语言沟通联合心理护理对躯体形式障碍患者述情障碍、情绪、治疗依从性的影响

Effect of language communication and psychological nursing on alexithymia,emotion and treatment compliance of patients with somatoform disorder

目的观察语言沟通联合心理护理对躯体形式障碍(SD)患者述情障碍、情绪、治疗依从性的影响。方法选取2021年1月至2022年8月赣州市第三人民医院收治的76例SD患者为研究对象,采用随机数字表法分为对照组(n=38)和研究组(n=38)。对照组接受常规护理,基于此,研究组接受语言沟通联合心理护理,干预2个月。于干预前后比较两组患者述情障碍[多伦多述情障碍量表(TAS-20)]、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分,比较两组患者的依从性及满意度情况。结果干预后,两组的TAS-20、HAMA、HAMD评分均低于干预前,且研究组干预后的TAS-20、HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05);研究组患者干预2个月的依从性高于对照组,差异有统计学意义(P<0.05);研究组患者的沟通技巧、健康教育、服务态度、基础护理、人文关怀满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论语言沟通联合心理护理应用于SD患者中,能够减轻述情障碍程度,改善患者焦虑、抑郁情绪,提高治疗依从性及患者满意度。

Objective To observe the effect of language communication and psychological nursing on alexithymia,emotion and treatment compliance of patients with somatoform disorder(SD).Methods A total of 76 SD patients admitted to the Third People's Hospital of Ganzhou from January 2021 to August 2022 were selected as the study objects,and they were divided into control group(n=38)and study group(n=38)by random number table method.The control group received routine nursing.Based on this,the study group received language communication combined with psychological nursing for 2 months.The scores of alexithymia(Toronto alexithymia scale[TAS-20]),Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)of the two groups were compared before and after the intervention,and the compliance and satisfaction of the two groups were compared.Results After intervention,the scores of TAS-20,HAMA and HAMD in both groups were lower than those before intervention,and the scores of TAS-20,HAMA and HAMD in the study group were lower than those in the control group after intervention,with statistical significances(P<0.05).The compliance of patients in the study group after 2 months of intervention was higher than that in the control group,the difference was statistically significant(P<0.05).The satisfaction scores of communication skills,health education,service attitude,basic nursing and humanistic care in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of language communication and psychological nursing in SD patients can reduce the degree of alexithymia,improve anxiety and depression of patients,and improve treatment compliance and patient satisfaction.