认知行为护理疗法在改善躯体形式障碍患者负性情绪中的效果观察(1)
[摘要] 目的 探讨认知行为护理疗法在改善躯体形式障碍患者负性情绪中的应用效果。 方法 选取我院2012年5月～2014年11月收治的躯体形式障碍患者82例，按随机数字表法分为对照组、观察组各41例；对照组给予常规治疗及精神科患者常规护理，观察组患者在此基础上采用认知行为护理疗法，比较分析两组患者护理焦虑、抑郁情绪变化情况及生活质量改善效果。 结果 护理干预前，观察组患者SAS评分为(59.75±5.31)分，SDS评分为(58.52±2.47)分，对照组患者SAS评分为(59.41±5.23)分，SDS评分为(58.45±2.65)分，护理干预前两组患者SAS、SDS评分比较均无明显差异(P>0.05)；护理后，观察组患者SAS评分为(51.18±4.47)分，SDS评分为(51.26±1.21)分，对照组患者SAS评分为(54.23±4.56)分，SDS评分为(55.37±1.24)分，护理后观察组患者SAS、SDS评分优于对照组，且观察组患者SCL-90 症状自评量表评分改善情况优于对照组，差异有统计学意义(P<0.05)。 结论 认知行为护理疗法在改善躯体形式障碍患者负性情绪中的应用效果显著，具有较高临床应用价值。
[关键词] 认知行为护理疗法；躯体形式障碍；负性情绪；SCL-90
[中图分类号] R473.7 [文献标识码] B [文章编号] 1673-9701(2016)11-0128-04
[Abstract] Objective To investigate the clinical effects of cognitive behavioral care treatment in improving negative emotion of somatoform disorders patients. Methods A total of 82 cases of patients with somatoform disorders treated in our hospital from May 2012 to November 2014 were chosen， and they were assigned into control group and observation group according to random number table， with 41 cases in each group. Conventional treatment and conventional care for psychiatric patients were applied to control group， while cognitive behavioral care treatment was applied to observation group on the basis of treatment for control group. Nursing anxiety， depression changes and improvement of life quality of the two groups were compared. Results Before Nursing Intervention， SAS and SDS scores for observation group were (59.75±5.31) and(58.52±2.47)， respectively. While SAS and SDS scores for control group were (59.41±5.23) and (58.45±2.65)， respectively. There were no obvious differences in SAS， SDS scores between the two groups(P>0.05) before Nursing Intervention. But after Nursing Intervention， SAS and SDS scores for observation group were(51.18±4.47) and (51.26±1.21)， respectively. While SAS and SDS scores for control group were (54.23±4.56) and (55.37±1.24)， respectively. SAS and SDS scores of observation group were better than that of control group after Nursing Intervention. And improvement of SCL-90 Self-reporting Inventory score of observation group was better than that of control group， with obvious difference between the two groups (P<0.05). Conclusion Cognitive behavioral care treatment has significant clinical effects in improving negative emotion of somatoform disorders patients. It is of high clinical value.
[Key words] Cognitive behavioral nursing therapy； Somato form disorders； Negative emotion； SCL-90
躯体形式障碍为临床常见精神障碍疾病，临床表现为难以解释的躯体不适症状或主诉，但躯体及实验室检查均不能检查出相对应的器质性原因，也并不能有效解释患者躯体异常症状及痛苦[1]。躯体形式障碍患者症状较多，体征很少，并且很多伴有抑郁、焦虑等负性情绪且与躯体症状互为因果，形成恶性循环[2]。当前临床对于该病治疗的研究重点集中在单一的药物治疗上[3]，对护理在疗效方面的影响探讨较少。为进一步探讨认知行为护理疗法在该类患者中的应用效果，我院选取2012年5月～2014年11月期间收治的82例躯体形式障碍患者为研究对象，给予患者认知行为护理治疗，护理干预后患者不良情绪得到良好缓解，且生活质量也得到明显提高，现报道如下。, http://www.100md.com(寿月儿 占建华 曹世林 董盈莹 钱建军)
[关键词] 认知行为护理疗法；躯体形式障碍；负性情绪；SCL-90
[中图分类号] R473.7 [文献标识码] B [文章编号] 1673-9701(2016)11-0128-04
[Abstract] Objective To investigate the clinical effects of cognitive behavioral care treatment in improving negative emotion of somatoform disorders patients. Methods A total of 82 cases of patients with somatoform disorders treated in our hospital from May 2012 to November 2014 were chosen， and they were assigned into control group and observation group according to random number table， with 41 cases in each group. Conventional treatment and conventional care for psychiatric patients were applied to control group， while cognitive behavioral care treatment was applied to observation group on the basis of treatment for control group. Nursing anxiety， depression changes and improvement of life quality of the two groups were compared. Results Before Nursing Intervention， SAS and SDS scores for observation group were (59.75±5.31) and(58.52±2.47)， respectively. While SAS and SDS scores for control group were (59.41±5.23) and (58.45±2.65)， respectively. There were no obvious differences in SAS， SDS scores between the two groups(P>0.05) before Nursing Intervention. But after Nursing Intervention， SAS and SDS scores for observation group were(51.18±4.47) and (51.26±1.21)， respectively. While SAS and SDS scores for control group were (54.23±4.56) and (55.37±1.24)， respectively. SAS and SDS scores of observation group were better than that of control group after Nursing Intervention. And improvement of SCL-90 Self-reporting Inventory score of observation group was better than that of control group， with obvious difference between the two groups (P<0.05). Conclusion Cognitive behavioral care treatment has significant clinical effects in improving negative emotion of somatoform disorders patients. It is of high clinical value.
[Key words] Cognitive behavioral nursing therapy； Somato form disorders； Negative emotion； SCL-90
躯体形式障碍为临床常见精神障碍疾病，临床表现为难以解释的躯体不适症状或主诉，但躯体及实验室检查均不能检查出相对应的器质性原因，也并不能有效解释患者躯体异常症状及痛苦[1]。躯体形式障碍患者症状较多，体征很少，并且很多伴有抑郁、焦虑等负性情绪且与躯体症状互为因果，形成恶性循环[2]。当前临床对于该病治疗的研究重点集中在单一的药物治疗上[3]，对护理在疗效方面的影响探讨较少。为进一步探讨认知行为护理疗法在该类患者中的应用效果，我院选取2012年5月～2014年11月期间收治的82例躯体形式障碍患者为研究对象，给予患者认知行为护理治疗，护理干预后患者不良情绪得到良好缓解，且生活质量也得到明显提高，现报道如下。, http://www.100md.com(寿月儿 占建华 曹世林 董盈莹 钱建军)