团体心理治疗联合互联网反馈对女性围绝经期综合征和生存质量的效果  

Effects of group treatment combined with internet feedback on mental health and quality of life of perimenopausal women

作　　者：李丹 巢健茜[1] 吕梦茹 吴江平[2] 王苏立 张敏[2] 孔晶 LI Dan;CHAO Jianqian;LU Mengru;WU Jiangping;WANG Suli;ZHANG Min;KONG Jing(School of Public Health,Southeast University,Nanjing 210009;Department of Women Health Care,Women’s Hospital of Nanjing Medical University(Nanjing Maternity and Child Health Care Hospital),Nanjing 210004,China)

机构地区：[1]东南大学公共卫生学院,南京210009 [2]南京医科大学附属妇产医院(南京市妇幼保健院)妇女保健科,南京210004

出　　处：《临床与病理杂志》2020年第5期1239-1248,共10页Journal of Clinical and Pathological Research

基　　金：南京市医学科技发展基金(YKK16196)。

摘　　要：目的:探讨团体心理治疗联合互联网反馈对女性围绝经期综合征症状、心理状况和生存质量改善的效果。方法:采用开放对照试验设计,选取围绝经期综合征患者73例,将其随机分为等待对照组(n=30)和团体干预组(n=43)。等待对照组进行常规随访,团体干预组进行每周1次,每次2 h,共10次的团体心理治疗联合互联网反馈。采用改良Kupperman量表(Kupperman Index,KI)、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、匹兹堡睡眠量表(Pittsburgh Sleep Quality Index,PSQI)和绝经期生存质量量表(Menopause-Specific Quality of Life Questionnaire,MENQOL)进行基线、35 d干预后及70 d干预后测评。结果:团体干预组脱落5例,有效数据38例,等待对照组脱落1例,有效数据29例。试验70 d后,团体干预组KI,HAMA,PSQI及MENQOL的心理社会状态、生理状态和性生活维度得分与等待对照组得分的差异有统计学意义(均P<0.05),团体干预组得分下降程度大于等待对照组。结论:团体心理治疗联合互联网反馈可改善团体心理治疗联合互联网围绝经期综合征女性的症状、心理状况和生存质量。Objective:To explore the effects of group treatment combined with internet feedback on perimenopausal syndrome,mental health and quality life.Methods:Totally 73 patients with perimenopausal syndrome were selected by open controlled trial design,who were randomly signed to the control group(n=30)and the intervention group(n=43).The control group was followed up conventionally,and the intervention group received group treatment combined with Internet feedback once a week for 2 hours,10 times in total.Data were collected at the time of admission,35 days later and 70 days later.The changes of KI score,HAMA score,PSQI score and ENQOL score were compared between the two groups.Results:Totally 38 patients in the intervention group and 29 patients in the control group finished all sessions;70 days after the start of the experiment,the scores of KI,HAMA,PSQI,and MENQOL(mental and social status,physiological status and sexual life dimensions)in the intervention group were significantly different from those in the control group(all P<0.05),and the scores in the intervention group decreased more than those in the control group.Conclusion:Group treatment combined with internet feedback can alleviate the symptoms of perimenopausal syndrome,reduce the level of anxiety,improve sleep status,vasoconstriction,psycho-social condition and psychosocial condition of perimenopausal women.

关 键 词：围绝经期综合征 团体心理治疗 互联网反馈 心理健康 生存质量 

分 类 号：R711.75[医药卫生—妇产科学]