支持性心理干预结合雷火灸对反流性食管炎伴心理障碍患者情绪及复发的影响  

Effect of supportive psychological intervention combined with thunder-fire moxibustion on mood and recurrence of patients with reflux esophagitis and psychological disorder

作　　者：姚丽君 韩思妤 任桂钰 杨玲玲 YAO Lijun;HAN Siyu;REN Guiyu;YANG Lingling(Henan Provincial Hospital of Traditional Chinese Medicine(The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine)Hepatobiliary Spleen and Stomach Diseases Zone 2,Zhengzhou 450000,China;School of Nursing,Henan University of Traditional Chinese Medicine)

机构地区：[1]河南省中医院(河南中医药大学第二附属医院)肝胆脾胃病科二区,郑州450000 [2]河南中医药大学护理学院

出　　处：《中国健康心理学杂志》2025年第4期606-611,共6页China Journal of Health Psychology

基　　金：河南省中医药科学研究专项课题(编号:2024ZY2067)。

摘　　要：目的:本研究旨在探讨支持性心理干预联合雷火灸对反流性食管炎(RE)伴心理障碍患者情绪及复发的影响。方法:选取2023年5月-2024年7月于某院消化内科住院的151例反流性食管炎患者为研究对象。根据入院时间及护理方式的不同,分为对照组和干预组。对照组(n=75)接受常规护理及雷火灸治疗,干预组(n=76)在此基础上联合支持性心理干预护理。通过常规通用量表和标准化调查问卷对两组患者的心理健康、负面情绪、睡眠质量、生活质量和治疗依从性进行比较。结果:支持性心理干预联合雷火灸治疗后,和对照组相比,干预组患者的心理健康(人际关系敏感、强迫症状、精神病性、躯体化、抑郁、焦虑、敌对、恐怖、偏执)各症状评分均显著降低(t=2.206,2.002,2.267,2.095,2.166,2.131,2.287,2.149,2.421;P<0.005);干预组患者的SDS、SAS评分较对照组明显降低(t=2.146,2.339;P<0.05);干预6周后,干预组患者的睡眠质量(PSQI评分)显著高于对照组(t=2.383,7.793,3.166;P<0.05);干预组患者的生活质量(生理功能、躯体疼痛、精神状态、情感活动、社会功能)明显高于对照组(t=0.246,0.158,1.266,1.112,1.157;P<0.05);干预组患者的治疗依从性(健康饮食、生活规律、正确用药、按时复查)较对照组明显提高(χ^(2)=4.158,1.106,4.095,4.594;P<0.05),干预组患者的复发率显著降低(χ^(2)=4.836;P<0.05)。结论:对伴心理障碍的RE患者进行支持性心理干预和雷火灸的护理干预,可以有效改善心理健康状态,调节不良情绪,提升睡眠质量和生活质量,从而有效提升患者的治疗依从性,减少复发的概率。Objective:To explore the effect of supportive psychological intervention combined with thunder-fire moxibustion on the mood and recurrence of patients with reflux esophagitis(RE)with psychological disorder.Methods:A total of 151 patients with reflux esophagitis hospitalized in the Department of Gastroenterology of our hospital from May 2023 to July 2024 were selected as the research object.According to the different admission time and nursing methods,they were divided into control group and intervention group.The control group(n=75)received routine nursing and thunder-fire moxibustion,while the intervention group(n=76)combined with supportive psychological intervention nursing.The mental health,negative emotions,sleep quality,quality of life and treatment compliance of the two groups were compared by conventional general scale and standardized questionnaire.Results:Compared with the control group,the scores of mental health(interpersonal sensitivity,obsessive-compulsive symptoms,psychosis,somatization,depression,anxiety,hostility,terror,paranoia)in the intervention group were significantly reduced after the supportive psychological intervention combined with thunder-fire moxibustion(t=2.206,2.002,2.267,2.095,2.166,2.133;P<0.005);The scores of SDS and SAS in the intervention group were significantly lower than those in the control group(t=2.146,2.339;P<0.05);After 6 weeks of intervention,the sleep quality(PSQI score)of patients in the intervention group was significantly higher than that in the control group(t=2.383,7.793,3.166;P<0.05);The quality of life(physiological function,physical pain,mental state,emotional activity and social function)of the patients in the intervention group was significantly higher than that of the control group(t=0.246,0.158,1.266,1.112,1.157;P<0.05);The treatment compliance of patients in the intervention group(healthy diet,regular life,correct medication,and timely review)was significantly improved compared with the control group(χ^(2)=4.158,1.106,4.095,4.594;P<0.05),the recurrence r

关 键 词：支持性心理干预 雷火灸 反流性食管炎 情绪 复发 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]