多形式的心理干预对门诊患者心理压力、情绪状态及就诊过程的影响

Influence of various forms of psychological intervention on psychological stress, mental state and treatment process of outpatients

目的探讨多形式心理干预对门诊就诊患者心理压力、情绪状态及就诊过程的影响。方法将2010年2月至2011年7月的198例门诊患者随机分成观察组和对照组各99例。对照组给予常规的治疗和护理，观察组在常规治疗和护理的基础上实施多形式心理干预。2组均分别于就诊前后采用Zung焦虑自评量表（SAS）和汉密尔顿焦虑量表（HAMA）~量患者心理压力和焦虑情绪程度，另将2组各种病症诊治前后的治疗总有效率作比较。结果2组患者在多形式心理干预前SAS评分和HAMA评分方面比较差异无统计学意义，干预后对照组患者的SAS评分和HAMA评分显著高于同期观察组；观察组在治疗1个疗程后的总有效率为90．6％，对照组的总有效率为78．8％，观察组总有效率显著高于对照组。结论多形式心理干预可以减轻门诊患者的心理压力，缓解患者的情绪状态，提高患者的同期治疗疗效。

Objective To explore the effect of various forms of psychological intervention on psy- chological stress, mental state and treatment process of out- patients. Methods 198 outpatients from February 2010 to July 2011 were randomly divided into the observation group and the control group with 99 cases in each group. The control group received conventional treatment and care. The observation group was given multiple forms of psychological intervention on the basis of conventional treatment and care. Both groups were taken with Zung Anxiety Rating Scale （SAS）and the Hamilton Anxiety Scale（HAMA）to mea- sure the psychological stress and the degree of anxiety before and after treatment. The total efficiencies of vari- ous disorders for the two groups before and after the diagnosis and treatment were compared. Results There were no significant differences in SAS score and HAMA scores before psychological intervention. After the intervention, the SAS score and HAMA score in the control group were significantly higher than the obser- vation group. The total effective rate after a course of treatment in the observation group was 90.6%. The to- tal efficiency in the control group was 78.8%, which was significantly lower than that of the observation group. Conclusions The multiple forms of psychological intervention can reduce the mental stress, ease the patients＇ emotional state and improve the patients＇ therapy effect at the same period for out-patients.