汤一榕　陈康银　赖晓兰　朱丽秀　黄秀娟　 陈仁利

【摘要】 目的：探讨心理治疗对风湿病患者精神状态、心理健康及预后的影响作用。方法：选取2016年1月-2017年1月本院收治的风湿病患者80例作为研究对象，按照随机数字表法将其分为观察组与对照组，各40例。对照组仅接受常规基础治疗，观察组则在基础治疗上实施心理治疗，比较两组风湿病治疗效果及精神状态、心理健康情况。结果：观察组治疗总有效率明显高于对照组，差异有统计学意义（字2=8.538，P=0.003）。干预后，观察组汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）评分、简易心理健康评分量表（SCL-90）总分均明显低于对照组，差异均有统计学意义（P<0.05）。

结论：在常规基础治疗上联合心理治疗可有效提升风湿病临床治疗效果，并对改善患者精神状态、心理健康具有重要作用。

【关键词】 心理治疗； 风湿病患者； 精神状态； 心理健康； 预后

Effect of Psychotherapy on Mental State，Mental Health and Prognosis of Rheumatic Patients/TANG Yirong，CHEN Kangyin，LAI Xiaolan，et al.//Medical Innovation of China，2018，15（27）：-148

【Abstract】 Objective：To explore the effect of psychotherapy on mental state，mental health and prognosis of rheumatic patients.Method：A total of 80 patients with rheumatism in our hospital from January 2016 to January 2017 were selected as the research objects.According to random number table method，they were divided into observation group and control group，40 cases in each group.The control group was only received routine basic treatment，the observation group was received psychotherapy on basic treatment.The therapeutic effect of rheumatism，mental state and mental health between the two groups were compared.Result：The total effective rate of the observation group was significantly higher than that of the control group，the difference was statistically significant （字2=8.538，P=0.003）.After intervention，the scores of Hamilton anxiety scale （HAMA），Hamilton depression scale （HAMD） and simple mental health scale （SCL-90） total score in the observation group were significantly lower than those in the control group， the difference was statistically significant （P<0.05）.Conclusion：On the basis of routine basic treatment， psychotherapy can effectively improve clinical treatment effect of rheumatism and play an important role in improving the mental state and mental health of patients.

【Key words】 Psychotherapy； Rheumatic patients； Mental state； Mental health； Prognosis

First-authors address：Ningde Hospital Affiliated to Fujian Medical University，Ningde 352100，China

doi：10.3969/j.issn.1674-4985.2018.27.039

風湿病是一种以关节病变为主，同时累及其他多系统功能的慢性疾病。其临床表现为持久疼痛，病情严重的患者可出现残疾、社会功能缺损等结局，且容易反复发作、进行性加重、迁徙不愈，严重影响患者身心健康及生活质量[1]。由于风湿病的临床治疗是一个漫长的过程，需要患者积极、长久的配合，但患者往往治疗依从性较差，严重影响治疗效果，进而导致患者出现焦虑、抑郁等不良情绪，从而影响患者的生活质量及治疗进程。因此积极对风湿病患者实施心理干预具有重要的意义。本研究探讨心理治疗对风湿病患者精神状态、心理健康及预后的影响，现报道如下。……