系统性心理行为干预对银屑病患者的影响

Effects of integrative psychological and behaviorIntervention on the patients with psoriasis

目的:探讨系统性心理行为干预对银屑病患者的影响。方法:将92例寻常型银屑病患者随机分为研究组(47例)和对照组(45例)。对照组给予常规药物治疗和银屑病常规护理,研究组在此基础上进行系统性心理行为干预。两组患者分别于干预前、干预后6个月进行焦虑自评量表、抑郁自评量表、皮肤病生活质量指数、总体幸福感量表测评,分析比较两组疗效及半年内复发率。结果:干预后两组焦虑、抑郁、生活质量指数、总体幸福感比较,差异有显著意义(P<0.05,P<0.01),干预后两组疗效及6个月后复发率比较,差异有显著意义(P<0.05)。结论:系统性心理行为干预能显著改善银屑病患者的抑郁、焦虑情绪,有利于皮损症状的改善,提高生活质量,减少复发率。

Objective：To evaluate the effects of integrative psychological and behavior intervention on the patients with psoriasis.Methods：ninety-two patients with psoriasis were randomly divided into two groups.Study group（47-integrative psychological and behavior intervention group and control group（45）-conventional care group.Self-rating anxiety scale and self-rating depression scale,dermatology life qua lity index scale,general well-being schedule were assessed at baseline after six months of intervention.The efficacy and incidence of recurrence were analyzed in half a year were analyzed and compared between two groups.Results：After intervention for study group,there were significant difference in SAS,SDA,DLQI and GWB（P〈0.05,P〈0.01）.After intervention,there were significant differences in efficacy and incidence of recurrence in six months between two groups（both P〈0.05）.Conclusion：Integrative psychological and behavior intervention can obviously improve depression anxiety symptoms,dermatology and living quality;reduce the incidence of recurrence of the patients.