摘要
目的研究中医辩证施治对改善溃疡性结肠炎患者焦虑抑郁情绪,促进健康行为形成的效果,为开展同类患者健康教育提供依据。方法将180例溃疡性结肠炎住院患者随机分为试验组与对照组,试验组在常规健康教育基础上进行针对性中医辩证施治。分别对两组患者在入院2天内和出院前1日进行焦虑和抑郁自评测试,并分别于入院2日内和出院30天后进行问卷调查,比较干预前后效果。结果干预组患者入院2天内的焦虑抑郁评分分别为(57.2±4.1)分和(52.1±3.6)分,对照组分别为(53.5±2.5)分和(59.6±4.6)分,差异无统计学意义(P>0.05),但与国内常模相比明显高于常模。出院前1日实验组的焦虑抑郁评分为(32.1±3.2)分和(41.7±2.4)分,低于对照组,差异有统计学意义(P<0.01)。30天随访结果显示,两组患者情绪和行为均有改善,但试验组改善明显,除按时服药外,定期复查、合理饮食、规律作息等生活方式,两组差异有统计学意义(P<0.01)。结论中医辩证施治利于促进患者建立良好的遵医用药行为和生活习惯,减轻焦虑抑郁,促进患者康复。
Objective To explore application of traditional Chinese medical in health education for improvement of depression,anxiety and rehabilitation effect among patients with ulcerative colitis,and provide the experience for future intervention.Methods 180 cases of ulcerative colitis patients were randomly divided into experimental group and control group,and experimental group received the traditional Chinese medical health education added with general health education.Self rating scale for anxiety and depression of two groups were investigated in hospital in first 2 days and last day respectively.Questionnaire surveys were carried out in hospital in first 2 days and leaving hospital after 30 days.Effect was evaluated between before and after intervention.Results The scores with anxiety and depression of the experimental group within the hospital 2 days were（57.2±4.1） and（52.1±3.6）,（53.5±2.5） and（59.6±4.6） in the control group,respectively.There was not statistically significant between them（P0.05）,but the scores of them were remarkably higher than the domestic normal model.The scores of experimental group in last day in hospital were（32.1±3.2） and（41.7±2.4）,and were lower than the scores of the control group,there were statistically significant（P0.01）.The 30-day follow-up showed that the mood and behavior of two groups has improved,but more significantly in the experimental group.In addition to medication,there was statistically significant of differences with regular review,diet,rest,and life style（P0.01）.Conclusion The health education with traditional Chinese medicine among patients with ulcerative colitis is valuable to help them establish good behaviors of taking drug and habits,reducing anxiety and depression,and promoting recovery.
出处
《中国健康教育》
2012年第6期482-484,共3页
Chinese Journal of Health Education
关键词
溃疡性结肠炎
中医辩证施治
焦虑
抑郁
Ulcerative colitis
Application of traditional Chinese medicine
Anxiety
Depression
