药物治疗联合心理护理对改善强迫症患者症状的疗效分析.docVIP

精品论文 参考文献 药物治疗联合心理护理对改善强迫症患者症状的疗效分析 张海霞（郑州市第八人民医院 河南郑州 450006） 【中图分类号】R473.74【文献标识码】A【文章编号】1672-5085（2011）48-0042-03 【摘要】目的 探讨药物治疗联合心理护理对改善强迫症患者症状的疗效。方法 将符合CCMD-3强迫症诊断标准的68例强迫症患者随机分为两组，其中研究组34例，对照组34例。研究组接受综合心理护理干预合并氟伏沙明系统治疗，对照组仅接受氟伏沙明系统治疗。分别在干预前和干预后第2、4、6、8周末用耶鲁布朗强迫症状量表(Y—BOCS)和汉密尔顿焦虑量表(HAMA) 评定效果。结果 研究组有效率73.5％，对照组有效率52.9％，两组比较差异有统计学意义(Plt;0.05)。干预后的研究组和对照组的Y—BOCS评分均显著低于干预前，差异有统计学意义(Plt;0.05)。干预后研究组的Y—BOCS评分显著低于对照组，差异有统计学意义(Plt;0.05)。结论 心理护理可提高氟伏沙明治疗强迫症的疗效。 【关键词】强迫症 心理护理 【Abstract】 Objective To investigate the drug therapy combined with psychological nursing to improve the curative effect of patients with OCD. Method 68 patients with OCD were randomly divided into two groups. 34 cases were in study group， others were in control group . In study group， patients received psychological nursing intervention combined with fluvoxamine， In control group， patients received fluvoxamine therapy only.All subjects received Yale-Brown obsessive compulsive scale and Hamilton Anxiety scale at before and after treatment 2，4，6，8 weekends.Results The effective rate of study group was 73.5%， the effective rate of control group was 52.9%， there was significant difference between two groups (Plt; 0.05). After the intervention of the study group and the control group Y-Bocs scores were signnicficantly lower than before the intervention , there was significant difference beween two groups(Plt;0.05). After treatment， the Y - BOCS scores in study group were lower than that in control group， and the difference was statistically significant (Plt;0.05). Conclusion Psychological nursing can improve the efficacy of fluvoxamine in the treatment of obsessive compulsive disorder. 【Key words】Obsessive-compulsive disorder Psychological nursing 强迫症是精神科的常见疾病，终生患病率为2permil;～3permil;[1]。强迫症的病因机理不是十分明了，多数认为它与病前性格、心理社会因素、遗传及神经生化等多方面因素[2-3]有关。其典型的临床特点为有意识的自我强迫与反强迫并存，两者强烈冲突使患者深感焦虑和痛苦，其病程迁延，心理负担重，严重影响了患者的社会功能。我院采用口服氟伏沙明治疗强迫症，治疗过程中加强心理护理，获得很好效果，现报告如下。 1 对象与方法 1.1对象 2