认知行为疗法在女性腺性膀胱炎经尿道电切术后治疗中的作用

Effect of Cognitive Behavior Therapy in Female Patients after Transurethral Electronresection of Cystitis Glandularis

目的探讨认知行为疗法在女性腺性膀胱炎患者经尿道电切术后治疗中对临床疗效、情绪状态和生活质量的影响。方法对21例经尿道电切术治疗后症状改善不佳女性腺性膀胱炎患者给予认知行为治疗。观察治疗前后患者的临床症状、焦虑自评量表(SAS)、抑郁自评量表(SDS)、及生活质量(生活质量指数问卷QL-Index)评分。结果 4周治疗后,患者的临床症状改善明显,总有效率76.2%。SAS评分、SDS评分与治疗前比较,均明显降低(分别为42.17±5.18 vs 53.26±7.09分,P<0.05;44.25±6.23 vs 58.69±9.17分,P<0.05)。治疗后生活质量总指数为8.11±1.47分,与治疗前6.37±1.33分比较,差异有统计学意义(P<0.05)。结论认知行为疗法能明显提高经尿道电切术后症状改善不佳女性腺性膀胱炎患者临床疗效、情绪状态和生活质量,可推广使用。

Objective To investigate the effect of cognitive behavior therapy on clinical symptom,the mental status and the quality of life of patients after transurethral electronresection of cystitis glandularis. Methods All 21 female patients after transurethral electronre- section of cystitis glandularis were treated with cognitive behavior therapy for 4 weeks. Clinical symptoms, the self - rating anxiety scale （SAS） ,the self- rating depressive scale（SDS） and the quality of life（ QL- Index） were evaluated before and after treatment. Results The clinical symptom of patients was improved significantly after treatment and the total effective rate was 76.2%. The scores of SAS and SDS significantly decreased after treatment （42.17 ＋ 5.18 scores vs 53.26 ＋ 7.09 scores,P 〈 0.05 ;44.25 ＋ 6.23 scores vs 58.69 ＋ 9.17 scores,P 〈 0.05 ）. The quality of life after treatment （8. 11 ＋ 1.47） was improved significantly compared with those before treatment （6.37 ＋ 1.33）. Conclusion Cognitive behavior therapy indeed can elevate the clinical symptom,the mental status and the quality of life of the female patients after transurethral electronresection of cystitis glandularis.