摘要
目的探讨躯体形式障碍患者住院期间应用影视团体心理治疗干预后的疗效,从而为完善临床诊疗提供参考依据。方法基于本院往年同期相关患者就诊量的分布情况,自2016年12月20日起,连续性纳入宁波市康宁医院心身科收治的SSD患者为研究队列,直至纳入满100例为止。使用Excel软件RAND函数将其随机分为对照组和实验组,实验组在对照组基础上予以影视团体心理治疗术干预。比较两组患者入院后14 d、21 d时相关心理评估量表变化,并于出院后随访6个月以明确中远期的复发情况。结果本研究自2016年12月20日起始,至2018年3月19日截止,完成100例研究对象的数据搜集,并于2018年10月26日完成随访,随访期内累计5例患者失访(对照组2例、实验组3例)。与对照组比较,实验组患者入院14 d时健康相关焦虑评定量表、躯体症状量表-8量表均显著下降,差异有统计学意义(P<0.05);入院后21 d时,实验组患者WI-8、SSS-8及Beck压力量表均显著下降,差异有统计学意义(P<0.05);至出院时实验组患者的总体满意度显著增加,差异具有统计学意义(P<0.05);对两组患者的随访进程进行Kaplan-Meier生存分析,实验组复发SSD的趋势显著低于对照组(Log RANKχ2=3.771,P<0.05)。结论对于SSD患者予以影视团体心理治疗干预,可显著增强疗效,并降低中远期复发率。
Objective To explore the therapeutic effect of video group psychotherapy on somatoform disorder patients during hospitalization,so as to provide reference for improving clinical diagnosis and treatment.Methods Based on the distribution of related patients'visits in the same period of previous years in our hospital,SSD patients who were continuously included in the pediatrics department of Ningbo Kangning Hospital from December 20,2016 were enrolled in the study until 100 patients were included.Excel software RAND function was used to randomly divide it into the control group and the study group.The changes of psychological assessment scale were compared between the two groups on the 14th and 21st day after admission,and the patients were followed up for 6 months after discharge to determine the long-term recurrence.Results The data collection of 100 cases of subjects was completed from December 20,2016 to March 19,2018.The follow-up was completed on October 26,2018,during which 5 patients were withdrawn(2 in the control group and 3 in the study group).Compared with the control group,the self-rating anxiety scale(SAS)and self-rating somatization symptoms scale-8(SSS-8)in the study group decreased significantly on the 14th day after admission,and the difference was statistically significant(P<0.05);on the 21st day after admission,the WI-8,SSS-8 and Beck pressure scale in the study group decreased significantly,and the difference was statistically significant(P<0.05);the overall satisfaction of the study group increased significantly at the time of discharge,and the difference was statistically significant(P<0.05);Kaplan-Meier survival analysis of the follow-up process of the two groups showed that the trend of recurrent SSD in the study group was significantly lower than that in the control group(Log RANKχ2=3.771,P<0.05).Conclusion Group video psychotherapy intervention for SSD patients can significantly enhance the efficacy and reduce the recurrence rate in the medium and long term.
作者
王淑君
张媛媛
杨宝琴
刘灵江
WANG Shujun;ZHANG Yuanyuan;YANG Baoqin;LIU Lingjiang(Department of Pediatrics,Kangning Hospital of Ningbo City,Ningbo315201,China)
出处
《中国现代医生》
2020年第21期176-180,共5页
China Modern Doctor
基金
浙江省宁波市自然科学基金项目(2016A610185)。
关键词
心理治疗
躯体形式障碍
护理
随机对照试验
Psychotherapy
Somatoform disorder
Nursing
Randomized controlled trial
