心理治疗在精神科临床治疗中的应用效果分析

Analysis of Clinical Effect of Psychotherapy in Treatment of Psychiatric Department

目的观察分析心理治疗在精神科临床治疗中的应用效果。方法将80例该院精神科收治的住院患者的作为该次研究的观察对象,选取时间为2015年11月—2016年11月期间。通过抽签的方法,将其分为常规组和实验组两组,每组患者占40例。常规组患者使用常规药物治疗以及常规精神科护理;实验组患者在常规药物治疗的基础上,实施心理治疗干预。将两组患者的行为异常、性格改变、语言异常、治疗依从性以及病情复发发生率进行对比,观察治疗后4、8周两组患者的NOSIE(积极因素与消极因素)评分情况。结果实验组患者的行为异常发生率为10.00%、性格改变发生率为7.50%、语言异常发生率为12.50%、病情复发率为15.00%,均低于常规组(32.50%、30.00%、35.00%、37.50%),(P<0.05);实验组患者的治疗依从性为92.50%,相较于常规组(72.50%)明显更高(P<0.05);两组患者治疗后NOSIE评分比较发现,均差异有统计学意义(P<0.05),实验组总分为(157.67±10.31)分,常规组总分为(132.64±10.28)分,实验组均高于常规组差异有统计学意义(P<0.05)。实验组患者的消极因素因子中,激怒、迟缓、抑郁以及精神病表现评分均低于常规组差异有统计学意义(P<0.05);积极因素因子中,两组患者的社会兴趣、社会能力、个人报告均差异有统计学意义(P<0.05),实验组优于常规组。结论采用心理治疗干预可改善精神科住院患者的关节功能,缓解其疼痛,值得推广。

Objective This paper tries to observe and analyze the application effect of psychotherapy in treatment of psychiatric department. Methods 80 cases of psychiatric patients hospitalized in this hospital from November, 2015 to November, 2016 were selected and divided into the experimental group and the conventional group by drawing lots,with 40 cases in each group. The conventional group adopted routine drug therapy and routine psychiatric nursing care;the experimental group added psychological intervention on the basis of routine therapy. The abnormal behavior, personality changes, language abnormalities, treatment compliance and relapse rate of the two groups were compared, the scores of NOSIE（positive factors and negative factors） after treatment for 4 weeks and 8 weeks of two groups were observed. Results The occurrence rate of the abnormal behavior, personality changes, language abnormalities, treatment relapse rate of the experimental group were 10.00%, 7.50%, 12.50%, 15.00% respectively, generally lower than those of the conventional group of 32.50%, 30.00%, 35.00%, 37.50% respectively（P0.05）; the treatment compliance of the experimental group was 92.50%, higher than the conventional group of 72.50%（P0.05）; NOSIE scores of two groups were significantly different, that of the experimental group was（157.67 ±10.31）points, higher than that of the conventional group of（132.64±10.28）points（P0.05）. Performance scores of negative factors such as anger, depression, mental retardation and disease in the experimental group were lower than the conventional group（P0.05）; the positive factors such as social interest, social ability, individual reports have obvious differences in the two groups, those of the experimental group were better than the conventional group（P0.05）. Conclusion The psychological intervention can improve joint function of psychiatric hospitalization patients and relieve their pain, so it is worth promotion.