摘要
目的探讨渐进性肌肉放松训练(PMR)配合正念疗法治疗对改善腹泻型肠易激综合征(IBS)患者负面情绪及生存质量的作用。方法选取2015年5月至2016年5月我院收治的腹泻型IBS患者97例,采用随机数字表法分为对照组(48例)和观察组(49例),两组患者均给予常规治疗与护理。在此基础上,对照组患者给予PMR干预,观察组患者在对照组的基础上采用正念疗法治疗,观察比较两组患者干预前后的负面情绪、症状改善情况以及生活质量。结果干预后观察组患者症状严重指数、频率指数、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均显著低于对照组(P<0.05),IBS生活质量量表(IBS-QOL)各维度评分明显高于对照组(P<0.05)。结论 PMR配合正念疗法治疗腹泻型IBS患者可有效减轻负面情绪、改善生理功能、提高生活质量,针对性及实用性较强,具有一定推广应用价值。
Objective To explore the influences of progressive muscle relaxation training （PMR） combined with mindfulness therapy on negative emotion and quality of life in patients with diarrhea predominant irritable bowel syndrome （IBS）. Methods A total of 97 patients with diarrhea IBS treated in our hospital from May 2014 to May 2016 were randomly divided into control group（48 cases） and observation group （49 cases） according to random number table method. The two groups were given routine treatment and nursing, and the control group were given PMR on the basis of routine treatment and nursing, while the observation group were given mindfulness therapy on the basis of the control group, negative emotion, symptom improvement and quality of life were compared between two groups. Results The symptom severity index, frequency index, self-rating anxiety scale （SAS） and self-rating depression scale （SDS） scores in the observation group were significantly lower than those in the control group （ P 〈 0.05 ） , the scores of IBS quality of life scale （IBS-QOL） were significantly higher than those in the control group （P 〈 0.05）. Conclusions PMR combined with mindfulness therapy in the treatment of diarrhea IBS can alleviate negative emotions, improve physiological function and quality of life, with better pertinence and practicability, and has a certain promotion value.
出处
《内科》
2017年第3期329-331,378,共4页
Internal Medicine
关键词
肠易激综合征
治疗
渐进性肌肉放松训练
正念疗法
焦虑
抑郁
生活质量
Irritable bowel syndrome
Treatment
Progressive muscle relaxation training
Mindfulness therapy
Anxiety
Depression
Quality of life
