现实护理疗法应用于躯体化障碍患者的对照研究  

Practical application of care therapy in patients with somatization disorder-control study

作　　者：李秀珊[1] 赵安全[1] 田志林[1] 张丽娜[1] 刘名姓 

机构地区：[1]河北省唐山市第五医院,河北唐山063000

出　　处：《中国民康医学》2009年第16期1999-2000,共2页Medical Journal of Chinese People’s Health

摘　　要：目的：观察现实疗法和传统护理相结合的方式对躯体化障碍患者进行护理的效果。方法：将符合CCMD-3＂躯体化障碍＂诊断标准的106例患者按随机原则分为两组。研究组由5名责任护士实施现实疗法9项基本技术,每天护理查房后由当班责任护士对入组患者一对一进行20分钟现实护理法,每周由护士长组织入组患者集体进行点评并进行健康教育。对照组进行传统护理。结果：两组治疗后症状均有明显好转。第2周开始躯体和焦虑因子分已经出现差别（P＆lt;0.05）,第4周则达到极显著差异（P＆lt;0.01）。第4周阳性项目数两组间的差别达到了极显著意义（P＆lt;0.01）。第4周偏执因子两组间也出现了差别。结论：对躯体化障碍,系统的抗焦虑、抗抑郁治疗有一定效果,联合现实护理法疗效更加突出。Objective： The use of reality therapy and a combination of traditional health care approach in patients with somatization disorder observed, Care to find effective countermeasures, Improve the cure rate. Methods： Would be consistent with the CC M D- 3＂somatization disorder＂diag- nostic criteria based on 106 cases of patients randomly divided into 2 groups, study group 5 by the nurses responsible for the implementation of practical basic skills therapy 9. Nursing rounds a day after the shift the responsibility of nurses to patients on the 20 - minute one - on - one reality to care act, a week in hospital from head nurse to the group collectively Comments and health education. According to the traditional care group. Results： Group 2 patients had marked improvement in symptoms after the first two weeks to start patients on the body have and anxiety factor, there been differences （P 〈 O. 05）, the first four weeks is to achieve a very significant difference （ P 〈 0.01 ）. The first four weeks the number of positive projects the difference between the two groups reached a very significant （ P 〈 O. 01 ）. The first four weeks paranoid - 2 group differences also emerged. Conclusion： Somatiza- tion disorder patients with antidepressant drug treatment is mainly to deal with anxiety symptoms. This study shows that the system have a certain anti - anxiety effect of antidepressant treatment, the joint effect of the reality care act have become more prominent.

关 键 词：躯体化障碍 健康教育 现实护理疗法 

分 类 号：R473.74[医药卫生—护理学]