以躯体症状为主诉焦虑症临床心理护理研究.docVIP

以躯体症状为主诉的焦虑症临床心理护理研究 　　【摘要】目的 探讨以躯体症状为主诉的焦虑症患者采用临床心理护理的效果，以供参考。方法 将我院2007年1月~2010年4月收治的120例以躯体症状为主诉的焦虑症患者作为本次试验的研究对象。将患者按照治疗的先后顺序随机分为两组。I组患者给予一般治疗和护理，II组患者在I组患者的基础上，加强心理护理，比较两组患者的疗效，并将结果进行统计学分析。结果 II组患者经过我院护士的心理护理，其躯体症状好转者较多，患者采用焦虑量表评价，得分明显低于I组患者。经统计学分析，p＜0.05，差异有统计学意义。结论 采用心理护理能够有效缓解焦虑患者的躯体症状，使患者焦虑心理得到改善，值得在临床推广使用。 　　【关键词】焦虑症 躯体症状 心理护理 护理干预 　　中图分类号：R471文献标识码：A文章编号：1005-0515（2011）11-005-02 　　The chief complaint of physical symptoms of anxiety disorders clinical study of psychological care 　　HE Xiaoyan 　　（Mental Health Center Sichuan Guangyuan Guangyuan, Sichuan 628001） 　　【Abstract】Objective To investigate complaints of physical symptoms in patients with clinical anxiety disorders effects of psychological care, for reference. Method in our hospital in January 2007 - April 2010 120 patients were treated with physical symptoms in patients with chief complaint of anxiety as the object of study in this experiment. The patients were treated in accordance with the order randomly divided into two groups. Group I patients were given general treatment and care, II patients in group I patients, based on the strengthening of psychological care, the efficacy of two groups were compared, and the results were statistically analyzed. Results of Group II patients after hospital nurses psychological care, the physical symptoms improved in more patients with anxiety scale evaluation score was significantly lower than Group I patients. After statistical analysis, p 0.05, significant difference. Conclusion psychological care can relieve anxiety in patients with somatic symptoms, anxiety so that patients improved, it is worth in clinical use. 　　【Key words】anxiety physical symptoms psychological care nursing intervention 　　 　　焦虑症，是没有器质性基础的精神障碍，其可能由于各种因素所导致，包括遗传因素、环境因素、心理社会因素等。随着我国经济发展，人们生活压力增大，焦虑症的发病率正不断增加，其发病率可占精神症的15%以上[1]。而多数患者同时存在有不同程度的躯体症状，患者主诉有各种身体不适，如胃肠道症状、皮肤感觉异常、月经改变等[2]。患者往往感到十分痛苦，并不断到医院就诊，检查结果虽然始终为阴性，但仍不能打消内心的顾虑。我院在针对此类患者进行治疗和护理时，加强心理护理工作，护士多与患者沟通交流，给予针对性护理服务，患者症状缓解较快