强化心理干预在中药治疗反复流产患者中应用效果分析

Application Effect of Intensified Mental Intervention in the TCM Treatment of Patients with Recurrent Abortion

目的探讨和分析在反复流产患者的中药治疗中强化心理干预的效果。方法该次抽取2015年10月—2018年1月在该院经中药治疗的反复流产患者(90例)当做分析的对象,遵入院顺序分乙组和甲组,每组45例。该次研究患者均常规护理,研究甲组加用强化心理干预,对患者生活质量、SDS评分、HAMA评分、依从性进行总结。结果乙组生理职能评分(60.25±4.62)分、情感功能评分(61.25±3.81)分、心理卫生评分(63.58±6.14)分、生理功能评分(60.15±3.48)分、生活活力评分(61.37±4.66)分、躯体疼痛评分(62.46±4.71)分、社会功能评分(60.18±5.82)分、总体健康评分(62.15±4.12)分小于甲组[(78.12±5.15)分、(77.45±4.63)分、(80.14±5.11)分、(74.15±4.52)分、(75.15±5.16)分、(74.15±4.95)分、(71.12±5.91)分、(73.15±5.41)分],差异有统计学意义(t=17.327、18.124、13.906、16.463、13.295、11.477、8.848、10.851,P=0.000)。乙组SDS评分(47.15±4.12)分大于甲组(38.14±3.12)分,差异有统计学意义(t=11.695,P=0.000)。乙组HAMA评分(17.51±2.68)分大于甲组(12.11±2.02)分,差异有统计学意义(t=10.794,P=0.000)。乙组总依从性(77.78%)小于甲组(93.33%),差异有统计学意义(χ~2=4.406,P=0.036)。结论在反复流产患者的中药治疗中,强化心理干预能提高其生活质量,改善抑郁和焦虑,并提高依从性。

Objective To study and analyze the application effect of intensified mental intervention in the TCM treatment of patients with recurrent abortion. Methods 90 cases of patients with recurrent abortion admitted and treated in our hospital from October 2015 to January 2018 were selected and divided into two groups with 45 cases in each according to the admission order, and all patients used the routine nursing, and the group A group used the intensified mental intervention, and the quality of life, SDS score, HAMA score and compliance were summarized. Results The physical function score, emotional function score, mental health score, physical functional score, life ability score, somatic pains score, social function score, and total health score in the group B were lower than those in the group A,[（60.25 ±4.62）points,（61.25 ±3.81）points,（63.58 ±6.14）points,（60.15 ±3.48）points,（61.37 ±4.66）points,（62.46 ±4.71）points,（60.18±5.82）points,（62.15±4.12）points vs（78.12±5.15）points,（77.45±4.63）points,（80.14±5.11）points,（74.15±4.52）points,（75.15±5.16）points,（74.15±4.95）points,（71.12±5.91）points,（73.15±5.41）points], and the differences were statistically significant（t=17.327, 18.124, 13.906, 16.463, 13.295, 11.477, 8.848, 10.851, P=0.000）, and the SDS score in the group B was higher than that in the group A, [（47.15±4.12）points vs（38.14±3.12）points ], and the differences were statistically significant（ t=11.695, P=0.000）, and the HAMA score in the group B was higher than that in the group A, [（17.51±2.68）points vs（12.11±2.02）points],the difference was statistical significance（t=10.794, P=0.000）, and the total compliance in the group B was lower than that in the group A,（77.78% vs 93.33%）, the difference was statistical significance（χ~2=4.406, P =0.036）. Conclusion The intensified mental intervention in the TCM treatment of patients with recurrent abortion can improve the quality of life and improve the depression and anxiety,and improve the compliance.