寿月儿　占建华　曹世林　董盈莹　钱建军浙江省绍兴市第七人民医院心理障碍科，浙江绍兴　312000

认知行为护理疗法在改善躯体形式障碍患者负性情绪中的效果观察

寿月儿占建华▲曹世林董盈莹钱建军
浙江省绍兴市第七人民医院心理障碍科，浙江绍兴312000

目的探讨认知行为护理疗法在改善躯体形式障碍患者负性情绪中的应用效果。 方法选取我院2012年5月～2014年11月收治的躯体形式障碍患者82例，按随机数字表法分为对照组、观察组各41例；对照组给予常规治疗及精神科患者常规护理，观察组患者在此基础上采用认知行为护理疗法，比较分析两组患者护理焦虑、抑郁情绪变化情况及生活质量改善效果。结果护理干预前，观察组患者SAS评分为（59.75±5.31）分，SDS评分为（58.52±2.47）分，对照组患者SAS评分为（59.41±5.23）分，SDS评分为（58.45±2.65）分，护理干预前两组患者SAS、SDS评分比较均无明显差异（P＞0.05）；护理后，观察组患者SAS评分为（51.18±4.47）分，SDS评分为（51.26±1.21）分，对照组患者SAS评分为（54.23±4.56）分，SDS评分为（55.37±1.24）分，护理后观察组患者SAS、SDS评分优于对照组，且观察组患者SCL-90症状自评量表评分改善情况优于对照组，差异有统计学意义（P＜0.05）。结论认知行为护理疗法在改善躯体形式障碍患者负性情绪中的应用效果显著，具有较高临床应用价值。

认知行为护理疗法；躯体形式障碍；负性情绪；SCL-90

［Abstract］Objective To investigate the c1inica1 effects of cognitive behaviora1 care treatment in improving negative emotion of somatoform disorders patients.Methods A tota1 of 82 cases of patients with somatoform disorders treated in our hospita1 from May 2012 to November 2014 were chosen，and they were assigned into contro1 group and observation group according to random number tab1e，with 41 cases in each group.Conventiona1 treatment and conventiona1 care for psychiatric patients were app1ied to contro1 group，whi1e cognitive behaviora1 care treatment was app1ied to observation group on the basis of treatment for contro1 group.Nursing anxiety，depression changes and improvement of 1ife qua1ity of the two groups were compared.Results Before Nursing Intervention，SAS and SDS scores for observation group were （59.75±5.31）and（58.52±2.47），respective1y.Whi1e SAS and SDS scores for contro1 group were（59.41±5.23）and（58.45± 2.65），respective1y.There were no obvious differences in SAS，SDS scores between the two groups（P＞0.05）before Nurs ing Intervention.But after Nursing Intervention，SAS and SDS scores for observation group were（51.18±4.47）and（51.26± 1.21），respective1y.Whi1e SAS and SDS scores for contro1 group were（54.23±4.56）and（55.37±1.24），respective1y.SAS and SDS scores of observation group were better than that of contro1 group after Nursing Intervention.And improvement of SCL-90 Se1f-reporting Inventory score of observation group was better than that of contro1 group，with obvious difference between the two groups（P＜0.05）.Conclusion Cognitive behaviora1 care treatment has significant c1inica1 effects in improving negative emotion of somatoform disorders patients.It is of high c1inica1 va1ue.

［Key words］Cognitive behaviora1 nursing therapy；Somato form disorders；Negative emotion；SCL-90

躯体形式障碍为临床常见精神障碍疾病，临床表现为难以解释的躯体不适症状或主诉，但躯体及实验室检查均不能检查出相对应的器质性原因，也并不能有效解释患者躯体异常症状及痛苦［1］。……