标准的66例患者随机为分两组,对照组(n=31)给予常规药物治疗;试验组(n=35)在常规药物治疗的基础上给予心理行为干预,每周2次,6周为1疗程。于入组时、6周末采用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行心理状态评定及临床疗效评定。结果6周末试验组SAS和SDS评分比入组时均显著降低(P〈0.01),试验组与对照组比较差异均有统计学意义(SAS:P〈0.01;SDS:P〈0.01);试验组治疗总有效率91.43%,对照组为70.97%,两组差异有统计学意义(P〈0.05)。结论心理行为干预有助于改善老年反流性食管炎患者的心理状态,减轻临床症状,提高疗效。
Objective To investigate the effect of the sychological behavior intervention on the mental status and the therapeutic effect of senile patient with reflux esophagitis. Methods 66 patients consistent with diagnostic criteria were randomly divided into study group(n = 35) and control group( n = 31 ). The two groups bad the same clinical routine treatments for 16 weeks, and psychological behavior intervention was added to the study group twice a week. Take 6 weeks as a courese of treatment. The sedation -agitation scale(SAD) and self- rating depression scale(SDS) questionnaires were analyzed, and the curative effect between the two groups was compared before and after 16 wddks of treatment respectively. Results The SAS and SDS scores of the study group was predominantly depressed than before ( P 〈 0, 01 ), There was significant difference between the two groups ( SAS : P 〈 0. 01 ;SDS: P 〈0. 002), The total effective rate of the study group was 91.43% ,while that of the control group was 70. 9%, this difference had statistical significance (P 〈 0.05 ). Conclusion Psychological behavior intervention plays an important role in improving the mental status, mitigating clinical symptom and elevating therapeutic effect of senile patient with reflux esophagitis,
出处
《中国实用医刊》
2008年第14期25-26,共2页
Chinese Journal of Practical Medicine
关键词
反流性食管炎
心理行为干预
老年患者
Reflux esophagtitis
Psychological behavior intervention
Senile patient