心理干预对耳鸣伴抑郁焦虑患者治疗依从性和生活质量的影响

THE EFFECT OF MENTAL INTERVENTION ON THE TREATMENT COMPLIANCE AND THE QUALITY OF TINNITUS PATIENTS WITH ANXIETY AND DEPRESSION

目的探讨心理干预对耳鸣伴抑郁焦虑患者治疗依从性和生活质量的影响。方法将120名耳鸣伴抑郁焦虑的患者随机分为对照组和观察组,各60例。两组患者均行常规药物治疗和常规护理,观察组在此基础上行心理干预。治疗前、后分别对其抑郁、焦虑及生活质量等进行评定。结果与治疗前比较,两组患者的抑郁、焦虑程度均降低,但是观察组降低程度高于对照组(P<0.01);两组患者的治疗依从性及生活质量均提高,但观察组提高程度均高于对照组(P<0.01)。结论心理干预对耳鸣伴抑郁焦虑患者治疗依从性和生活质量的提高可以起到积极的作用。

Objective To explore the effect of mental intervention on the treatment compliance and the quality of tinnitus patients with anxiety and depression. Methods 120 tinnitus patients with anxiety and depression were ran- domly divided into the control group and the observation group, with 60 cases in each. Both groups underwent rou- tine drug therapy and nursing care, but the observation group received mental intervention in addition. The level of depression, anxiety and the quality of life were evaluated before and after the treatments. Results After the treat- ment, the levels of depression and anxiety in both groups were reduced, but reduced more significantly in the ob- servation group （ P 〈0.01 ）. The treatment compliance and the quality of life were improved in both groups, but improved more significantly in the observation group （ P 〈0.01 ）. Conclusion Mental intervention can play a pos- itive role in improving the treatment compliance and life quality of tinnitus patients with anxiety and depression.