正念运动结合心理护理应用于广泛性焦虑障碍患者的效果分析

Effect Analysis of Mindfulness Exercise Combined with Psychological Nursing in Patients with Generalized Anxiety Disorder

目的探讨正念运动结合心理护理应用于广泛性焦虑障碍患者的临床效果。方法方便选取该院2017年6月—2018年6月间住院的广泛性焦虑障碍患者80例并随机分为两组,对照组予口服帕罗西汀和常规护理,观察组在对照组基础上予正念运动结合心理护理干预,观察两组汉密尔顿焦虑量表(HAMA)评分变化,评定疗效和安全性、护理满意度。结果两组医护干预后HAMA评分都有所降低(P<0.05),且干预后观察组HAMA评分低于对照组(14.05±1.82)分vs(14.32±1.90)分,差异有统计学意义(t=3.265,P<0.05);治疗4周后观察组疗效优于对照组(χ^2=2.325,P<0.05)。对照组不良反应率高于观察组(χ^2=4.505,P<0.05)。观察组护理满意度优于对照组(χ^2=2.023,P<0.05)。以上差异有统计学意义。结论正念运动结合心理护理应用于广泛性焦虑障碍患者,具有良好临床效果和安全性,患者容易接受,满意度高,值得推广。

Objective To discuss the clinical effect of mindfulness exercise combined with psychological nursing in patients with generalized anxiety disorder.Methods Convenient selected eighty patients with generalized anxiety disorder who were hospitalized in the hospital from June 2017 to June 2018 were randomly divided into two groups.The control group received oral paroxetine and routine nursing.The observation group was given a mind-nudity exercise combined with psychological nursing intervention on the basis of the control group.The changes of the Hamilton Anxiety Scale(HAMA)scores were observed to evaluate the efficacy and safety,and the satisfaction of nursing.Results The HAMA scores of the two groups were reduced after the intervention(P<0.05),and the HAMA score of the observation group was lower than that of the control group(14.05±1.82)points vs(14.32±1.90)points,and the difference was statistically significant(t=3.265,P<0.05).After 4 weeks of treatment,the effect of the observation group was better than that of the control group(χ^2=2.325,P<0.05).The adverse reaction rate of the control group was higher than that of the observation group(χ^2=4.505,P<0.05).The nursing satisfaction of the observation group was better than that of the control group(χ^2=2.023,P<0.05).The difference was statistically significant.Conclusion Mindfulness exercise combined with psychological nursing is applied to patients with generalized anxiety disorder.It has good clinical effect and safety.It is easy for patients to accept and has high satisfaction.It is worth promoting.