自我管理模式护理干预在强迫症患者中的应用效果评价

Effect evaluation of self-management nursing intervention in patients with obsessive-compulsive disorder

目的探讨自我管理模式护理干预在强迫症患者中的应用效果.方法将72例强迫症患者按随机数字表法分为干预组和对照组,每组36例,均予以常规治疗及护理干预,干预组在此基础上予以自我管理模式护理干预,观察2个月.干预前后采用汉密顿焦虑量表评定焦虑状况,耶鲁-布自强迫症状量表评定强迫症状,比较两组临床疗效.结果干预后两组汉密顿焦虑量表、耶鲁-布朗强迫症状量表评分较干预前显著下降(P<0.01),干预组评分均显著低于对照组(P<0.01);干预组总有效率(94.4%)显著高于对照组(72.2%)(P<0.05).结论自我管理模式护理干预能够有效缓解强迫症患者的焦虑情绪及强迫症状,提高治疗效果,促进患者康复,值得临床推广应用.

Objective To explore the effect of self management nursing interventionl in patients with obsessive-compulsive disorder.Methods 72 patients with obsessive-compulsive disorder(OCD)were divided into intervention group and control group according to the random number table method,36 cases each.All were given routine treatment and nursing intervention,and the intervention group was given self-management nursing intervention on this basis.Before and after the intervention,HAMA was used to assess the anxiety status,and Y-BOCS was used to assess the compulsive symptoms.The clinical effects of the two groups were compared.Results After the intervention,the HAMA and Y-BOCS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the scores of the intervention group were significantly lower than those of the control group(P<0.01).The total effective rate in the intervention group(94.4%)was significantly higher than that in the control group(72.2%)(P<0.05).Conclusions The self management nursing model can effectively alleviate the anxiety and obsessive-compulsive symptoms of patients with obsessive-compulsive disorder,improve the treatment effect,and promote the rehabilitation of patients.It is worthy of clinical promotion and application.