心理干预与药物治疗对强迫症所致焦虑患者自信心和生活能力的影响

Effects of psychological nursing combined with drug therapy on the self-confidence and life ability of patients with obsessive-compulsive disorders

目的分析药物治疗+心理护理对强迫症所致焦虑患者生活能力、自信心的影响。方法选择2018年5月至2020年1月收治的强迫症所致焦虑患者78例,采用随机双盲法分为对照组和观察组,每组39例。对照组接受常规抗焦虑、抗强迫症药物治疗,观察组在药物治疗基础上联合心理护理干预。比较2组患者治疗结果,包括斯皮尔伯格状态-特质焦虑量表(state-trait anxiety inventory,STAI)评分、耶鲁-布朗强迫症状评定量表(yale-brown obsessive compulsive scale,Y-BOCS)评分,及患者自信心与生活能力。结果治疗前2组患者焦虑症状差异无统计学意义(P>0.05);治疗前后对比,2组患者焦虑情绪改善(P<0.05);治疗后,观察组患者STAI量表中SAI、TAI评分均低于对照组义(P<0.05);治疗前后2组Y-BOCS评分比较,治疗后患者强迫行为、强迫思维及总分均较治疗前下降(P<0.05);治疗前各维度差异无统计学意义(P>0.05);治疗后,观察组Y-BOCS量表总分、强迫行为、思维评分均低于对照组(P<0.05);2组治疗前GQOLI-74量表各维度、总分评分差异无统计学意义(P>0.05);治疗后,2组患者GQOLI-74量表评分提高,与治疗前对比(P<0.05);治疗后观察组量表各维度评分、总分均高于对照组(P<0.05);治疗前2组患者PEI评分、自尊量表评分差异无统计学意义(P>0.05);治疗后2组患者自尊心、自信心评分均改善(P<0.05);观察组PEI量表、自尊量表评分均高于对照组(P<0.05)。结论强迫症所致焦虑患者使用药物治疗同时,联合科学、有效心理护理,不仅有助于改善患者焦虑情绪、强迫症状,且相比于单纯药物治疗,联合方案更对患者自尊、自信心及生活能力具有积极作用,值得推广。

Objective To investigate the effects of psychological nursing combined with drug therapy on the self-confidence and life ability of patients with obsessive-compulsive disorders.Methods A total of 78 patients with anxiety caused by obsessive-compulsive disorders who were treated in our hospital from May 2018 to January 2020 were enrolled in the study,who were randomly divided into two groups control group and observation group,with 39 cases in each group.The patients in control group were treated by conventional anti anxiety and anti obsessive-compulsive drugs,however,the patients in observation group,on the basis of control group,were treated by psychological nursing intervention.The therapeutic effects,Spielberg state-State Trait Anxiety Inventory(STAI),Yale Brown Obsessive Compulsive Scale(Y-BOCS),and the self-confidence and life ability of patients were observed and compared between the two groups.Results Before treatment,there were no significant differences in the anxiety symptoms between the two groups(P>0.05).After treatment,the anxiety emotions of patients in both groups were significantly improved(P<0.05),moreover,the SAI scores and TAI scores in observation group were significantly lower than those in control group(P<0.05).After the treatment,the Y-BOCS scores including forced behavior,forced thinking and total scores in both groups were significantly decreased,moreover,which in observation group were significantly lower than those in control group(P<0.05).After treatment,the total scores of GQOLI-74 in observation group were significantly higher than those in control group(P>0.05).And the PEI scores and self-confidence scores in both groups were significantly improved(P<0.05),moreover,which in observation group were significantly higher than those in control group(P<0.05).Conclusion The combination application of scientific and effective psychological nursing can not only improve the anxiety emotions of patients with obsessive-compulsive disorders,but also has a positive effect on the self-esteem,self-confidence and life ability of patients,therefor,it is worth popularizing in clinical practice.