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目的探究慢性溃疡性结肠炎患者实施以心理学理论为导向的干预策略对其消极情绪及躯体症状的影响。方法 80例慢性溃疡性结肠炎患者,随机分为对照组及研究组,各40例。对照组采用常规护理,研究组在对照组基础上实施以心理学理论为导向的干预策略。比较两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)和症状自评量表(SCL-90)评分情况。结果干预后,两组患者的SAS、SDS评分均较本组干预前降低,且研究组干预后的SAS评分[(38.7±12.8)分]和SDS评分[(39.2±15.5)分]均低于对照组[(49.5±13.2)、(52.8±14.9)分],差异均有统计学意义(P<0.05)。干预后,两组患者的SCL-90各维度评分及总分均较本组干预前降低,且研究组低于对照组,差异均有统计学意义(P<0.05)。结论对于慢性溃疡性结肠炎患者,实施以心理学理论为导向的干预策略,能改善躯体症状及负面情绪,且能提高临床疗效。
Objective To investigate the effects of intervention strategies guided by psychology theory on the negative emotions and somatic symptoms in patients with chronic ulcerative colitis. Methods Eighty patients with chronic ulcerative colitis were randomly divided into control group and study group, 40 cases in each. The control group used routine nursing, and the research group implemented the psychology-based intervention strategy based on the control group. The anxiety self-rating scale (SAS), self-rating depression scale (SDS) and symptom self-rating scale (SCL-90) were compared between two groups. Results After intervention, the scores of SAS and SDS decreased in both groups before intervention, and SAS scores (38.7 ± 12.8) and SDS scores (39.2 ± 15.5) in the study group after intervention were lower than those in the control group Control group [(49.5 ± 13.2), (52.8 ± 14.9) points], the differences were statistically significant (P <0.05). After intervention, the scores of SCL-90 in each group and the total score were lower than those before the intervention in the two groups, and the difference was statistically significant (P <0.05). Conclusion For patients with chronic ulcerative colitis, the implementation of psychological theory-oriented intervention strategies can improve physical symptoms and negative emotions, and can improve clinical efficacy.