不同心理干预方法对改善慢性乙肝患者心身症状的研究

目的　探讨支持性心理治疗和渐进性神经肌肉放松训练两种不同心理干预方法对改善慢性乙肝患者心身症状的效果。方法　将 90例慢性乙肝患者 ,随机分为 3组 ,实验组在临床治疗的同时分别采用支持性心理治疗和渐进性神经肌肉放松训练。病人入院时、入院 2周、入院 4周用症状自评量表 ( SCL-90 )、Zung焦虑自评量表 ( SAS)、Zung抑郁自评量表( SDS)分别评估实验组、对照组病人心理状况 ,进行心理干预前后、实验组之间及与对照组同期的心身症状比较。结果　支持性心理治疗组和渐进性神经肌肉放松训练组患者干预前后 SCL-90阳性总分、阳性项目、各因子得分及 SAS、SDS标准分比较 ,P<0 .0 5 ,差异有显著性。两个实验组干预后 2周、4周 SCL-90、SAS、SDS得分分别与对照组比较 ,P<0 .0 5 ,差异有显著性。渐进性神经肌肉放松训练组干预后 2周 SCL-90、SAS、SDS得分与支持性心理治疗组比较 ,差异有显著性 ;干预后 4周 SAS、SDS标准分差异有显著性。结论　支持性心理治疗和渐进性神经肌肉放松训练对改善病人的心身症状有明显效果 ,渐进性神经肌肉放松训练对改善病人焦虑、抑郁等负性情绪 ,优于支持性心理治疗

Effect of Different Psychological Intervention on Improving Psychological and Physical Symptoms in Patients with Chronic Hepatitis B

Objective To evaluate the effects of the two types of different psychological intervention that is general supportive psychotherapy,progressive nerve muscle relaxation in improving the psychological and physical symptoms in patients with chronic hepatitis B.Methods 90 patients with chronic hepatitis B were divided into 3 groups randomly.General supportive psychotherapy and progressive nerve muscle relaxation were adopted in two experimental groups respectively.The psychological status of the experimental and control groups were assessed by symptom checklist 90(SCL-90),self-rating anxiety scale (SAS),self-rating depression scale (SDS) in the first day of their admission and 2 and 4 weeks after their admission.Results The results indicated that SCL-90,SAS and SDS scores of the experimental groups were obviously lower than control group after 2 and 4 weeks intervention(P<0.05).The SCL-90,SAS and SDS scores of the experimental groups after 2 and 4 weeks intervention were lower than that of before intervention(P<0.05).The SCL-90,SAS and SDS scores of the patients who were adopted progression nerve muscle relaxation were lower than that of general supportive psychotherapy after 2 weeks intervention (P<0.05) and the SAS and SDS scores were lower comparing with it after 4 weeks intervention (P<0.05).Conclusion General supportive psychotherapy,progressive nerve muscle relaxation can improve the psychological and physical symptoms in patients with hepatitis B .Progressive nerve muscle relaxation is better than the general supportive psychotherapy in improving patient's moods of anxiety and depression.