使用激素治疗的亚急性肉芽肿性甲状腺炎患者心理状态分析及干预

Intervention and Analysis of the Mental Situations during the Hormonotherapy to the Patients with Subacute Granulomatous Thyroiditis

目的:探讨亚急性肉芽肿性甲状腺炎患者使用激素治疗过程中存在的心理问题,以及心理干预对治疗期患者生活质量的影响。方法:60例使用激素治疗亚甲炎患者随机分为对照组和干预组,干预组采取常规治疗外,加以心理治疗,通过患者自己定期来院随访和电话联系结合的方法进行专门的心理调适和指导。在治疗前两组均进行评价分析。结果:心理治疗前患者焦虑、偏执、恐怖、强迫、抑郁5因子评分均较常模高(P<0.05),心理治疗后干预组较对照组5因子评分明显低,两组比较差异有统计学意义(P<0.05)。结论:心理治疗对患者的心理状态产生积极作用,提高生活质量。

Objective：To discuss the mental problems during the hormonotherapy to the patients with subacute granulomatous thyroiditis,and the influence to the living quality of patient during the treatment of psychological intervention.Method：64 patients with subacute thyroiditis treated by hormone were randomly divided into comparison group and intervention group.Besides the ordinary treatment,psychotherapy was used in the intervention group.Psychological adjustment and direction were also used via regular visit of the patients to the hospital and phone contact.Two groups of patients were all evaluated and analyzed before psychotherapy treatment.Result：Anxiety,paranoia,fear,enforcement and depress of the patients were all higher than the normal samples before psychotherapy intervention.Five of factors intervention group were decreased significantly than those in the comparison group after psychotherapy treatment,the difference between two groups had statistical significance（P〈0.05）.Conclusion：Psychotherapy has positive influence on patients＇ mental status and raise living quality.