认知行为干预对子宫内膜异位症患者生活质量改善的促进作用

胡　静，王志毅

(宜宾市第一人民医院妇科，四川 宜宾 644000)



认知行为干预对子宫内膜异位症患者生活质量改善的促进作用

胡静，王志毅

(宜宾市第一人民医院妇科，四川 宜宾 644000)

目的探讨认知行为干预对子宫内膜异位症(EMs)患者生活质量改善的促进作用。方法将112例EMs住院患者随机分为观察组和对照组，各56例。对照组予以常规干预模式，观察组在常规干预基础上加以认知行为干预。入院当天和出院后3个月采用症状自评量表(SCL-90)对患者心理状况进行评定，采用世界卫生组织生活质量量表(WHOQol-BREF)对患者生活质量进行评定，比较两组患者干预前后心理状态及生活质量。 结果干预后，观察组在人际关系、躯体化、焦虑和抑郁评分均低于对照组(t值分别为3.78、7.52、4.12和3.25，均P<0.05)；观察组在生理和心理领域评分均高于对照组(t值分别为5.62和8.72，均P<0.05)。结论对EMs患者予以认知行为干预可以改善心理状态和提高生活质量，值得临床推广。

认知行为干预；子宫内膜异位症；生活质量；心理状态

[Abstract]Objective To explore the effect of cognitive behavior intervention on improving the quality of life of patients with endometriosis (EMs). Methods Totally 112 cases of EMs were randomly divided into observation group and control group with 56 cases in each. The control group was given conventional intervention mode, and the observation group received cognitive behavior intervention on the basis of conventional intervention. On the day of admission and three months after discharge symptom self rating scale (SCL-90) was used to assess the psychological status of patients, and the quality of life of the WHO (WHOQol-BREF) was used to assess the quality of life of patients. The psychological status and quality of life were compared between two groups before and after the intervention. Results After intervention, the scores of interpersonal relationship, somatization, anxiety and depression of the observation group were lower than those of the control group (tvalue was 3.78, 7.52, 4.12 and 3.25, respectively, allP<0.05). Patients in the observation group had higher scores of physiological and psychological domain than those in the control group (tvalue was 5.62 and 8.72, respectively, bothP<0.05).Conclusion Cognitive behavioral intervention can improve the mental status and improve the quality of life of patients with EMs, so it is worth to be popularized in clinical practice.

[Key words]cognitive behavior intervention; endometriosis (EMs); quality of life; psychological status

子宫内膜异位症(EMs)是一种常见妇科疾病。近年来发病率呈上升趋势，EMs引起的痛经、慢性盆腔疼痛及不育造成患者产生焦虑和抑郁等情感问题，对患者的生活质量造成严重影响[1]。认知行为干预是一种有效的心理干预方法，可纠正患者不良的认知行为，提高患者对疾病的自我控制感和增强战胜疾病的信心，还能增强患者的心理应对能力，改善不良情绪，提高生活质量[2]。本研究对56例EMs患者予以认知行为干预，通过干预后效果良好。现报告如下。

1 资料和方法

1.1一般资料

选取2014年2月至2015年8月在宜宾市第一人民医院妇科住院的EMs患者112例。纳入标准：明确诊断为EMs的患者，且均行非根治性手术治疗；……