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目的探讨心理干预措施在131碘治疗后甲状腺功能减退症(简称甲减)治疗中的疗效。方法将398例甲减患者按心理检查时单双序号随机抽取200例,分为研究组和对照组。研究组在常规药物治疗的基础上,采用行为干预治疗、支持性心理治疗等综合性心理干预;对照组仅常规药物治疗,观察两组干预前、后SCL-90检测结果并进行比较,两组患者对治疗的依从性进行比较。结果经综合治疗3~6个月后,SCL-90因子除敌对、偏执因子外,其余均有显著性差异(P<0.05~0.01),研究组对治疗的依从性优于对照组(P<0.01)。结论综合性心理干预有效提高甲减患者对替代疗法的依从性和疗效及生活质量。
Objective To investigate the efficacy of psychological interventions in the treatment of hypothyroidism (hypothyroidism) after 131 iodine treatment. Methods A total of 398 patients with hypothyroidism were randomly divided into two groups: study group and control group. The study group was treated with behavioral intervention and supportive psychotherapy on the basis of routine drug therapy. The control group was treated with conventional drugs only. The results of SCL-90 before and after intervention were observed and compared between the two groups Patient compliance with treatment was compared. Results After 3 to 6 months of comprehensive treatment, SCL-90 factors were significantly different (P <0.05 ~ 0.01) except for hostility and paranoid factors, and the study group’s compliance with treatment was better than that of the control group (P < 0.01). Conclusion Comprehensive psychological intervention effectively improves compliance, efficacy and quality of life in patients with hypothyroidism.