心理行为干预对老年功能性便秘患者心理状况及生活质量的影响

Effect of Psychological Behavior Intervention on the Psychological Status and the Quality of Life in Elderly Patients with Functional Constipation

目的探讨心理行为干预对老年功能性便秘患者的生活质量及社会心理状况的影响。方法符合罗马Ⅲ诊断标准的86例患者随机分为两组,对照组给予常规治疗,试验组在常规治疗的基础上给予心理行为干预。应用健康自评量表(SCL-90)、汉化版简明健康调查量表(SF-36)评估两组患者的心理状况和生活质量,给予综合心理行为干预,比较试验组干预前后及干预后试验组与对照组的各评分值。结果心理行为干预后,试验组患者SCL-90评分的总分及除恐怖、偏执、精神病性外的其他6六因子分均显著低于干预前(P<0.05或0.01)。生活质量八个维度中,总体健康、情感职能、社会功能、活力及精神健康均显著干预前(P<0.01);心理行为干预后,试验组SCL-90评分的总分,躯体化、抑郁、焦虑、恐怖、精神病性显著低于对照组(P<0.05或0.01);生活质量八个维度中,总体健康、社会功能、活力及精神健康显著高于对照组(P<0.05)。结论心理行为干预有助于改善老年功能性便秘患者的心理状态,提高患者的生活质量。

Objective To investigate the effect of psychological behavior intervention on the psychological status and the quality of life in elder patients with functional constipation （FC）. Methods 86 elderly patients which were diagnosed with FC according to the Rome IU criteria were randomly and equally divided into two groups： the study group and the control group. The two groups had the same clinical routine treatments, and psychological behavior intervention was added to the study group. The psychological status and the quality of life were evaluated by the self-report symptom inventory, symptom checHist （SCL-90） and a Chinese version of the MOS 36-item short-form health survey （SF-36） . The scores of SCL-90 and SF-36 were analyzed before and after intervention in study group. We also analyzed the scores between control and study group after psychological behavior intervention. Results After psychological behavior intervention, 1） the scores of 9 factors of SCL-90 were markedly decreased except horror, paranoia, and psychoticism than before intervention （P 〈0.05 or 0.01 ）. 2） the scores of GH, RE,SF,VT, MH were increased significantly than before intervention（P〈0.01） 2. After psychological behavior intervention, as compared to the control group, the scores of somatic disorder , anxiety, depression, horror, and psychoticism of SCL-90 were lower （P 〈0.05 or 0.01）and the scores ofGH, SF,VT, MH of SF-36 were higher（P〈0.01）. Conclusion Psychological behavior intervention plays an important role in the treatment of elderly patients with FC to improve their psychological status and quality of life.