摘要
目的:探讨心理干预对肠易激综合征(IBS)合并抑郁症患者的影响。方法:将40例患者随机分为观察组和对照组各20例。对照组给予常规药物治疗和常规护理,观察组在此基础上实施心理干预。比较两组患者治疗前、治疗2个月后Zung抑郁自评量表(SDS)评分、肠易激综合征专用生活质量调查表(IBS-QOL)评分。采用自制的消化道症状问卷调查表调查两组患者治疗2个月后消化道症状改善情况。结果:观察组接受心理干预后与干预前及对照组护理后比较,抑郁程度显著降低,生活质量显著提高,消化道症状明显改善(P<0.05)。结论:心理干预可明显缓解或消除IBS合并抑郁症患者的抑郁及消化道症状,提高其生活质量,值得临床推广。
Objective： To explore the effect of psychological intervention in the treatment of irritable bowel syndrome （IBS） complicated with depression. Methods： 40 patients were randomly divided into an observation group and a control group （20 ca- ses for each group）. The patients in the control group received conventional drug therapy and routine nursing care and the pa- tients in the observation group were given psychological intervention on the basis of the measures implemented in the control group. The scores of Zung Self - rating Depression Scale （SDS） and the scores of specific IBS - QOL were compared between the two groups before treatment and after treatment for 2 months, and the self - made questionnaire was used to investigate the patient improvement in gastrointestinal symptoms after treatment for 2 months. Results： The symptoms of depression of the patients were obviously reduced and their quality of life significantly improved and the gastrointestinal symptoms were evidently relieved after the psychological intervention in the observation group compared with those in the control group （ P 〈 0.05 }. Conclusion ： The psychological intervention can significantly alleviate or eliminate depression and gastrointestinal symptoms of IBS patients with depression so as to improve their quality of life.
关键词
肠易激综合征
抑郁
心理干预
Irritable bowel syndrome
Depression
Psychological intervention
