焦虑日记联合森田疗法在老年焦虑症患者中的应用

Application of anxiety diary combined with Morita therapy in elderly patients with anxiety disorders

目的探讨焦虑日记联合森田疗法在老年焦虑症患者中的应用效果。方法选择2018年10月至2019年9月于我院治疗的62例老年焦虑症患者为研究对象,随机等分为两组,对照组采用常规护理干预,观察组在对照组护理基础上采用焦虑日记模式联合森田疗法心理干预。8周后评价两组患者焦虑症状改善效果。比较干预后汉密尔顿焦虑量表(HAMA)、社会功能大体评定量表(GAF)以及总体印象量表(CGI),比较焦虑症综合改善效果。结果干预后观察组GAF评分高于对照组,干预后CGI评分、HAMA评分均低于对照组,差异具有统计学意义(P<0.05);观察组焦虑症改善总有效率为93.55%,对照组为74.19%,观察组高于对照组,差异具有统计学意义(P<0.05)。结论焦虑日记联合森田疗法心理干预有助于降低老年焦虑症患者的焦虑症状,提升其社会功能,方式简单、易接受,可推广应用于焦虑症患者的心理护理。

Objective To explore the application effect of anxiety diary combined with Morita therapy in elderly patients with anxiety disorders.Methods To select 62 cases of elderly patients with anxiety who were treated in our hospital from October 2018 to September 2019 as the study objects,and they were randomly divided into two groups.The control group used conventional nursing intervention,and the observation group used anxiety diary model combined with Morita therapy psychological intervention based on the control group.After 8 weeks,the effect of improving anxiety symptoms of patients in the two groups was evaluated.The Hamilton anxiety scale(HAMA),global assessment function(GAF)and clinical global impression(CGI)after intervention were compared,as well as the comprehensive improvement effect of anxiety was compared.Results After the intervention,the GAF score in the observation group was higher than that in the control group,the CGI and HAMA scores were lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of improvement anxiety in the observation group was 93.55%,and that of the control group was 74.19%,obviously the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion The application of anxiety diary combined with Morita therapy psychological intervention can help reduce the anxiety symptoms of elderly patients with anxiety disorders and improve their social functions.The method was simple and easy to accept,and can be extended to the psychological care of patients with anxiety disorders.