心理行为干预对胃食管反流病患者心理状况和生活质量的影响

目的探讨心理行为干预对胃食管反流病患者心理状况及生活质量的影响。方法胃食管反流病患者62 例，分为干预组(30 例)和对照组(32 例)。对照组入院后采取常规治疗，干预组在常规治疗的基础上应用认知、情绪、行为、社会支持等方法进行心理干预。两组均在入组时及治疗6 周末应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量综合评定问卷(GQOLI)进行评定。结果治疗前两组SAS、SDS 评分，GQOLI 中的躯体功能、心理功能、社会功能、物质功能评分及总分无显著性差异(P>0.05)。干预组治疗后SAS、SDS 低于对照组(P<0.05)，GQOLI 中的躯体功能、心理功能、社会功能、物质功能和总分明显高于对照组(P<0.01)。结论对胃食管反流病患者进行心理干预，能有效改善患者的焦虑、抑郁状态及生活质量。

Effect of Psycho-behavioral Intervention on Psychological Status and Quality of Life for Patients with Gastroesophageal Reflux Disease

Objective To explore the influence of psycho-behavioral intervention on psychological status and quality of life in patients with gastroesophageal reflux disease (GERD). Methods 62 patients with GERD were divided into intervention group (n=30) and control group (n=32). Both groups received routine treatment, and the intervention group received psychological care applying cognitive, emotional,behavioral, social support intervention in addition. They were assessed with Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), and Generic Quality of Life Inventory (GQOLI) before and 6 weeks after intervention. Results The scores of SAS, SDS, and GQOLI (all the dimensions and total) improved in the intervention group compared with the control group after intervention (P<0.05). Conclusion Psycho-behavioral intervention can reduce the anxiety and depression, and improve the quality of life for patients with GERD.