摘要
目的从护理角度探讨认知行为疗法对强迫症患者执行功能的影响。方法将81例强迫症患者随机分为研究组和对照组,患者均予氟伏沙明治疗,在此基础上,研究组在护理上给予12周的认知行为疗法干预,对照组给予常规的护理,治疗前、治疗12周末分别采用耶鲁-布朗量表(Y-BOCS)评定疗效,威斯康星卡片分类测验(WCST)评估执行功能。结果治疗12周末,两组患者治疗前后Y-BOCS评分比较,差异具有统计学意义(P<0.05);两组组间的临床疗效有统计学差异(χ2=4.076,P<0.05);WSCT评分结果显示,两组被试治疗前后WCST评分中总操作时间、完成分类数、正确应答数、正确应答百分数、错误应答数、持续性及非持续性错误的差异均有统计学意义(均P<0.001),两组被试组组间治疗前后WCST评分中正确应答数及非持续性错误的差异有统计学意义(均P<0.05)。结论在护理中进行认知行为疗法对强迫症患者强迫症状的缓解具有增效作用,同时能改善强迫症患者的部分执行功能。
Objective To study the effect of cognitive-behavior therapy on executive functions in patients with obsessive-compulsive disorder from the perspective of nursing. Methods Totals of 81 patients with obsessive-behavior disease were randomly divided into two groups. Both groups were treated with fluvoxamine. Additionally, the research group was given 12 weeks of cognitive behavioral therapy as intervention, while the control group was accepted usual care. Clinical efficacies were assessed with the Yale-Brown Obsessive Compulsive Scale（Y-BOCS） and executive functions were assessed with Wisconsin Card Sorting Testing （WCST） before treatments and after 12 weeks of treatments. Results Scores of Y-BOCS and WCST of both groups were significantly lower after treatment （P〈O.05）. After 12 weeks of treatments, the treatments of the research group were more effective than the control group. Conclusions Treatment for patients with OCD is more effective if combined with cognitive behavioral therapy in nursing, and cognitive behavioral therapy can improve executive function of patients with OCD.
出处
《齐齐哈尔医学院学报》
2016年第26期3329-3331,共3页
Journal of Qiqihar Medical University
关键词
强迫症
护理
认知行为疗法
执行功能
Obsessive-compulsive disorder
Nursing
Cognitive-behavior therapy
Executive functions
