Effect of behavioral intervention on scratching behavior in patients with senile pruritus

中华行为医学与脑科学杂志 Pub Date : 2020-02-20 DOI:10.3760/CMA.J.CN371468-20190516-00326

Xiaopei Du, Chen Shaoxiu, Z. Xia, Duhong Chen, Wang Chao

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Abstract

Objective To explore the impact of behavioral intervention on scratching behavior of patients with senile pruritus. Methods One hundred cases of senile pruritus were randomly divided into observation group (n=50) and control group (n=50). All subjects received oral antihistamine.The observation group received behavioral intervention based on the trans-theoretical model, and the control group received routine health education.Visual analogue scale (VAS), Pittsburgh sleep quality index (PSQI) and dermatology life quality index (DLQI) were used to compare the itching symptoms, sleep quality and quality of life of senile pruritus patients in the two groups. Results After 6 months intervention, the change of scratching behavior in the observation group((1.96±1.54), (8.83±2.05), (10.46±2.24)) was significantly better than those in the control group((4.68±1.48), (12.89±2.02), (14.62±2.12)), and the differences were statistically significant (all P<0.01). Conclusion Health intervention based on trans-theoretical model can effectively change scratching behavior, relieve itching symptoms, improve sleep quality and the quality of life of senile pruritus patients. Key words: Senile pruritus; Scratching behavior; Trans-theoretical model; Quality of life

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行为干预对老年瘙痒症患者抓挠行为的影响

目的探讨行为干预对老年性瘙痒患者抓挠行为的影响。方法将100例老年性瘙痒患者随机分为观察组(n=50)和对照组(n=50)。所有受试者口服抗组胺药。观察组采用跨理论模式进行行为干预，对照组采用常规健康教育。采用视觉模拟量表(VAS)、匹兹堡睡眠质量指数(PSQI)和皮肤科生活质量指数(DLQI)比较两组老年瘙痒患者的瘙痒症状、睡眠质量和生活质量。结果干预6个月后，观察组挠痒行为变化((1.96±1.54)、(8.83±2.05)、(10.46±2.24)明显优于对照组((4.68±1.48)、(12.89±2.02)、(14.62±2.12)，差异均有统计学意义(P<0.01)。结论基于跨理论模型的健康干预能有效改变老年瘙痒患者的抓痒行为，缓解瘙痒症状，改善睡眠质量和生活质量。关键词:老年性瘙痒;抓挠行为;Trans-theoretical模型;生活质量

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来源期刊

中华行为医学与脑科学杂志

自引率

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发文量

8131

期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.