心理干预对强直性脊柱炎住院患者生理和心理的影响

Effect of psychological intervention on physiological and psychological indices of ankylosing spondylitis inpatients

目的探讨心理干预对强直性脊柱炎住院患者生理和心理状况的作用。方法采用病例对照研究方法,对82例强直性脊柱炎患者进行随机分组,其中心理干预组42例常规治疗合并心理干预,对照组40例行常规治疗。在治疗前和治疗4周末检测一般资料、生理指标、抑郁自评量表(SDS)和焦虑自评量表(SAS),并作干预前后比较分析。结果强直性脊柱炎患者治疗前后生理指标变化的差异均无统计学意义。SDS评分随治疗时间而下降,SDS总分心理干预组较无心理干预组下降明显。SAS评分随治疗时间下降,但治疗前后两组SAS评分差值无统计学意义。结论心理干预可以缓解强直性脊柱炎患者抑郁情绪。

Objective To explore the influence of psychological intervention on the physiologic indices and psychological state of ankylosing spondylitis（AS）inpatients. Methods Eighty-two AS patients were randomized into intervention group（n=42）and control group（n=42）.The patients received psychological intervention based on the conventional treatment in intervention group,while the patients in control group only received the conventional treatment.Before treatment and after treatment for 4 weeks,the general information,physiological indices and self-rating depression scale（SDS）and self-rating anxiety scale（SAS）were detected and compared. Results The physiological indices showed no significant difference before and after treatment in two groups.The SDS scores decreased gradually after treatment in two groups,while the descending of SDS score in intervention group was more than that in control group.The SAS scores in two groups decreased gradually after treatment,but there was no significant difference. Conclusion Psychological intervention could relieve the depression of AS patients.