心理疏導对强直性脊柱炎患者负性情绪的影响.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）；经过为期4周的心理疏导后，其SAS及SDS评分显著降低（t= 8.66，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 compared with the 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 counseling,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）是以侵犯中轴关节为主，并可有外周关节和系统受累的一种慢性炎症性免疫病。主要症状是顽固性腰痛、腰背僵硬，晚期可发生脊柱强直、畸形以至严重的功能障碍，目前尚无特异性治疗手段。由于强直性脊柱炎病情常迁延不愈或反复发作，加之关节畸形导致不同程度的残疾，患者易产生焦虑、抑郁等负性情绪，在生理、心理、社会活动各方面都对患者造成很大的影响，常使患者生活质量明显下降【1】。我们采用自行设计的一般情况调查问卷及Zung的焦虑自评量表（SAS，self-rating anxiety scale）【2】和抑郁自评量表（SDS，self-rating depression scale）【3】对2008年7月1日~2011年6月30日100例