摘要
目的探讨团体心理治疗对持续性躯体形式疼痛障碍患者生活质量的影响。方法选取2014年2月-2015年5月在牡丹江医学院附属医院住院的持续性躯体形式疼痛障碍患者共85例,随机分为观察组43例和对照组42例。对两组患者治疗前后的述情障碍评分,疼痛症状评分及生活质量评分进行比较。结果观察组和对照组治疗后因子1-4及总分的述情障碍均低于治疗前,差异有统计学意义（P〈0.05）,但观察组较对照组更为显著。观察组在治疗后因子1-4及总分的述情障碍明显低于对照组,差异有统计学意义（P〈0.05）。对照组治疗前后除感觉项外,其他项比较,差异无统计学意义（P〉0.05）。观察组治疗后的感觉项、情感项、PRI总分、VAS及PPI明显低于治疗前,差异有统计学意义（P〈0.05）。观察组在感觉项、情感项、PRI总分、VAS及PPI明显低于对照组,差异有统计学意义（P〈0.05）。治疗前,两组患者生活质量对比差异无统计学意义（P〉0.05）;治疗后,观察组和对照组护理后患者生理功能、精神健康、躯体疼痛、生理职能、情感职能、生命活力、社会功能及总体健康评分均显著高于治疗前,且差异有统计学意义（P〈0.05）;观察组治疗后患者生理功能、精神健康、躯体疼痛、生理职能、情感职能、生命活力、社会功能及总体健康评分均显著高于对照组,且差异有统计学意义（P〈0.05）。结论对持续性躯体形式疼痛障碍患者采取团体心理治疗,能提高其生活质量水平,减轻疼痛,值得临床推广应用。
Objective To explore effect of group psychotherapy on quality of life in patients with persistent somatic pain disorder. Methods l85 cases for persistent somatoform pain disorder patients were selected from February 2014 to May 2015,43 cases were randomly divided into observation group and control group of 42 cases.Alexithymia score of the two groups of patients before and after intervention, the pain symptom score and life quality score were compared. Results Alexithymia 1-4 and total scores after treatment factor of the two groups were all lower than before the treatment,the differences were significant（P〈0.05）.But the observation group was more significant than the control group.Alexithymia 1-4 and total scores after treatment factor of observation group were significantly lower than those of control group, the differences were significant（P〉0.05）.For the control group before and after the treatment,in addition to feeling items, comparing other item,the differences were not significant（P〈0.05）.For the observation group after the treatment,item feeling,emotion item,PRI score,VAS and PPI were all significantly lower than before the treatment.The differences were significant（P〈0.05）.Item feeling,emotion item,PRI score,VAS and PPI after the treatment of observation group were significantly lower than those of control group.The differences were significant（P〈0.05）. There were no significant differences in quality of Life before the treatment（P〉0.05）.Patients physical function,mental health,bodily pain,physical function,role emotional,vitality,social function and general health score after the treatment of the two groups were significantly higher than before the treatment.The differences were significant（P〈0.05）.Patients physical function,mental health,bodily pain,physical function,role emotional,vitality,social function and general health score after the treatment of observation group were significantly higher than those of control group.The differences were significant（P〈0.05）. Conclusion Group psychotherapy in patients with persistent somatic pain disorder could improve the quality of life and reduce the pain.It was worthy of clinical application.
出处
《中国医药科学》
2016年第13期13-16,27,共5页
China Medicine And Pharmacy
基金
黑龙江省牡丹江医学院人文社会科学研究项目(2011-40)
