心理干预对中-重度变应性鼻炎患者心理状况及生活质量的影响  

Efficacy analysis of psychological intervention on the basis of medication for the treatment of moderate-severe persistent allergic rhinitis

作　　者：杨志超[1] 唐冰洁 于洋[1] 辛秀红[3] 马瑞霞[1] 

机构地区：[1]宁夏医科大学总医院耳鼻咽喉头颈外科,银川750004 [2]重庆医科大学附属第三医院耳鼻咽喉头颈外科 [3]宁夏医科大学总医院心理卫生中心

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第21期1642-1645,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：宁夏医科大学校级课题;宁夏科技惠民计划项目(No:2015KJHM05)

摘　　要：目的:观察在药物治疗基础上的心理干预对持续性中-重度变应性鼻炎患者的心理状况及生活质量的影响。方法:选取60例持续性中-重度变应性鼻炎患者随机分为对照组、研究组,每组30例。对照组给予常规药物治疗,研究组在给予常规药物治疗的基础上,辅以心理干预。心理干预采用认知行为疗法,2组治疗周期均为12周,并于治疗前、后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及鼻结膜炎生活质量调查问卷(RQLQ)对患者焦虑、抑郁状态以及生活质量变化进行评估,所有数据均采用SPSS 19.0软件进行统计学处理和分析。结果:2组治疗后SAS、SDS评分均低于治疗前,差异有统计学意义(P<0.05)。且研究组治疗后SAS、SDS评分较对照组更低(P<0.05)。2组治疗后RQLQ各维度评分均低于治疗前,差异有统计学意义(P<0.05)。2组治疗后,在睡眠、非鼻(眼)症状、情感3个维度评分中,研究组均低于对照组(P<0.05)。结论:在药物治疗基础上的心理干预能减轻持续性中-重度变应性鼻炎患者的焦虑、抑郁状态,改善生活质量,且疗效优于单纯使用药物治疗。Objective：To observe the effect of psychological intervention on the basis of drug therapy for moderate-severe persistent allergic rhinitis.Method：Sixty patients with moderate-severe persistent allergic rhinitis were randomly divided into two groups：control group and study group.The control group was only given pure drug therapy.The study group was given drug treatment and psychological intervention.Both groups were treated for12 weeks.Before and after the treatment,the patients were graded by SAS,SDS and RQLQ to assess their anxiety and depression,as well as changes in the quality of life.Finally,a statistical analysis was performed.Result：After the treatment,the SAS and SDS scores of the control group and the study group were lower than those scores before treatment,and the difference was statistically significant（P0.05）.The SAS and SDS scores were lower in the study group than in the control group after treatment,and the difference was statistically significant（P0.05）.After the treatment,the scores of RQLQ in the control group and the study group were lower than those scores before treatment.and the difference was statistically significant（P0.05）.After treatment with two regimens,the scores of the sleep,the non-nose/eye symptoms,and the emotion were lower in the study group than those scores in the control group,and the difference was statistically significant（P0.05）.Conclusion：To improve the mental disorder and the quality of life of the moderate-severe persistent allergic rhinitis patients,on the basis of drug treatment along with psychological intervention is more effective than using medical treatment.

关 键 词：心理干预 鼻炎 变应性 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]