系统家庭治疗干预心理亚健康者健康转归对照研究  

A comparative study on health outcomes of systemic family therapy intervention for mentally sub-healthy people

作　　者：严伟良[1] 占建华[2] 何国琪 章金辉[1] 蒋新新 陈莹[1] 赵世苗 YAN Weiliang;ZHAN Jianhua;HE Guoqi;ZHANG Jinhui;JIANG Xinxin;CHEN Ying;ZHAO Shimiao(Department of Psychosomatic Disorders,Shaoxing 7th People's Hospital in Zhejiang Province,Shaoxing 312000,China;Sleep Diagnosis and Treatment Center,Shaoxing 7th People's Hospital in Zhejiang Province,Shaoxing 312000,China;Department of Psychiatry,Shaoxing 7th People's Hospital in Zhejiang Province,Shaoxing 312000,China;Department of Brain Science of Traditional Chinese Medicine,Shaoxing 7th People's Hospitaln Zhejiang Province,Shaoxing 312000,China)

机构地区：[1]浙江省绍兴市第七人民医院心身障碍科,浙江绍兴312000 [2]浙江省绍兴市第七人民医院睡眠诊疗中心,浙江绍兴312000 [3]浙江省绍兴市第七人民医院精神科,浙江绍兴312000 [4]浙江省绍兴市第七人民医院中医脑科,浙江绍兴312000

出　　处：《中国现代医生》2019年第27期92-96,共5页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2016KYB313);浙江省绍兴市卫生计生科技计划项目(2017CX013)

摘　　要：目的探讨系统家庭治疗干预心理亚健康者健康转归的效果.方法将我院2017年1~12月111例心理亚健康者随机分为观察组和对照组.对照组定期行集体心理疏导、生物反馈放松训练,同步予以健康教育为主导的康复干预.观察组在对照组干预模式上加系统家庭治疗.应用SHMS V1.0、SAS、SDS量表测评心理亚健康转归效果.结果①亚健康测评:干预末,两组生理亚健康、心理亚健康、社会亚健康各项目分值均有升高,但观察组分值上升比对照组快,差异有统计学意义(P<0.05).②负性情绪测评:干预末,两组SAS、SDS量表各因子分均有下降,但观察组分值比对照组下降快,差异有统计学意义(t=4.40、6.00,P<0.05);③临床转归率比较:干预末,观察组总有效率92.59%,对照组治疗总有效率为75.47%,组间比较差异有统计学意义(U=2.50,P<0.05).结论系统家庭治疗干预能促进心理亚健康者的健康转归,且具有改善整体家庭环境、提高家庭执行力的作用.Objective To investigate the effect of systemic family therapy on health outcomes of mentally sub-healthy people. Methods 111 cases with mental sub-health visiting our hospital from January to December 2017 were randomly divided into the observation group and the control group. Group psychological counseling and biofeedback relaxation training were regularly conducted for the control group, simultaneously with rehabilitation intervention dominated by health education. Based on the intervention mode of the control group, the observation group was also given systemic family therapy. SHMS V1.0, SAS, and SDS scales were applied to measure the health outcomes of mentally sub-health people. Results ①Sub-health assessment: At the end of the intervention, the scores of physiological sub-health, mental sub-health, and social sub-health increased, with faster increase of scores in the observation group than in the control group, and the difference was statistically significant (P<0.05).②Negative emotion assessment: At the end of the intervention, the scores of all factors in the SAS and SDS scales decreased, with faster decrease of scores in the observation group than in the control group, and the difference was statistically significant(t=4.40, 6.00, P<0.05).③ Comparison of clinical prognosis rate: At the end of the intervention, the total effective rate was 92.59% in the observation group and 75.47% in the control group. The difference between the two groups was statistically significant(U=2.50, P<0.05). Conclusion Systemic family therapy can improve health outcomes of mentally sub-health people. It also contributes to improving the overall family environment and family executive ability.

关 键 词：系统家庭治疗 亚健康 心理亚健康 抑郁 焦虑 健康转归 

分 类 号：R496[医药卫生—康复医学]