摘要
目的:探讨认知行为疗法(CBT)联合聚焦解决模式(SFA)对女性系统性红斑狼疮(SLE)患者疾病活动度的改善状况。方法:将140例SLE女性住院患者随机分为对照组和研究组,每组各70例,再依据年龄、受教育程度、是否首诊及住院时间进行亚分组。对照组进行SLE的常规治疗和护理,研究组在此基础上实施CBT联合SFA。对照组和研究组在入院和出院时均进行SLE疾病活动度评分(SLEDAI)评估SLE的活动性,分析SLEDAI评分在对照组和研究组间以及亚组间的变化。结果:①对照组和研究组出院时SLEDAI总均分分别低于入院时(P<0.05),但两组间SLEDAI总均分变化差异无统计学意义(P>0.05)。②研究组中年、高中以上、首诊、住院时间≤7 d患者SLEDAI得分下降幅度高于对照组(P<0.05),其他组间差异均无统计学意义(P>0.05)。结论:CBT联合SFA对整体女性SLE患者疾病活动度改善效果不明显,而对中年、高中以上、首诊以及住院时间≤7 d的女性SLE患者疾病活动度有明显的改善作用。
Objective:To observe the effects of cognitive behavioral therapy(CBT)combined with solution focused approach(SFA)on improving the activity of systemic lupus erythematous(SLE)in women.Methods:Totally,140 SLE female inpatients were equally randomized to control group and observational group,and then sub-grouped by age,educational background,first visit and length of hospital stay.Patient in the control group received conventional therapy and nursing,and on which basis those in the observational group were CBT plus SFA.Systemic lupus erythematous disease activity index(SLEDAI)was obtained in both groups upon admission and at discharge to evaluate SLE activity,and the changes of SLEDAI scores were analyzed in the control group,observational group and subgroups.Results:①The total mean score of SLEDAI in the control group and observational group was lower at discharge than upon admission(P<0.05),yet there was no significant difference in the change of the total mean SLEDAI scores between the two groups(P>0.05);②Significantly decreased SLEDAI scores were seen in patients of middle-aged,with educational background of high school and above,first diagnosis and hospital stay less than 7 days in the observational group compared to the control group(P<0.05),and no difference was found between other groups(P>0.05).Conclusion:CBT combined with SFA produces no significant effect on improving the disease activity in female SLE patients,yet can significantly improve it in patients of middle-aged,with educational background of high school and above,first hospital visit at disease onset and hospital stay less than 7 days.
作者
戴晓英
马红梅
倪玲
宋小玲
李玉娟
刘金花
许亚军
DAI Xiaoying;MA Hongmei;NI Ling;SONG Xiaoling;LI Yujuan;LIU Jinhua;XU Yajun(Department of Rheumatology&Immunology,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)
出处
《皖南医学院学报》
CAS
2020年第5期495-498,共4页
Journal of Wannan Medical College
基金
安徽高校人文社会科学研究重点项目(SK2018A0205)
安徽省人文社会科学重点研究基地大学生心理健康教育研究中心开放基金立项项目(SJD201709)。
关键词
系统性红斑狼疮
认知行为疗法
聚焦解决模式
SLE疾病活动度评分
systemic lupus erythematous
cognitive behavioral therapy
solution focused approach
systemic lupus erythematous disease activity index
