腹式呼吸训练联合渐进性心理放松干预对功能性消化不良患者生活质量的影响

Effects of abdominal breathing training combined with progressive psychological relaxation on the quality of life of patients with functional dyspepsia

目的 分析腹式呼吸训练联合渐进性心理放松干预对功能性消化不良患者生活质量的影响.方法 选取2015年6月~2017年7月该院收治的FD患者90例,按入院顺序编号后采用随机数字表法将其分为观察组和对照组,各45例,对照组给予常规治疗及护理,观察组在此基础上给予腹式呼吸训练联合渐进性心理放松训练,均干预1个月,比较两组干预前后FD症状积分、水负荷试验、胃运动功能检测结果及心理状态[ Zung氏焦虑自评量表( SAS) 、Zung氏抑郁自评量表( SDS) ] 、睡眠质量[匹兹堡睡眠质量指数评定量表( PSQI) ] 、生活质量[功能性消化不良生存质量量表( FDQOL) ] .结果 观察组干预后上腹疼痛、上腹部胀气、上腹灼烧感发生率均低于对照组,差异有统计学意义(均P<0. 05);干预后观察组水负荷试验中初始感觉量、最大耐受量均大于对照组,而胃排空时间短于对照组,差异均有统计学意义(均P<0. 05);干预后观察组SAS、SDS、PSQI评分均低于对照组,差异有统计学意义(均P<0. 05);干预后1个月、2个月,两组FDQOL评分均升高,且观察组升高幅度均大于对照组,差异有统计学意义(均P<0. 05) .结论 腹式呼吸训练结合渐进性心理放松干预可明显改善FD患者症状、心理状态、胃肠功能及生活质量,提高睡眠质量,值得在临床推广应用.

Objective To analyze the effect of abdominal breathing training combined with progressive psychological relaxation on the quality of life of patients with functional dyspepsia (FD). Methods A total of 90 cases of FD patients admitted to the hospital from June 2015 to July 2017 were selected and numbered according to the order of admission. The patients were divided into observation group and control group by random number table method, 45 cases of each group. The control group was given routine treatment and nursing, and the observation group was given abdominal breathing training combined with progressive psychological relaxation training on this basis. Both groups were intervened for 1 month. FD symptoms integral, water load test, the testing results of gastric motor function and psychological state of self-evaluation of [ Zung's Anxiety Scale ( SAS), Zung's Depression Self Rating Scale ( SDS)], Sleep Quality [the Scale for Assessment of Pittsburgh Sleep Quality Index ( PSQI)], the quality of life [ Functional Dyspepsia Life Quality Scale (FDQOL)] of the two groups were compared hefor and after intervention. Results The incidence of epigastric pain, epigastric flatulence and epigastric burning sensation in the obsenration group was lower than that in the control group after intervention, and the difference was statistically significant ( P< 0.05). After the intervention, the initial sensation and maximum tolerance in the water load test in the observation group were greater than those in the control group, while the gastric emptying time was shorter than that in the control group, and the differences were statistically significant ( P< 0.05 ). After intervention, SAS, SDS and PSQI scores of the observation group were all lower than those of the control group, with statistically significant differences (P< 0.05). At 1 and 2 months after the intervention, the FDQOL scores of the two groups were increased, and the increase of the observation group was greater than that of the control group, the difference was statistically significant ( P<0.05 ). Conclusions Abdominal breathing training combined with progressive psychological relaxation intervention can significantly improve the symptoms, psychological state, gastrointestinal function and quality of life of FD patients, and improve the quality of sleep, which is worthy of clinical promotion and application.