认知行为干预对肠易激综合征病人负性情绪及生活质量的远期影响

The long-term influence of cognitive behavioral intervention on negative emotion and quality of life of patients with irritable bowel syndrome

[目的]探讨认知行为干预模式在肠易激综合征病人中的应用效果。[方法]运用便利抽样方法选取64例肠易激综合征病人,按照随机数字法将病人分为对照组和干预组,对照组给予常规健康教育,干预组在常规健康教育基础上给予认知行为干预,于干预前及干预后1个月、3个月、6个月、9个月应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、肠易激综合征症状严重程度量表(IBSSSS)对两组病人进行评价。[结果]干预后两组病人SAS评分比较差异有统计学意义(P<0.05),干预组评分低于对照组;两组干预后6个月、9个月SDS评分比较差异有统计学意义(P<0.05)。干预后两组IBS-SSS量表中排便满意度评分比较差异无统计学意义(P>0.05),干预6个月、9个月其他维度评分两组比较差异均有统计学意义(P<0.05),干预组均低于对照组。[结论]认知行为干预有助于减轻肠易激综合征病人的负性情绪,帮助其重建生活信心,改善临床症状,提高生活质量。

Objective To probe into the application effects of cognitive behavioral intervention mode in patients with irritable bowel syndrome. Methods： A total of 64 patients with irritable bowel syndrome were selected by applying the convenience sampling method. All patients were divided into the control group and the intervention group according to the random number. Patients of control group were given routine health education. Patients of intervention group received cognitive behavior intervention based on the routine health education. Before and after the intervention ,1 month ,3 months ,6 months and 9 months, the self rating anxiety scale（SAS）, self rating depression scale（SDS） and irritable bowel syndrome symptom severity scale（IBS - SSS） were used to evaluate the two groups of patients. Results： After 1 month and 3 months intervention,the SAS and SDS scores of the in-tervention group patients were lower than that of the control group cases. There were statistical significant differences between the two groups. The scores of each dimension and total score in intervention group patients were better than that in control group. Conclusion ： Cognitive behavioral intervention can help to reduce the nega-tive emotions of patients with irritable bowel syndrome, and to help them rebuild their life confidence, improve clinical symptoms and improve the quality of life of them.