情志护理联合生物反馈治疗功能型便秘的临床观察

Effectiveness of emotion regulation intervention with biofeedback therapy in patients with functional constipation

目的运用情志护理配合生物反馈治疗功能型便秘,为相关病症的诊治提供参考和借鉴。方法将80例来自成都肛肠专科医院功能型便秘需保守治疗的住院病例随机分为情志护理配合生物反馈干预组(以下称观察组)和单纯应用生物反馈组(以下称对照组),两组各39例。进行前瞻性的临床观察,记录两组病例治疗前、治疗后1个月、3个月相关的评价指标。结果观察组病例便秘疗效评估、治疗后汉密尔顿抑郁量表总分、治疗后汉密尔顿焦虑量表总分、治疗后恢复工作时间、便秘疗效评分、抑郁症状改善、焦虑症状改善等方面较对照组有显著性差异(P<0.05),两组在术后并发症、安全性评价、便秘症状改善等方面差异无统计学意义(P>0.05)。结论情志护理配合生物反馈治疗功能型便秘,相较于单纯的生物反馈治疗,具有疗效确切、安全、经济等优势,具有较好的临床使用价值及较高的推广价值。

Objective Thie randomized single blind,controlledtrial aimedinvestigate the effectiveness of emotion regulation interventionwith biofeedback therapy forpatients with functional constipation.Methods Eighty patients with functional constipation who requiredbiofeedback therapy at Chengdu Anorectal Specialist Hospital were randomly assigned tobiofeedback therapywith emotion regulation intervention group(treatment group,n =40) and simple biofeedback treatment group(control group,n =40).Prospective evaluation were performed before treatment,after 1 month,and 3 months.Outcome Significant between-group differences were found in post-treatment constipation efficacy score,t Hamilton Depression Rating Scale,Hamilton Anxiety Scale(P <0.05).There was no significant between-group difference in post-treatment complications,safety evaluation,constipation symptoms(P >0.05).Conclusion Compared with simplebiofeedback thearpy,biofeedback therapy combined emotion regulation intervention has curative effect,better safety profile,economicand other advantages in the treatment of functionalconstipation.