综合心理干预对甲状腺功能减退症患者负性情绪的影响

Effect of Comprehensive Psychological Intervention on Negative Emotion of Patients with Hypothy- roidism

【目的】探讨综合心理干预对甲状腺功能减退症患者负性情绪的影响。【方法】62例甲状腺功能减退症患者按时间段分为干预组和常规组，各31例。在相同治疗条件下，常规组采取常规护理，干预组在常规护理的基础上，进行综合心理干预。采用焦虑自评量表（SAS）、抑郁自评量表（SDS）和90项症状自评量表（SCL-90）分别于入院时和入院3个星期后对两组患者进行评分。【结果】两组患者入院时SDS、SAS、SCL-90量表评分比较无显著性差异（P〉0．05）；3个星期后，与常规治疗组比较，干预组SDS、SAS评分显著降低（P〈0．05），SCL-90量表中各项分值均显著降低（P〈0．05）。常规组三项评分治疗前后无显著性差异（P〉0．05）。【结论】综合心理干预能改善甲状腺功能减退症患者的负性情绪，提高其生活质量。

[Objective]To explore the impact of comprehensive psychological intervention on negative emotion of patients with hypothyroidism. [Methods]According to the time period, 62 patients with hypothyroidism were divided into intervention group（n= 31） and control group （n = 31）. In the same treatment conditions, the control group received the routine nursing care, while the intervention group received comprehensive psychological inter- vention based on the routine nursing. Self-rating anxiety scale（SAS）, self-rating depression scale（SDS） and 90-item symptom checklist（SCL-90） of patients in two groups were scored respectively at admission and 3 weeks after admission. [Results] There was no significant difference in SDS, SAS and SCL-90 scores at admission between two groups（ P ~0.05）. Compared the control group, SDS and SAS scores in intervention group after 3 weeks de- creased significantly（ P 〈0.05 ）, and each item score of SCL-90 scale significantly decreased（ P 〈0.05）. There was no significant difference in above three scores in control group between before and after treatment（ P 〉0.05）. [Conclusion] Comprehensive psychological intervention can improve the negative emotion of patients with hypothy- roidism and increase the quality of life.