团体心理治疗对持续性躯体形式疼痛障碍患者生活质量的影响

发布时间：2018-08-07 15:33

【摘要】：目的探讨团体心理治疗对持续性躯体形式疼痛障碍患者生活质量的影响。方法选取2014年2月~2015年5月在牡丹江医学院附属医院住院的持续性躯体形式疼痛障碍患者共85例,随机分为观察组43例和对照组42例。对两组患者治疗前后的述情障碍评分,疼痛症状评分及生活质量评分进行比较。结果观察组和对照组治疗后因子1~4及总分的述情障碍均低于治疗前,差异有统计学意义(P0.05),但观察组较对照组更为显著。观察组在治疗后因子1~4及总分的述情障碍明显低于对照组,差异有统计学意义(P0.05)。对照组治疗前后除感觉项外,其他项比较,差异无统计学意义(P0.05)。观察组治疗后的感觉项、情感项、PRI总分、VAS及PPI明显低于治疗前,差异有统计学意义(P0.05)。观察组在感觉项、情感项、PRI总分、VAS及PPI明显低于对照组,差异有统计学意义(P0.05)。治疗前,两组患者生活质量对比差异无统计学意义(P0.05);治疗后,观察组和对照组护理后患者生理功能、精神健康、躯体疼痛、生理职能、情感职能、生命活力、社会功能及总体健康评分均显著高于治疗前,且差异有统计学意义(P0.05);观察组治疗后患者生理功能、精神健康、躯体疼痛、生理职能、情感职能、生命活力、社会功能及总体健康评分均显著高于对照组,且差异有统计学意义(P0.05)。结论对持续性躯体形式疼痛障碍患者采取团体心理治疗,能提高其生活质量水平,减轻疼痛,值得临床推广应用。
[Abstract]:Objective to investigate the effect of group psychotherapy on quality of life of patients with persistent somatoform pain disorder. Methods from February 2014 to May 2015, 85 patients with persistent somatoform pain disorder in affiliated Hospital of Mudanjiang Medical College were randomly divided into observation group (n = 43) and control group (n = 42). Alexithymia score, pain symptom score and quality of life score before and after treatment were compared between the two groups. Results the alexithymia of the observation group and the control group after treatment were lower than that before treatment (P0.05), but the observation group was more significant than the control group. The alexithymia of factor 1 4 and total score in the observation group was significantly lower than that in the control group after treatment (P0.05). There was no significant difference between the control group and the control group before and after treatment except sensory items (P0.05). In the observation group, the total scores of sensory and affective items were significantly lower than those before treatment (P0.05). The total scores of sensory and emotional items in the observation group were significantly lower than those in the control group (P0.05). Before treatment, there was no significant difference in the quality of life between the two groups (P0.05); after treatment, the observation group and the control group after nursing patients after the physiological function, mental health, physical pain, physiological function, emotional function, vitality, The scores of social function and overall health were significantly higher than those before treatment (P0.05); the patients in the observation group had physiological function, mental health, body pain, physiological function, emotional function, life vigor after treatment. Social function and overall health scores were significantly higher than the control group, and the difference was statistically significant (P0.05). Conclusion Group psychotherapy for patients with persistent somatoform pain disorder can improve their quality of life and alleviate pain, which is worth popularizing in clinic.
【作者单位】：牡丹江医学院公共卫生学院医学心理教研室;牡丹江医学院附属红旗医院神经科;牡丹江医学院公共卫生学院临床心理教研室;
【基金】：黑龙江省牡丹江医学院人文社会科学研究项目(2011-40)
【分类号】：R749

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