心理疏导对强直性脊柱炎患者负性情绪影响.docVIP

心理疏导对强直性脊柱炎患者负性情绪的影响 屈明芬 王珍 程玲 任建兰 摘 要 目的：探讨心理疏导对强直性脊柱炎患者负性情绪的影响。方法：采用Zung焦虑自评量表（SAS）和抑郁自评量表（SDS）对100例强直性脊柱炎患者分别进行问卷调查，其得分与我国常模比较；并根据调查存在的心理问题，实施为期4周的心理疏导后，再次测评SAS及SDS，比较心理疏导前后的差异。结果：强直性脊柱炎患者SAS和SDS得分显著高于我国常模值（t= 12.69，p0.01; t=15.04，p0.01）p0.01；t=9.32，p0.01），其焦虑和抑郁的发生率亦显著下降（x2=4.253，p=0.0390.05； x2=4.119，p=0.0420.05）。结论：强直性脊柱炎患者多具有焦虑和抑郁倾向；心理疏导可明显缓解强直性脊柱炎患者的负性情绪。 关 键 词：心理疏导；强直性脊柱炎；情绪 Effect of Psychological Counseling on Negative Emotion of Patients with Ankylosing Spondylitis ABSTRACT Objective To investigate the effect of psychological counseling on the negative emotion of the patients with ankylosing spondylitis. Method 100 patients were measured by Zung self-rating anxiety scale (SAS) and self-rating depression scale (SDS)，and comparedthe Chinese Routine Model(CRM).Based on the existing psychological problem, gave them four weeks of psychological counseling, and then evaluated them with SAS and SDS, compared with the scores before and after the intervention. Results The scores of SAS and SDS in patients with lupus nephritis were significantly higher than that in CRM（t= 12.69，p0.01; t=15.04，p0.01）;After four weeks of psychological ,the scores of SAS and SDS decreased significantly （t= 8.66，p0.01；t=9.32，p0.01）;and the ratio with anxiety and depression also declined significantly（x2=4.253，p=0.0390.05；x2=4.119，p=0.0420.05）.Conclusion The patients with ankylosing spondylitis were anxiety and depressive. The state of anxiety and depression were greatly improved after psychological counseling. KEY WORDS: Psychological Counseling; Ankylosing spondylitis; Emotion 强直性脊柱炎（ankylosing spondylitis,AS）2008年7月1日~2011年6月30日100例强直性脊柱炎患者的焦虑及抑郁症状进行了问卷调查，并根据调查存在的心理问题，实施为期4周的心理疏导，旨在了解强直性脊柱炎患者的心理状况，针对性的做好患者的心理护理，对其疾病的恢复及提高生活质量有着非常重要的作用和意义。 1 研究对象与方法 1.1 研究对象 本研究用随机抽样的方法选取2008年7月1日~2011年6月30日在滨州医学院附属医院疼痛、康复医学科强直性脊柱炎住院患者100例，选择标准：符合1984年美国风湿病协会修订的纽约诊断标准；不伴有高血压、糖尿病、脑血管病等其他慢性疾病；既往无精神、心理疾病病史；具有阅读及应答能力，能独立填表且合作的患者。本研究发出问卷100份，回收100份，回收率100％。其中男性78例，女性22例；年龄14~53岁，平均年龄（31.8±6.4