催眠疗法对女大学生原发性痛经症状改善效果分析

Analysis of hypnotherapy on improving the symptoms of primary dysmenorrhea in female college students

目的 探索催眠疗法对原发性痛经女大学生痛经症状的改善效果,为原发性痛经女大学生群体的干预与治疗提供参考依据。方法 于2021年9—12月,选取钦州市第一人民医院诊断为原发性痛经的90名女大学生,随机分成催眠暗示组(30名)、催眠放松组(30名)和对照组(30名),催眠暗示组按照干预方案进行10次有针对性的干预,催眠放松组开展10次催眠放松干预,对照组保持常态。采用视觉模拟评分(VAS)、Beck抑郁量表(BDI-Ⅱ)、状态焦虑量表(SAI)、大学生生命质量评价简明量表(QOLCS)、COX痛经症状量表(CMSS)对3组成员进行前、后测评分。结果 干预后催眠暗示组和催眠放松组的VAS、BDI-Ⅱ、SAI评分较干预前降低(t值分别为7.04,13.32,3.58,2.15,2.52,2.01,P值均<0.05),3组VAS、BDI-Ⅱ、SAI评分差异均有统计学意义(F值分别为24.71,29.57,6.60,P值均<0.01);干预后催眠暗示组和催眠放松组QOLCS总分、生理、心理、行为维度评分提升(t值分别为-4.61,-3.36,-3.12,-2.81,-2.71,-2.19,-2.69,-2.28,P值均<0.05),3组QOLCS总分、生理、心理、行为、环境、社会支持维度评分差异均有统计学意义(F值分别为10.36,4.14,5.14,4.81,7.07,5.53,P值均<0.05);干预后催眠暗示组和催眠放松组CMSS严重程度和CMSS持续时间评分较干预前下降(t值分别为5.66,4.70,3.09,2.21,P值均<0.05),3组CMSS严重程度和CMSS持续时间评分差异均有统计学意义(F值分别为15.33,12.33,P值均<0.05)。结论 催眠疗法有助于减轻原发性痛经女大学生的疼痛,改善抑郁与焦虑情绪。

Objective To explore the improvement effect of hypnotherapy on dysmenorrhea symptoms of female college students with primary dysmenorrhea, in order to provide reference for the intervention and treatment of female college students with primary dysmenorrhea. Methods From Septerber to December 2021, 90 female college students diagnosed with primary dysmenorrhea in Qinzhou First People’s Hospital were randomly divided into hypnotic suggestion group(n=30), hypnotic relaxation group(n=30) and control group(n=30). The 10-session hypnotic suggestion and 10-session hypnotic relaxation interventions were carried out while the control group received no intervention. Participants in the three groups were assessed by using the Visual Analogue Scale(VAS), Beck Depression Inventory-Ⅱ(BDI-Ⅱ), State Anxiety Inventory(SAI), Questionnaire of Quality of Life of College Students(QOLCS), Cox Dysmenorrhea Symptom Scale(CMSS) before and after intervention. Results After intervention, the VAS, BDI-Ⅱ and SAI scores of the hypnotic suggestion group and the hypnotic relaxation group significantly decreased compared to those before the intervention(t=7.04, 13.32, 3.58, 2.15, 2.52, 2.01, P<0.05). There were statistically significant differences in VAS, BDI-Ⅱ and SAI scores among the three groups(F=24.71, 29.57, 6.60, P<0.01). After intervention, the QOLCS total score, physical, psychological and behavioral dimension scores in the hypnotic suggestion group and the hypnotic relaxation group significantly improved(t=-4.61,-3.36,-3.12,-2.81,-2.71,-2.19,-2.69,-2.28, P<0.05). There were statistically significant differences in QOLCS total score, physical, psychological, behavioral, environmental, and social support dimension scores among the three groups(F=10.36, 4.14, 5.14,4.81, 7.07, 5.53, P<0.05). After the intervention, the CMSS dysmenorrhea severity and dysmenorrhea duration scores in the hypnotic suggestion group and the hypnotic relaxation group were significantly lower than those before the intervention(t=5.66, 4.70, 3.09, 2.21, P<0.05). There were significant differences in CMSS dysmenorrhea severity and dysmenorrhea duration scores among the three groups(F=15.33, 12.33, P<0.05). Conclusion Hypnotherapy can help relieve pain of female college students with primary dysmenorrhea, improve depression and anxiety.