短程动力取向心理治疗痛风患者焦虑抑郁的疗效及对幸福感指数、家庭功能及依从性的影响  

Efficacy of short-term psychodynamic psychotherapy on anxiety and depression of gout patients and its influence on well-being index,family function and compliance

作　　者：钟欣 赵振环[2] 翁其彪[3] 卜丽亚 胡巧 张亚萍 杨凤池[5] Zhong Xin;Zhao Zhenhuan;Weng Qibiao;Bu Liya;Hu Qiao;Zhang Yaping;Yang Fengchi(Department of Psychology,Dongguan Kanghua Hospital,Dongguan 523000,China;Brain Hospital Affiliated to Guangzhou Medical University,Guangzhou 510450,China;Department of Hyperbaric Oxygen,Zhujiang Hospital of Southern Medical University,Guangzhou 510515,China;Rheumatic Immune Center,Dongguan Kanghua Hospital,Dongguan 523000,China;Department of Psychology,Capital Medical University,Beijing 100069,China)

机构地区：[1]广东省东莞康华医院心理科,523000 [2]广州医科大学附属脑科医院精神科,510450 [3]南方医科大学珠江医院高压氧科,广州510515 [4]广东省东莞康华医院风湿免疫中心,523000 [5]首都医科大学心理学教研室,北京100069

出　　处：《中国医师杂志》2021年第7期1039-1043,共5页Journal of Chinese Physician

基　　金：2019年东莞市社会科技发展(一般)项目(201950715059667)。

摘　　要：目的探讨短程动力取向心理治疗对痛风患者焦虑、抑郁状态的影响。方法采用前瞻性病例对照研究,选取2018年6月至2019年12月在东莞康华医院风湿免疫科门诊就诊的痛风患者60例,按随机数字表法分为对照组和观察组,各30例。两组患者均予以痛风病相关的临床治疗与常规护理,观察组另外予以短程动力取向心理治疗。比较两组干预前、干预后即时、干预后3个月的治疗依从性及心理状态、幸福感指数、血尿酸水平等指标。结果两组干预后即时、干预后3个月健康问卷抑郁自评(PHQ-9)、广泛性焦虑障碍量表(GAD-7)评分逐渐减低(P<0.05),幸福感指数评分逐渐升高(P<0.05);观察组较对照组干预3个月PHQ-9、GAD-7评分降低更明显(P<0.05),幸福感指数评分升高更明显(P<0.05)。观察组干预后即时、干预后3个月家庭功能中沟通、行为控制、总功能评分逐渐降低(P<0.05),且明显低于对照组(P<0.05)。两组干预后即时、干预后3个月血尿酸(UA)水平逐渐降低(P<0.05),组间各吋点UA水平比较差异无统计学意义(P>0.05)。观察组干预后即时、干预后3个月治疗依从性明显优于对照组(P<0.05)。结论短程动力取向心理治疗痛风患者,在改善焦虑抑郁状态,提高幸福感指数、家庭功能、治疗依从性等方面效果明显。Objective To explore the of short-term psychodynamic psychotherapy on anxiety and depression of gout patients and its influence on well-being index,family function and compliance.Methods 60 gout patients were selected from June 2018 to December 2019 in the outpatient department of rheumatism and immunity department of Dongguan Kanghua Hospital by prospective case-control study.They were randomly divided into control group and treatment group,30 cases respectively.Both groups were given gout related clinical treatment and routine nursing,and the treatment group was given short-term dynamic orientation psychotherapy.The treatment compliance,the psychological status,well-being index and blood uric acid(UA)level of the two groups were compared before intervention,immediately after intervention and 3 months after intervention.Results The scores of Patient Health Questionnaire-9(PHQ-9)and the generalized anxiety disorder 7-item scale(GAD-7)in the two groups were gradually decreased immediately and 3 months after intervention(P<0.05),and the scores of well-being index were gradually increased(P<0.05);Compared with the control group,the scores of PHQ-9 and GAD-7 in the treatment group decreased more significantly(P<0.05),and the score of well-being index increased more significantly(P<0.05);The scores of communication,behavior control and total function of family function in the treatment group decreased gradually immediately after intervention and 3 months after intervention(P<0.05),and were significantly lower than those in the control group(P<0.05);The level of serum UA in the two groups decreased gradually immediately after intervention and 3 months after intervention(P<0.05),but there was no significant difference in UA level at each time point between the two groups.The treatment compliance of the treatment group was significantly better than that of the control group(P<0.05).Conclusions The short-lerm dynamic orientation psychotherapy for gout patients has obvious effect in improving the state of anxiety and depre

关 键 词：痛风 动力取向心理治疗 焦虑 抑郁 

分 类 号：R589.7[医药卫生—内分泌]