基于身心同治理论的整体医学模型在传染病孕妇中的应用效果及对病耻感的影响  

Application effect of holistic medical model based on mind-body theory in pregnant women with infectious diseases and its influence on stigma

作　　者：赖国清 洪慧珍 蓝裕玲 LAI Guoqing;HONG Huizhen;LAN Yuling(Department of Obstetrics and Gynecology,the Fifth People's Hospital of Ganzhou,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市第五人民医院妇产科,江西赣州341000

出　　处：《中国当代医药》2024年第35期70-73,78,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202312089)。

摘　　要：目的探讨基于身心同治理论的整体医学模型在传染病孕妇中的应用效果及对病耻感的影响。方法选取2022年4月至2023年8月赣州市第五人民医院收治的82例传染病孕妇作为研究对象,按照随机数字表法分为观察组和对照组,每组41例。对照组给予常规药物治疗,观察组在对照组基础上加用基于身心同治理论的整体医学模型治疗,比较两组患者治疗前后的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、病耻感[病耻感量表(SSS)]、妊娠压力[妊娠压力量表(PSRS)]及生活质量[健康测量量表(SF-36)]评分变化情况。结果治疗后,两组孕妇SAS、SDS评分均低于本组治疗前,且观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。治疗后,两组孕妇SSS、PSRS评分均低于本组治疗前,且观察组SSS、PSRS评分低于对照组,差异有统计学意义(P<0.05)。治疗后,两组孕妇SF-36评分均高于本组治疗前,且观察组SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论基于身心同治理论的整体医学模型可有效降低传染病孕妇的病耻感及妊娠压力,改善其心理状态,提升孕妇身体质量,值得临床推广。Objective To explore the application effect of holistic medical model based on the mind-body theory in pregnant women with infectious diseases and its influence on stigma.Methods A total of 82 pregnant women with infectious diseases admitted to the Fifth People's Hospital of Ganzhou from April 2022 to August 2023 were selected as research objects,and they were divided into observation group and control group according to random number table method,with 41 cases in each group.The control group was given conventional drug treatment,and the observation group was treated with the holistic medical model based on the theory of mind-body treatment.The scores of mental state(self-rating anxiety scale[SAS],self-rating depression scale[SDS]),stigma(self stigma scale[SSS]),pregnancy stress(pregnancy stress rating scale[PSRS])and quality of life(the MOS item short form health survey[SF-36])of the two groups were compared before and after treatment.Results After treatment,the scores of SAS and SDS in the two groups were lower than those before treatment,and the scores of SAS and SDS in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,SSS and PSRS scores in two groups were lower than those before treatment,and SSS and PSRS scores in observation group were lower than those in control group,the differences were statistically significant(P<0.05).After treatment,the SF-36 scores of pregnant women in two groups were higher than those before treatment,and the SF-36 score of observation group was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion The holistic medical model based on mind-body treatment theory can effectively reduce the stigma and pregnancy stress of pregnant women with infectious diseases,improve their mental state and the body quality of pregnant women,and is worthy of clinical promotion.

关 键 词：身心同治 整体医学 传染病 孕妇 病耻感 

分 类 号：R521[医药卫生—内科学]