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渐进性肌肉松弛技术对麻风病患者焦虑和抑郁的影响

Progressive muscle relaxation technique on anxiety and depression among persons affected by leprosy.

作者信息

Ramasamy Senthilkumar, Panneerselvam Suganya, Govindharaj Pitchaimani, Kumar Archana, Nayak Rashmi

机构信息

Bethasda Leprosy Mission Hospital, Champa, Chhattisgarh, India.

All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

出版信息

J Exerc Rehabil. 2018 Jun 30;14(3):375-381. doi: 10.12965/jer.1836158.079. eCollection 2018 Jun.

Abstract

Anxiety and depression have been found to be increasing among people with leprosy and it may lead to decreased social participation. The progressive muscle relaxation technique (PMRT) is widely used today in choice of treatment for reducing the anxiety and depression. This study aimed to assess the effectiveness of PMRT in reducing anxiety and depression among the hospitalized leprosy affected person in a tertiary care centre. This study is a case series of 50 leprosy affected people aged between 18-60 years who were admitted for leprosy complications in tertiary leprosy referral hospital. The Anxiety-Depression scale was developed and validated by the investigators and administered before intervention of PMRT and after 2 weeks. The follow-up assessment was done at 6 weeks after the initial intervention. The finding shows that a statistically significant difference was observed on anxiety domain before and after application of PMRT. The anxiety means score showed steady decline from 6.76 at pretest to 3.0 (=25.068, ≤0.001) at post test and 1.12 (=22.679, ≤0.001) at follow-up. In depression domain, a statistically significant difference was seen in before and after application of PMRT. The depression means score showed steady decline from 6.92 at pre test to 3.28 (=16.082, ≤0.001) at post test and to 1.16 (=18.918, ≤0.001) at follow-up. This study proved that the PMRT as a valid treatment option for hospitalized person with leprosy in minimizing the anxiety and depression related symptoms and to benefit the psychosocial wellbeing of leprosy affected patients.

摘要

研究发现,麻风病人群中焦虑和抑郁状况呈上升趋势,这可能导致社会参与度降低。渐进性肌肉放松技术(PMRT)如今被广泛用于减轻焦虑和抑郁的治疗选择中。本研究旨在评估PMRT在一家三级护理中心减少住院麻风病人焦虑和抑郁方面的有效性。本研究是一个病例系列,纳入了50名年龄在18至60岁之间、因麻风病并发症入住三级麻风转诊医院的麻风病人。焦虑 - 抑郁量表由研究人员编制并验证,在PMRT干预前和干预后2周进行施测。在首次干预后6周进行随访评估。结果显示,在应用PMRT前后,焦虑领域观察到具有统计学意义的差异。焦虑平均得分从测试前的6.76稳步下降到测试后的3.0(=25.068,≤0.001)以及随访时的1.12(=22.679,≤0.001)。在抑郁领域,应用PMRT前后也观察到具有统计学意义的差异。抑郁平均得分从测试前的6.92稳步下降到测试后的3.28(=16.性82,≤0.001)以及随访时的1.16(=18.918,≤0.001)。本研究证明,PMRT作为住院麻风病人的一种有效治疗选择,可最大程度减少与焦虑和抑郁相关的症状,并有益于麻风病患者的心理社会福祉。

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