认知行为护理疗法对躯体形式障碍患者负性情绪的影响  

The effect of cognitive behavioral nursing therapy on the negative emotions of patients with somatoform disorders

作　　者：侯先芹[1] 周笑寒 王莉[1] 

机构地区：[1]安徽省宿州市第二人民医院心理科,234000

出　　处：《蚌埠医学院学报》2013年第10期1365-1368,共4页Journal of Bengbu Medical College

摘　　要：目的:探讨认知行为护理疗法对躯体形式障碍患者负性情绪的影响。方法:将躯体形式障碍68例患者随机分为观察组和对照组各34例,2组均使用药物治疗,对照组采用精神科常规护理,观察组在此基础上进行有针对性的认知行为护理干预12周,即教育干预、心理干预、放松训练等。干预前后采用抑郁自评量表(SDS),焦虑自评量表(SAS),症状自评量表(SCL-90)对干预效果进行评定。结果:2组患者干预前SDS、SAS和SCL-90评分差异均无统计学意义(P>0.05);实施认知行为护理干预12周后,观察组患者的抑郁、焦虑评分均明显低于干预前和对照组(P<0.01);而在SCL-90各因子分中,观察组躯体化,抑郁、焦虑,人际敏感因子分变化均明显优于对照组(P<0.01)。结论:认知行为护理疗法能显著改善躯体形式障碍患者的抑郁、焦虑情绪,提高心理健康水平,促进患者康复。Objective： To investigate the effects of cognitive behavioral nursing therapy on the negative emotions of patients with somatoform disorders. Methods：Sixty-eight patients with somatoform disorder were randomly divided into observation group and control group（ 34 cases each group）. Two groups were treated with drug therapy and routine nursing, the observation group were additionally treated with cognitive behavior nursing intervention（ education intervention）, psychological intervention and relaxation training, etc. The intervention effects were evaluated by self-evaluation depression scale （ SDS）, self-evaluation anxiety scale （SAS） and symptom self- assessment scale（SCL-90） before and after the intervention. Results： The differences of SAS, SI）S and SCL-90 scores between two groups were not statistically significant before intervention （ P 〉 0.05 ）. Twelve weeks after cognitive behavioral nursing therapy, the depression and anxiety levels of the observation group were significantly lower than those in control group and before intervention （P 〈 0.01 ）, the factor scores of somatization, depression and anxiety, interpersonal sensitivity of SCL-90 in observation group were better than those in control group （P 〈 0.01 ）. Conclusions：Cognitive behavioral nursing therapy can significantly improve the depression, anxiety and level of mental health in patients with somatoform disorder, and promote patients recovery.

关 键 词：躯体形式障碍 认知行为护理疗法 负性情绪 

分 类 号：R749.2[医药卫生—神经病学与精神病学]