心理干预对颜面重度痤疮患者焦虑抑郁情绪及生活质量的影响研究

Effects of Mental Intervention on Anxiety and Depression and Quality of Life in Patients with Facial Severe Acne

目的:研究心理干预在重度痤疮治疗中的应用效果。方法:采用分层整群抽样方法调查河北医科大学医学生,选取52例重度痤疮患者为研究对象,随机分为对照组和观察组,每组26例。两组患者均给予舒肝解郁胶囊、异维A酸软胶囊基础治疗,观察组在此基础上采用心理干预措施。连续治疗3个月,比较两组患者的临床疗效、皮肤病生活质量指数(Dermatology life quality index,DLQI)、抑郁自评量表(Self-rating depression scale,SDS)、焦虑自评量表(Self-rating anxiety scale,SAS)及医学应对问卷(Medical coping modes questionnaire,MCMQ)的评分结果。结果:河北医科大学医学生痤疮患病率为35.88%,男生患病率(42.96%)显著高于女生(31.27%),差异有统计学意义(P<0.05)。重度痤疮患者治疗3个月后,观察组DLQI、SAS、SDS及MCMQ屈服评分均显著低于对照组,差异有统计学意义(P<0.05);MCMQ面对评分显著高于对照组,差异有统计学意义(P<0.05)。结论:心理干预应用于重度痤疮治疗有助于减轻患者的自我感受负担体验,减轻患者焦虑、抑郁情绪,改善其生活质量,对病情恢复具有积极意义。

Objective To study the effect of mental intervention in the treatment of severe acne. Methods Stratified cluster sampling was used to investigate medical students in Hebei Medical University, and ffty一two cases with severe acne vulgaris were divided into control group and observation group randomly, 26 cases in each group. The patients in two groups were treated with Shugan Jieyu capsule and Isotretinoin soft capsule. And the patients in observation group were given with mental nursing. After 3 months, the clinical effcacy of the two groups was compared. And the scores of Dermatology life quality index （DLQI）, Self一rating depression scale （SDS）, Self一rating anxiety scale （SAS） and Medical coping modes questionnaire （MCMQ） were compared between the two groups. Results The morbidity rate on acne vulgaris of medical students in Hebei Medical University was 35.88%, and the rate for male was signifcantly higher than female, the difference was statistically signifcant （P〈0.05）. The observation group DLQI, SAS, SDS and MCMQ yield scores were signifcantly lower than the control group （P〈0.05）, however, the meet score for MCMQ of observation group were signifcantly higher than those of control group（P〈0.05）. Conclusion The application of mental intervention in the treatment of severe acne can help relieve the patient＇s self一perceived burden, relieve anxiety and depression, and improve the quality of life. It has positive signifcance for the recovery of the disease.