微信平台互动对炎症性肠病患者焦虑及抑郁情绪的改善效果

Effect of WeChat platform interaction on the improvement of anxiety and depression in patients with inflammatory bowel disease

目的探讨微信平台互动对炎症性肠病(IBD)患者焦虑及抑郁情绪状态的改善情况。方法采用前瞻性队列研究方法,纳入160例IBD患者,以1∶1比例按照入组顺序号分为干预组和对照组。两组分别经过微信平台互动和常规随访3个月后,填写医院焦虑抑郁量表(HADs),从而评价IBD患者随访前后的焦虑、抑郁状态。结果两组患者微信平台互动前的人口学资料及临床资料差异均无统计学意义(P均>0.05)。与对照组相比,经过微信平台互动后干预组的出现焦虑、抑郁状态的患者更少(焦虑状态:22.5%比41.3%;抑郁状态:15.0%比31.1%,P均<0.05),焦虑、抑郁评分更低(焦虑评分:4.71±3.31比6.20±4.94,P=0.027;抑郁评分:4.70±2.92比6.04±4.20,P=0.021),差异均有统计学意义。结论微信平台互动可降低患者焦虑及抑郁的发生,是一种值得推广的健康教育模式。

Objective To investigate the improvement of anxiety and depression in patients with inflammatory bowel disease(IBD)by the WeChat platform interaction.Methods A total of 160 IBD patients were included by prospective cohort study method and divided into the interaction group and the control group in a 1∶1 ratio according to the order of enrollment.After interaction on the WeChat platform and routine follow-up for 3 months,all the patients of two groups filled the hospital anxiety and depression scale(HADs)respectively for the evaluation of anxiety and depression status before and after the follow-up.Results There were no significant differences in demographic and clinical data between the two groups before WeChat platform interaction(all P>0.05).Compared with the control group,after interaction on WeChat platform,the interaction group had less patients with anxiety and depression(anxiety:22.5%vs.41.3%;depression:15.0%vs.31.1%,both P<0.05),lower anxiety and depression score(anxiety score:4.71±3.31vs.6.20±4.94,P=0.027;depression score:4.70±2.92 vs.6.04±4.20,P=0.021),differences were statistically significant.Conclusions WeChat platform interaction can reduce the occurrence of anxiety and depression in IBD patients.It is a health education model which is worth promoting.