阶梯式放松训练法对干预功能性消化不良患者精神状态的疗效评价

Evaluation on the efficacy of step type relaxation training method in intervening mental state for patients suffering functional dyspepsia

目的观察患者采用不同干预条件（单纯服用胃动力药物、服用胃动力药物加阶梯式放松训练）对改善患者的精神状态的疗效。方法将功能性消化不良患者38例随机分为两组：对照组19例给予雷贝拉唑20 mg qd,多潘立酮10 mg tid,用药均在餐前15-30 min,采用通常护理方法,4周后观察疗效;观察组19例给予雷贝拉唑20 mg qd,多潘立酮10 mg tid,用药均在餐前15-30 min,配合放松训练的护理方法,4周后观察疗效,运用焦虑自评量表（SAS）及抑郁自评量表（SDS）进行系统评分。结果两组干预前后焦虑自评量表（SAS）评分差异均有统计学意义（P〈0.05）;抑郁自评量表（SDS）评分差异无统计学意义（P〉0.05）。结论相比单纯药物治疗,采用配合阶梯式放松训练的方法,对于改善患者的精神状态及缓解症状有更好的疗效。其中,对于患者焦虑状态的改善更为突出。

Objective To observe the curative effect of different intervention conditions （ taking gastric motility drugs only, taking gastric motility drugs and step type relaxation） in improving the mental state of patients.Methods 38 cases of patients with functional dyspepsia were randomly divided into two groups ： control group （ 19 cases） were given rabeprazole 20mg QD and domperidone 10 mg rid, 15-30 minutes before meals, with common nursing care. Experimental group （ 19 cases） was given rabeprazole 20mg QD, multi domperidone 10 mg tid 15-30 minutes before meals, with relaxation training nursing method. Observed the curative effect 4 weeks later for both groups. Using Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale （SDS） to scoring systematically.Results There were statistically significant differences in anxiety self rating scale （SAS） scores between the 2 groups before and after intervention （P〈0.05）. There was no significant difference in self rating Depression Scale （SDS） score （P〉0.05）. Conclusions Compared with the simple drug treatment, the use of the step type relaxation training method have better curative effect in improving the mental state of patients and relieve symptoms. Among them, the improvement of anxiety status is more prominent.