心理治疗对老年功能性消化不良患者消化功能及心理状态的影响

戴一青; 王金金; 张磊; 戴金锋; 张文婷

doi:10.16766/j.cnki.issn.1674-4152.002148

心理治疗对老年功能性消化不良患者消化功能及心理状态的影响

doi: 10.16766/j.cnki.issn.1674-4152.002148

1.
杭州市萧山区第一人民医院消化内科，浙江杭州 311200
2.
浙江省中医院消化内科，浙江杭州 310018

基金项目:

浙江省中医药科技计划青年人才基金项目 2017ZKL010

详细信息

通讯作者:
戴金锋, E-mail: crystal6596@126.com

中图分类号: R574.4 R493
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- 文章访问数: 135
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- PDF下载量: 6
- 被引次数: 0
出版历程
- 收稿日期: 2021-02-22
- 网络出版日期: 2022-02-15

Effect of psychotherapy on digestive function and psychological state of elderly patients with functional dyspepsia

1.
Department of Gastroenterology, the First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang 311200, China

摘要

摘要: 目的探究并分析心理治疗对老年功能性消化不良患者消化功能及心理状态的影响。方法于2018年5月—2020年5月，选取杭州市萧山区第一人民医院收治的老年功能性消化不良患者85例，按照随机数字表法将其分为观察组及对照组，观察组43例、对照组42例。对照组患者给予马来酸曲美布汀治疗，观察组患者在对照组的基础上给予针对性心理治疗。观察并记录2组患者治疗效果。结果治疗后3个月2组患者症状积分较治疗前显著降低，观察组患者治疗后3个月症状积分显著低于对照组[(2.23±0.62)分vs.(3.65±0.65)分，P=0.021]；治疗后3个月2组患者症状自评量表(SCL-90)评分均较治疗前显著降低，观察组患者SCL-90评分显著低于对照组[(10.43±0.58)分vs.(12.25±0.53)分，P=0.012]；治疗后3个月2组患者生存质量评分均显著升高，观察组治疗后3个月生存质量评分显著高于对照组[(85.36±5.81)分vs.(73.53±5.86)分，P=0.008]。结论马来酸曲美布汀联合心理治疗能有效改善老年功能性消化不良患者消化功能及生活质量，降低患者SCL-90评分。
- 老年患者 /
- 功能性消化不良 /
- 心理治疗 /
- 生存质量 /
- 心理状态
Abstract: Objective To explore and analyse the effect of psychotherapy on the digestive function and mental state of elderly patients with functional dyspepsia. Methods From May 2018 to May 2020, 85 elderly patients with functional dyspepsia admitted at the First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang Province were selected and randomly divided into observation group and control group with 43 and 42 cases, respectively. The control group was given trimebutine maleate, whilst the observation group was given targeted psychotherapy on the basis of the control group. The therapeutic effects of the two groups were observed and recorded. Results Three months after treatment, the symptom scores of the two groups were significantly lower than those before treatment, and the symptom scores of the observation group were significantly lower than those of the control group (2.23±0.62 vs. 3.65±0.65, P=0.021). The SCL-90 scores of the two groups were significantly lower than those before treatment, and the SCL-90 score of the observation group was significantly lower than that of the control group (10.43±0.58 vs. 12.25±0.53, P=0.012). The quality of life scores of the two groups were significantly increased 3 months after treatment. The quality of life of the observation group was significantly improved 3 months after treatment and was significantly higher than that of the control group (85.36±5.81 vs. 73.53±5.86, P=0.008). Conclusion Trimebutine maleate combined with psychotherapy can effectively improve the digestive function and quality of life of elderly patients with functional dyspepsia and reduce the SCL-90 score.
- Elderly patients /
- Functional dyspepsia /
- Psychotherapy /
- Quality of life /
- Psychological state

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表 1 2组功能性消化不良患者一般资料比较

组别	例数	年龄 (x±s，岁)	性别(例)		体重 (x±s，kg)	高血压 (例)	糖尿病 (例)	营养不良 (例)	教育水平(例)
组别	例数	年龄 (x±s，岁)	男性	女性	体重 (x±s，kg)	高血压 (例)	糖尿病 (例)	营养不良 (例)	小学	初中	大学及以上
对照组	42	54.42±6.35	26	16	61.14±6.54	12	14	8	16	18	8
观察组	43	54.14±5.45	28	15	61.65±6.32	14	12	10	17	16	10
统计值		0.652^a	0.091^b		0.372^a	0.163^b	0.291^b	0.232^b	0.124^c
P值		0.932	0.123		0.326	0.821	0.732	0.834	0.831
注：^a为t值，^b为χ²值，^c为U值。

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表 2 2组功能性消化不良患者症状积分比较(x±s，分)

组别	例数	消化症状积分
组别	例数	治疗前	治疗后1个月	治疗后3个月
观察组	43	10.43±0.62	4.54±0.65^a	2.23±0.62^ab
对照组	42	10.54±0.65	6.46±0.62^a	3.65±0.65^ab
t值		1.023	3.883	4.329
P值		0.083	0.032	0.021
注：与治疗前比较，^aP < 0.05；与治疗后1个月比较，^bP < 0.05。

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表 3 2组功能性消化不良患者SCL-90评分比较(x±s，分)

组别	例数	SCL-90评分
组别	例数	治疗前	治疗后1个月	治疗后3个月
观察组	43	15.42±0.58	12.36±0.52^a	10.43±0.58^ab
对照组	42	15.37±0.55	13.64±0.61^a	12.25±0.53^ab
t值		1.017	3.438	4.931
P值		0.074	0.036	0.012
注：与治疗前比较，^aP < 0.05；与治疗后1个月比较，^bP < 0.05。

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表 4 2组功能性消化不良患者生存质量评分比较(x±s，分)

组别	例数	生存质量评分
组别	例数	治疗前	治疗1个月	治疗3个月
观察组	43	52.36±6.11	64.31±5.76^a	85.36±5.81^ab
对照组	42	52.65±5.87	57.26±5.92^a	73.53±5.86^ab
t值		1.271	4.463	4.839
P值		0.747	0.026	0.008
注：与治疗前比较，^aP < 0.05；与治疗后1个月比较，^bP < 0.05。

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