放松训练与社会支持对颈椎病患者负性情绪的影响

Influence of Relax Exercise and Social Supportive Interventions on the Negative Emotion of Patients with Cervical Spine Diseases

目的探讨放松训练与社会支持对颈椎病患者负性情绪的影响。方法颈椎病患者80例,随机分为实验组(A组)及对照组(B组),每组40例。每组均按常规非手术治疗,两组均常规心理护理,A组同时辅以放松训练与社会支持护理,共2周。两组在护理前后各自用抑郁自评量表(SDS)、焦虑自评量表(SCL-90)对患者进行评定,并比较两组临床疗效。结果A组第3周SDS评分为(39.68±8.75)、SAS评分为(40.52±5.71),均显著低于B组,差异有显著性(t=3.71,5.86;P均<0.01;A组SCL-90的阳性项目数、躯体化和敌对性评分低于B组,两组差异有显著性(t=3.68,8.32,P均<0.01);A组住院天数[(26±6)d]短于B组,差异有显著性;临床疗效大体评定A组也优于B组。结论放松训练与社会支持护理干预能显著降低颈椎病患者抑郁、焦虑情绪的严重程度,并可提高临床疗效。

Objective To investigate the interventional effects of comprehensive psychotherapy on depression and anxiety of patients with cervical spine diseases. Methods Eighty patients with cervical spine diseases were randomly divided into relax exercise plus social supportive intervention group （ n = 40） and control group （ n = 40）. All the patients were treated with regular therapy. And the patients in the psychological intervention group also received relax exercise and social supportive interventions for 2 weeks. All patients in the two groups were assessed with self-rating depression scale （SDS）, self-rating anxiety scale （SAS） and symptom checklist-90 （SCL-90） before and after intervention respectively. Clinical outcomes were compared between the two groups. Results At the 3rd week, the scores of SDS and SAS in the psychological intervention group （39.68 ± 8.75, 40.52 ± 5.71 ） were significantly lower than those in the control group （ t = 3.71 and 5.86 ; P 〈 0.01 ）. The number of positive items, somatization and hostility scores in SCL-90 were significantly lower in the psychological intervention group than those in the control group （ t = 3.68 and 8.32, P 〈 0.01 ）. The length of hospital stay in the psychological intervention group [ （26 ± 6） days] was significantly shorter than that in the control group（ x^2 = 6.77, P 〈 0.05）. The general evaluation of clinical efficacy was also better in the psychological intervention group than in the control group. Conclusion Relax exercise and social supportive interventions could help decreasing the level of depression and anxiety and improving clinical efficacy for patients with cervical spine diseases.