饮食指导及心理干预对肠易激综合征疗效影响的临床研究  

The effect of diet guidance and psychological intervention on the curative effect of irritable bowel syndrome

作　　者：肖斌琼[1] 陈冬妹[1] 

机构地区：[1]广东省中山市博爱医院内科,广东中山528403

出　　处：《转化医学电子杂志》2014年第1期38-40,共3页E-Journal of Translational Medicine

基　　金：中山市科技攻关项目（20102A064）

摘　　要：目的：探讨饮食指导及心理干预对肠易激综合征（IBS）的疗效影响．方法：选择2010-01／2011-06我院收治的IBS患者120例为研究对象，随机分为两组：实验组（采用常规护理＋饮食指导＋心理干预）与对照组（常规护理），各60例．在干预前和不同护理方法干预12周后，观察记录两组患者腹痛、腹泻、便秘发生次数，评价比较两组患者症状缓解情况，并采用抑郁自评量表（SDS）和症状自评量表（SCL-90）评估两组患者精神状况．结果：不同护理方法干预12周后，两组患者的腹痛、腹泻症状评分均较治疗前显著下降，便秘情况均得到显著改善，差异有统计学意义（P〈0．05）；实验组干预后的腹痛、腹泻症状评分均低于对照组，便秘改善情况优于对照组，差异有统计学意义（P〈0．05）．两组患者的SDS和SCL-90评分均较治疗前显著下降，差异有统计学意义（P〈0．05）；实验组干预后的SDS和SCL-90评分均低于对照组，差异有统计学意义（P〈0．05）．结论：饮食指导及心理干预措施能够有效地缓解患者消化道症状和改善患者精神状态，更好地促进患者康复，是治疗IBS的有效辅助治疗措施．AIM： To study the diet guidance and psychological intervention on the curative effect of irritable bowel syndrome （IBS）. METHODS： From January 2010 to June 2011, 120 ca ses of IBS patients admitted in our hospital were chose as the re search object and they were randomly divided into two groups： ex perimental group （the conventional nursing ＋ dietary guidance and psychological intervention） and control group （the conven tional nursing）, 60 cases each. Before intervention and different nursing intervention for 12 weeks, abdominal pain, diarrhea, con stipation, evaluation comparison of symptoms were observed in two groups, and the mental status of of patients in two groups were assessed by self rating depression scale （SDS） and symptom self assessment scale （SCL-90）. RESULTS ： After different nursing interventions for 12 weeks, the scores of abdominal pain, diarrhea in two groups were decreased significantly, the constipation condi tions were improved significantly （P 〈 0.05 ）. The scores of the abdominal pain, diarrhea in experimental group after the interven tion were lower than those in the control group, the constipation conditions of experimental group were improved better than that of control group （P 〈 0.05 ）. SDS and SCL-90 scores in both groups were decreased significantly （ P 〈 0.05 ） ; The SDS and SCL-90 scores of experimental group after the intervention were lower than those of the control group （P 〈 0.05 ）. CONCLUSION： Diet guidance and psychological intervention can effectively relieve the gastrointestinal symptoms of patients and improve the mental state of patients, to promote the recover of patient. It is an effective ad juvant therapy for IBS.

关 键 词：饮食指导 心理干预 肠易激综合征 

分 类 号：R473.5[医药卫生—护理学]