摘要
目的:探讨以正念为基础的认知行为模式在强迫症患者中的应用效果.方法:收集2018年5月至2020年6月期间于郑州市第九人民医院采用以正念为基础的认知行为模式护理的33例强迫症患者临床资料,将其纳入观察组;另收集同期于同一医院采用常规护理的33例强迫症患者临床资料,将其纳入对照组.采用强迫症症状分类量表(修订版)中文版(OCI-R)评估和负性情绪量表,即汉密尔顿焦虑量表(HAMA)与汉密尔顿抑郁量表(HAMD)评估,比较两组护理前、护理8周后症状改善情况.结果:与护理前相比,两组OCI-R评分均降低,其中,观察组更为显著,差异有统计学意义(P<0.05);与护理前相比,两组HAMA、HAMD评分均降低,其中,观察组更为显著,差异有统计学意义(P<0.05).结论:以正念为基础的认知行为模式可更好地减轻强迫症患者焦虑、抑郁情绪,并可促进患者强迫症状改善.
Objective:To explore the application effect of mindfulness based cognitive behavior model in patients with obsessive-compulsive disorder.Methods:The clinical data of 33 patients with obsessive-compulsive disorder who received mindfulness based cognitive behavior model nursing in the Ninth People's Hospital of Zhengzhou from May 2018 to June 2020 were collected and included in the observation group;in addition,the clinical data of 33 patients with obsessive-compulsive disorder who received routine nursing in the same hospital during the same period were collected and included in the control group.The symptom improvement was evaluated with Chinese Version of Obsessive-compulsive Inventory-revised(OCI-R)and the negative emotion was detected with Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD),and both were compared between the two groups before and 8 weeks after nursing.Results:Compared with before nursing,the OCI-R scores of both groups were decreased,of which the observation group was more significant,with statistical significant differences(P<0.05);compared with before nursing,HAMA and HAMD scores of both groups were decreased,of which the observation group was more remarkable,with statistical significant differences(P<0.05).Conclusion:Mindfulness based cognitive behavior model can better reduce anxiety and depression in patients with obsessive-compulsive disorder,and can promote the improvement of obsessive-compulsive symptoms in patients.
作者
高凯
GAO Kai(Department of Psychiatry and Psychology,the Ninth People's Hospital of Zhengzhou,Zhengzhou 450053,China)
出处
《四川解剖学杂志》
2021年第4期65-67,共3页
Sichuan Journal of Anatomy
关键词
强迫症
正念疗法
认知行为干预
负性情绪
Obsessive-compulsive disorder
Mindfulness therapy
Cognitive behavioral intervention
Negative emotions