综合心理护理干预治疗强迫症患者临床效果分析

Analysis of the clinical effect of comprehensive psychological nursing intervention in the treatment of obsessive-compulsive disorder patients

目的探讨综合心理护理干预治疗强迫症(OCD)患者的临床效果。方法 100例强迫症患者,随机分为对照组和研究组,各50例。对照组患者实施常规心理护理干预,研究组患者实施综合心理护理干预,比较两组患者的治疗效果、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分、美国国立卫生研究院卒中量表(NIHSS)评分和日常生活能力量表(ADL)评分。结果干预后,研究组的SAS评分为(50.26±6.42)分,SDS评分为(56.68±5.26)分,显著优于对照组的(68.89±9.26)、(74.52±6.23)分,差异有统计学意义(P<0.05)。研究组的总有效率为98.0%,显著高于对照组的86.0%,差异有统计学意义(P<0.05)。干预前,两组患者的NIHSS评分和ADL评分比较差异无统计学意义(P>0.05);干预后,研究组患者的NIHSS评分明显低于对照组,ADL评分高于对照组,差异有统计学意义(P<0.05)。结论为强迫症患者实施综合心理护理干预治疗可有效提高临床护理有效率,缓解患者的焦虑程度及抑郁程度,是临床干预护理强迫症患者的理想方法 ,具有较高的临床推广价值。

Objective To discuss the clinical effect of comprehensive psychological nursing intervention in the treatment of obsessive-compulsive disorder（OCD） patients. Methods A total of 100 obsessive-compulsive disorder patients were randomly divided into control group and research group, with 50 cases in each group. The control group received conventional psychological nursing intervention, and the research group received comprehensive psychological nursing intervention. Comparison were made on treatment effect, self-rating depression scale（SDS） score, self-rating anxiety scale（SAS） score, National Institutes of Health Stroke scale（NIHSS） score and activities of daily life score between the two groups. Results After intervention, the research group had SAS score as（50.26±6.42） points, and SDS score as（56.68±5.26） points, which were all obviously better than（68.89±9.26） and（74.52±6.23） points in the control group, and their difference was statistically significant（P〈0.05）. The research group had obviously higher total effective rate as 98.0% than 86.0% in the control group, and the difference was statistically significant（P〈0.05）. Before intervention, both groups had no statistically significant difference in NIHSS and ADL score（P〈0.05）. After intervention, the research group had obviously lower NIHSS score than the control group, and higher ADL score than the control group. Their difference was statistically significant（P〈0.05）. Conclusion Comprehensive psychological nursing intervention for patients with obsessive-compulsive disorder can effectively improve the efficiency of clinical nursing, relieve patients＇ anxiety and depression degree. It is an ideal method for clinical intervention and nursing of obsessive-compulsive disorder patients, and contains high clinical promotion value.