心理疏导对躯体化障碍患者的护理效果  

Nursing effect of the psychological counseling for patients with somatization disorder

作　　者：张媚[1] 

机构地区：[1]湖南省脑科医院(湖南中医药大学临床医学院),湖南长沙410007

出　　处：《中国当代医药》2013年第24期139-140,共2页China Modern Medicine

摘　　要：目的探讨心理疏导对躯体化障碍患者的护理效果。方法选取本院收治的躯体化障碍患者90例,按入院日期分为干预组和对照组,每组各45例,两组患者均给予常规护理,包括疾病知识、药物知识、饮食及治疗等,干预组在常规护理的基础上给予心理疏导,6周后比较两组的临床疗效,并采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评价患者的负性情绪改善情况。结果干预组痊愈率、显效率分别为62.2%、22.2%,对照组痊愈率、显效率分别为44.4%、13.3%,干预组明显高于对照组(P<0.05);两组HAMD、HAMA评分均较治疗前降低,且干预组评分明显低于对照组(P<0.05)。结论心理疏导可有效改善躯体化障碍患者的焦虑、抑郁情况,并对治疗效果的提高有积极的促进作用。Objective To investigate the nursing effect of the psychological counseling for patients with somatization disorder.Methods 90 patients with somatization disorder treated in our hospital were divided into the intervention group (n=45) and the control group (n=45) according to the date of admission.Routine care were given in the two groups,it included knowledge of disease and drugs,diet and treatment.The intervention group was given psychological counseling on the basis of routine care.The clinical effect of the two groups was compared after 6 nursing.The improvement of negative sentiment of patients was evaluated by Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD).Results The cure rate and succes rate of the intervention group was 62.2% and 22.2%,while it was 44.4% and 13.3% in the control group respectively,the former was markedly higher than the latter ( P <0.05);the HAMD,HAMA scores of both groups were markedly lower than that before treatment,and scores of the intervention group were significantly lower than these of the control group (P<0.05).Conclusion Psychological counseling can effectively improve the anxiety and depression situation of patients with somatization disorder,and has positive role in promoting the raise of therapeutic effect.

关 键 词：心理疏导 躯体化障碍 治疗效果 负性情绪 

分 类 号：R749.4[医药卫生—神经病学与精神病学]