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目的:调查分析不同程度溃疡结肠炎患者的心理现状,并简析心理干预的应用效果。方法:回顾性选取2013年4月-2016年4月笔者单位收治的80例溃疡结肠炎临床资料,其中轻度31例、中度32例、重度17例,分析在不同程度溃疡结肠炎患者中的心理现状,对所有患者均采取心理干预措施,比较干预前后溃疡结肠炎患者心理状态变化。结果:在不同程度溃疡结肠炎患者的心理状态调查显示特质焦虑、抑郁量表及焦虑、抑郁自评量表(TAI、SAI、SAS、SDS)评分方面比较,重度溃疡结肠炎患者>中度>轻度,差异均有统计学意义(F=37.63,34.61,21.18,21.08;P=0.0000)。干预后,溃疡结肠炎患者的TAI、SAI、SAS、SDS评分均较干预前得到显著的降低,差异存在统计学意义(t=29.1375,27.1578,22.4438,24.7114;P=0.0000)。患者经心理干预后,在躯体化、人际关系、抑郁、焦虑、强迫、恐怖、偏执等评分方面均较干预前降低,差异显示出统计学意义(t=14.3982,10.9765,23.5446,34.2703,15.5054,17.8607,20.4028;P=0.0000)。结论:随着溃疡结肠炎程度的加深,患者心理焦虑、抑郁等情绪加深,采取有效合理的心理干预,可良好改善患者心理现状。
Objective: To investigate and analyze the psychological status of patients with different degrees of ulcerative colitis, and to analyze the effect of psychological intervention. Methods: The clinical data of 80 cases of ulcerative colitis admitted to our hospital from April 2013 to April 2016 were retrospectively selected. Among them, 31 cases were mild, 32 were moderate and 17 were severe, and were analyzed in patients with ulcerative colitis Psychological state of all patients were taken psychological interventions to compare the psychological state of patients with ulcer colitis before and after intervention changes. Results: Compared with the scores of TAI, SAI, SAS and SDS in the psychological state survey of patients with ulcer and colitis at different degrees, the patients with severe ulcerative colitis were> moderate> Mild, the differences were statistically significant (F = 37.63,34.61,21.18,21.08; P = 0.0000). After intervention, the scores of TAI, SAI, SAS and SDS in patients with ulcerative colitis were significantly lower than those before intervention, with statistical significance (t = 29.1375,27.1578,22.4438,24.7114; P = 0.0000). After psychological intervention, the scores of somatization, interpersonal relationship, depression, anxiety, compulsion, terror, paranoid and so on were all lower than those before intervention, the differences showed statistical significance (t = 14.3982,10.9765,23.5446,34.2703,15.5054, 17.8607, 20.4028; P = 0.0000). Conclusion: With the deepening of the degree of ulcerative colitis, patients with psychological anxiety, depression and other emotions deepen, to take effective and reasonable psychological intervention can improve the psychological status of patients.