躯体化障碍病人的临床特点与护理对策研究

Clinical Features and Nursing Countermeasures of Patients With Somatization Disorder

目的 :了解躯体化障碍(SD)病人的临床特点 ,以便针对性实施护理。方法 :采用病人综合情况登记表及汉密顿抑郁量表 ,对 10 2例躯体化障碍病人进行问卷调查 ,对躯体化障碍病人的临床特点进行分析。结果 :SD病人的临床表现以躯体不适症状为主 ,而且这些症状分布广泛 ,涉及多系统 ;抑郁症状则相对较少 ,尤其是抑郁的行为症状和抑郁的认知症状出现得更少。结论 :SD病人的疾病感强 ,大多数认为与情绪无关。

Objective: to find out the clinical features of patients with somatization disorder(SD), and to carry out nursing care accordingly for them. Methods: patient's general status recording form was adopted and a total of 102 cases with SD were investigated via filling out the questionnaire. The clinical features of them had been analyzed. Results: patients with SD had the major manifestation as somatization uncomfortable symptoms, which were with wide distribution and involved with multiple systems of the body. However, these patients had less symptoms of depression particularly they had less behavioral and cognition symptoms of depression. Conclusion: patients with SD have a strong feeling of illness, and most of which have no relation with their emotions. Suggested that one should communicate with patients aimed at their causes of diseases and conduct some symptomatic management.