成人注意缺陷多动障碍的团体认知行为治疗效果分析

Analysis of the Effect of Group Cognitive Behavior on Adult Attention Deficit Hyperactivity Disorder

目的探究将团队认知行为治疗方案应用于治疗成人注意缺陷多动障碍患者中的效果,评价其临床应用意义。方法在该院数据库中方便选择时间段2017年4月-2018年5月间录入的成人注意缺陷多动障碍患者的资料信息进行统计分析,根据该次实验要求,选择其中符合实验标准的患者92例,纳入研究开展实验。通过随机分组法,将所有患者分为两组,分别命名为对照组(n=46)和实验组(n=46)。对照组患者应用托莫西汀进行单纯药物治疗,实验组患者在对照组患者的用药基础上加用团队认知行为治疗方案进行治疗,对比两组患者治疗总有效率,并评价患者的各项认知功能指标,评价治疗效果。结果在实验完成后,对比所有患者的各项认知功能指标来说,实验组患者的治疗后ADHD认知评分量表明显优于对照组,实验组患者认知情况较对照组来说更好,差异对比显著(P<0.05)。实验组患者治疗完成后其数据记录为89.13%,其数据明显高于对照组患者的治疗总有效率数据60.87%,组间差异有统计学意义(χ^2=19.592 8,P=0.000 0)。结论将团队认知行为治疗方案应用于成人注意缺陷多动障碍患者的治疗中,患者的认知功能可以得到相应的改善,有助于改善患者的生活状况,具有积极的应用意义,是一种有效且安全的用药方案,值得推广使用。

Objective To investigate the effect of group cognitive behavioral therapy in the treatment of adult patients with attention deficit hyperactivity disorder and evaluate its clinical application significance. Methods In the database of our hospital, we selected the data of adult attention deficit hyperactivity disorder patients from April 2017 to May 2018 for statistical analysis. According to the requirements of this experiment, 92 patients who met the experimental criteria were convenient selected and included in the study to carry out experiments. All patients were divided into two groups by randomization, which were named control group (n=46) and experimental group (n=46). The patients in the control group were treated with tomoxetine alone. The patients in the experimental group were treated with the team cognitive behavioral therapy based on the medication of the control group. The total effective rate of the two groups was compared and the patients' cognitive function indicators were analyzed so as to evaluate treatment outcomes. Results After the completion of the experiment, compared with the cognitive function indicators of all patients, the ADHD cognitive score scale of the experimental group was significantly better than that of the control group. The cognitive status of the experimental group was better than that of the control group. The difference was significant (P<0.05). The data of the experimental group were 89.13% after the completion of treatment, and the data were significantly higher than the total effective rate of the control group 60.87%. The difference between the groups was statistically significant (χ^2=19.592 8,P=0.000 0). Conclusion The application of group cognitive behavioral therapy to the treatment of patients with attention deficit hyperactivity disorder in adults can improve the cognitive function of patients and improve their living conditions. It has a positive application significance and is a kind of an effective and safe medication regimen is worth promoting.