放松训练在强迫症患者治疗中的效果研究  

Study on the effect of relaxation training in the treatment of patients with obsessive-compulsive disorder

作　　者：葛霞平[1] 汪敏[1] 李玲丽[1] Ge Xiaping;Wang Min;Li Lingli(Department of Psychiatry No.4,Hangzhou Seventh People's Hospital,Hangzhou 310015,China)

机构地区：[1]杭州市第七人民医院精神四科,310015

出　　处：《中国实用护理杂志》2021年第19期1484-1488,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨放松训练在强迫症患者治疗中的效果。方法选择2017年1月至2018年6月上海交通大学医学院附属精神卫生中心四病区接诊的强迫症患者90例,按照随机数字表法分为对照组和干预组各45例,对照组给予药物治疗,干预组在对照组的基础上使用放松训练,比较2组治疗前后的强迫症得分、生命质量、抑郁、焦虑情况。结果对照组治疗后的强迫思维、强迫行为得分分别为(14.02±3.12)、(15.01±2.45)分;干预组分别为(11.91±3.01)、(12.23±2.34)分,2组比较差异有统计学意义(t值为3.265、5.504,P<0.01)。治疗后对照组的生命质量得分为(283.64±51.28)分,干预组为(305.67±49.28)分,2组比较差异有统计学意义(t值为-2.078,P<0.05)。治疗后对照组抑郁量表、焦虑量表得分分别为(12.35±2.89)、(15.35±4.03)分;干预组分别为(8.05±1.72)、(10.35±3.65)分,2组比较差异有统计学意义(t值为8.577、6.169,P<0.01)。结论利用放松训练结合常规药物治疗强迫症患者,可以改善强迫症状,提升生命质量,缓解负面情绪。Objective To explore the effect of relaxation training in the treatment of patients with obsessive-compulsive disorder.Methods From January 2017 to June 2018,90 patients with obsessive-compulsive disorder were admitted to the fourth ward of the Mental Health Center of Shanghai Jiaotong University School of Medicine.According to the random number table method,they were divided into the control group and the intervention group with 45 cases each.The control group was given medication,and the intervention group used relaxation training on the basis of the control group.The obsessive-compulsive disorder scores,quality of life,depression,and anxiety of the two groups were compared before and after treatment.Results The obsessive thinking and compulsive behavior scores of the control group after treatment were(14.02±3.12)and(15.01±2.45)points;the intervention group was(11.91±3.01)and(12.23±2.34)points after treatment,and lower than the control group(t values were 3.265,5.504,P<0.05 or 0.01).The quality of life score of the control group after treatment was(283.64±51.28)points;the intervention group was(305.67±49.28)points after treatment,and the intervention group was higher than the control group after treatment(t value was-2.078,P<0.05).After treatment,the scores of the depression scale and anxiety scale of the control group were(12.35±2.89)and(15.35±4.03)points;the intervention group was(8.05±1.72)and(10.35±3.65)points after treatment,and the intervention group after treatment all lower than the control group(t values were 8.577,6.169,P<0.01).Conclusion Using relaxation training combined with conventional drugs to treat patients with obsessive-compulsive disorder can improve obsessive-compulsive symptoms,improve quality of life,and relieve negative emotions.

关 键 词：放松训练 强迫症 心理疾病 帕罗西汀 

分 类 号：R473.74[医药卫生—护理学]