Zhu Fen-fen, Lin Zheng, Lin Lin, Wang Mei-feng, Zhou Li-rong
Department of Nursing, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Zhonghua Nei Ke Za Zhi. 2010 Jul;49(7):591-4.
To explore the effects of biofeedback training on clinical symptom, psychological state and quality of life in patients with functional constipation (FC).
Forty-nine patients with FC diagnosed by Rome III were enrolled and received biofeedback training. Bowel symptom measure, Zung's self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Chinese version of the MOS 36-item short form healthy survey (SF-36) were recorded to assess the effects before and after treatment.
After biofeedback training, clinical symptom of patients with FC was greatly improved: there was a very significant decrease in total and subscales scores of bowel symptom including spontaneous frequency of bowel movements, straining effort, sensation of anorectal obstruction/blockage, stool consistency and bloating. Patients with FC also improved their quality of life as well as psychological status after biofeedback. All subcategories of SF-36 including general health, physical function, bodily pain, role physical, vitality, social function, role emotion and mental health showed marked increase. Compared to the scores before biofeedback training, SAS (41.0±8.1 vs 46.5±11.9) and SDS (44.0±8.2 vs 51.2±11.5) scores decreased significantly after biofeedback training.
Biofeedback training can improve clinical symptom, psychological status and quality of life in patients with FC.
探讨生物反馈训练对功能性便秘（FC）患者临床症状、心理状态及生活质量的影响。
纳入49例符合罗马III标准诊断的FC患者，接受生物反馈训练。记录肠道症状测量、zung氏自评焦虑量表（SAS）、自评抑郁量表（SDS）及中文版MOS 36项简短健康调查（SF - 36），以评估治疗前后的效果。
生物反馈训练后，FC患者的临床症状有显著改善：肠道症状总分及各子量表得分均显著降低，包括自发排便频率、用力排便、肛门直肠梗阻/堵塞感、大便性状及腹胀。生物反馈训练后，FC患者的生活质量及心理状态也有所改善。SF - 36的所有子类别，包括总体健康、身体功能、身体疼痛、角色身体、活力、社会功能、角色情感和心理健康均显著提高。与生物反馈训练前的得分相比，生物反馈训练后SAS（41.0±8.1 vs 46.5±11.9）和SDS（44.0±8.2 vs 51.2±11.5）得分显著降低。
生物反馈训练可改善FC患者的临床症状、心理状态及生活质量。
