三步推拿干预大学生考试应激的效果观察  

Clinical effect of three-step massage on examination stress in college students

作　　者：郭争鸣[1] 郭少聃[2] 王德瑜[1] 李迎红[1] 

机构地区：[1]湖南中医药高等专科学校,湖南株洲412012 [2]湖南工业大学科技学院,湖南株洲412000

出　　处：《湖南中医杂志》2016年第1期8-10,共3页Hunan Journal of Traditional Chinese Medicine

基　　金：湖南省中医药科研计划项目(编号:20102061)

摘　　要：目的:对某高校学生英语四、六级考试应激进行调查,并通过"天地人"三步推拿干预防治考试应激症状,探讨其对唾液皮质醇(Cor)和唾液免疫球蛋白A(SIgA)的影响。方法:对全校480名报考英语四、六级学生进行考试焦虑量表(TAS)心理测评,并将焦虑水平高的60名学生进行随机分组干预治疗。观察组30例采用"天地人"三步推拿结合心理干预,对照组30例单纯采用心理干预,均进行客观生理指标Cor和SIgA的检测。结果:两组焦虑症状积分干预前后组内比较及干预后组间比较,差异均有统计学意义(P<0.01,P<0.05);两组SIgA含量、Cor含量干预前后组内比较及考前30min、考后30min组间比较,差异均有统计学意义(P<0.05),但考后7d差异无统计学意义(P>0.05)。结论:"天地人"三步推拿结合心理疏导能有效地改善考试应激症状,对考试期间出现的SIgA降低和Cor升高情况也有一定的调节作用。Objective： To investigate the examination stress for College English Test Band 4（ CET-4） and College English Test Band 6（ CET-6） in students in a college,to prevent and treat the symptoms of examinati on stress with ＂Heaven-Earth-Man＂three-step massage,and to investigate its effect on salivary cortisol（ sCor） and salivary immunoglobulin A（ sIgA）. Methods： The psychological assessment with test anxiety scale was performed for 480 students who took CET-4 or CET-6,and 60 students with a high anxiety level were randomly divided into groups and given intervention. The 30 students in the observation group received ＂Heaven-Earth-Man＂three-step massage combined with psychological intervention,and the 30 patients in the control group received psychological intervention alone. The objective physiological indices sCor and sIgA were measured. Results： The anxiety scores showed significant changes in either group after intervention and significant differences between the two groups after intervention（ P〈0. 01,P〈0. 05）; the levels of sCor and sIgA showed significant changes in either group after intervention and significant differences between the two groups at 30 minutes before examination and 30 minutes after examination（ P〈0. 05）,but the levels of sCor and sIgA showed no significant difference between the two groups at 7 days after examination（ P〉0. 05）. Conclusion： ＂Heaven-Earth-Man＂three-step massage combined with psychological intervention can effectively improve the symptoms of examination stress and regulate the reduction in sIgA and the increase in sCor during examination.

关 键 词：大学生 考试应激 三步推拿 心理干预 

分 类 号：R244.1[医药卫生—针灸推拿学]