分离转换性障碍患者认知闭合需要现状及其影响因素分析

The influencing factors of need for cognitive closure in patients with separation and conversion disorder

目的 :调查分离转换性障碍患者认知闭合需要现状并分析其影响因素。方法 :采用认知闭合需要量表对217例分离转换性障碍患者进行问卷调查。结果:分离转换性障碍患者认知闭合需要总分为(217.65±31.23)分,其中高认知闭合需要者占71.89%。Logistic多元回归分析显示,人格特质、临床表现形式、发作次数和文化程度为分离转换性障碍患者认知闭合需要的影响因素。结论 :分离转换性障碍患者认知闭合需要处于较高水平并受多种因素影响,医护人员可将这些影响因素作为突破口进行护理干预。

Objective： To explore the influencing factors of need for cognitive closure in patients with separation and conversion disorder. Methods： A total of 217 patients with separation and conversion disorder were investigated by the Need for Cognitive Closure Scale （NCCS）. Results： The total score of NCCS was （217.65±31.23）. There were significant differences in education level, clinical manifestation, the times of episodes and personality traits between the patients with high NCCS score and those with low NCCS score （P〈0.05）. Logistic regression analysis showed that personality traits, clinical manifestation, the times of episodes and education level were independent influencing factors of NCCS in patients with separation and conversion disorder. Conclusion： The NCCS score was in the high level in patients with separation and conversion disorder, and was influenced by many factors, targeted intervention measures should be used to improve the need for cognitive closure.