行为干预对老年患者焦虑和功能性消化不良的效果

目的:探讨行为干预对老年功能性消化不良的疗效和对焦虑情绪的影响。方法:选取2014年3月-2016年3月于我院就诊的功能性消化不良老年患者共120例,随机分为干预组和对照组,两组患者均使用多潘立酮和奥美拉唑镁肠溶片作为基础治疗,干预组患者采用心理、饮食和运动进行综合干预,对比两组患者的焦虑和临床症状改善情况。结果:两组患者治疗前的胃脘痛、胃脘饱胀和嗳气评分比较差异无统计学意义(P0.05),治疗后两组患者3种症状均较治疗前显著下降(P0.05),干预组患者的胃脘痛、胃脘饱胀和嗳气评分显著低于对照组,差异具有统计学意义(t=-2.863,-3.165,-4.201;P0.01),治疗后干预组的自评焦虑量表(SAS)评分较治疗前显著下降(t=-7.442,P0.001),干预组显著低于对照组,差异具有统计学意义(t=-5.800,P0.001),干预组的有效率显著高于对照组,差异具有统计学意义(χ~2=4.615,P=0.032)。结论:行为干预能提高老年功能性消化不良的治疗效果,减轻患者的焦虑程度。

The Effect of Behavioral Intervention for Elderly Patients with Anxiety and the Functional Dyspepsia

Objective:To study the effect of behavior intervention on elderly functional dyspepsia and its influence on anxiety.Methods:From March 2014 to March 2016,a total of 120 old patients with functional dyspepsia were se-lected in our hospital,which were randomly divided into the intervention group and the control group;Two groups of patients were using multiple domperidone and omeprazole as the foundation treatment;The intervention group pa-tients were adopted to psychological,diet and exercise treatment;The two groups patients'anxiety and improvement of clinical symptoms were compared.Results:The epigastric pain,the fullness of stomach and belching score had no statistical significance in the two groups before treatment,three kinds of symptoms in both groups after treatment were significantly decreased than those of before treatment(P <0.05 ),the epigastric pain,the fullness of stomach and belching score of intervention group was significantly lower than that of the control group(t =-2.863,-3.165,-4.201;P <0.01 ),the intervention group SAS scoring after treatment decreased significantly than that of before treatment(t =7.442,P <0.001),the intervention group had significantly lower SAS scores than the control group(t=-5.800,P <0.001 ),the effectiveness of intervention group was significantly higher than the control group(χ2 =4.615,P <0.05).Conclusion:The behavioral intervention can improve the effect of the treatment of senile functional dyspepsia,and reduce the level of anxiety in the patients.