认知行为团体心理咨询对老年冠心病患者焦虑抑郁的干预效果
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摘要
目的:探讨认知行为团体心理咨询对老年冠心病(coronary atherosclerotic heart disease,CHD)患者焦虑抑郁的干预效果。方法:选取2015年6月-2017年6月在我院就诊的老年CHD患者124例为研究对象,根据随机数字表法随机分为观察组(n=62)和对照组(n=62)。对照组患者给予常规治疗护理以及心理疏导。观察组在对照组基础上安排认知行为团体心理咨询。比较两组干预前后焦虑自评量表(Self-Rating Anxiety Scale,SAS)和抑郁自评量表(Self-rating depression scale,SDS)评分,简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)评分,状态与特质孤独量表(Status-trait Loneliness Scale,STLS)评分。结果:干预后,观察组SAS和SDS评分显著低于对照组(t=-5.629,-5.548,P<0.001);干预后,观察组SCSQ积极应对与对照组比较差异无统计学意义(t=0.357,P=0.722),观察组SCSQ消极应对显著低于对照组(t=-2.638,P=0.009);干预后,观察组STLS总评分与对照组比较差异无统计学意义(t=1.529,P=0.128)。结论:认知行为团体心理咨询可明显减轻老年CHD患者焦虑与抑郁水平,减少消极应对方式。
Objective:To explore the intervention effects of cognitive behavioral group psychological counseling on anxiety and depression in elderly patients with coronary atherosclerotic heart disease(CHD).Methods:A total of 124 cases of elderly CHD patients in our hospital from June 2015 to June 2017 were selected for the study and were divided into the observation group(n=62)and the control group(n=62)according to the random number table method.The control group was given the routine nursing and psychological counseling,and the observation group was given the cognitive behavior group psychological counseling based on the control group.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores and the scores of the Simplified Coping Style Questionnaire(SCSQ)and the Status-trait Loneliness Scale(STLS)of the two groups were compared before and after intervention.Results:After intervention,the SAS and SDS scores in the observation group were significantly lower than those in the control group(t=-5.629,-5.548;P<0.001).After intervention,the positive response score of the SCSQ scale in the observation group was not significantly different from that in the control group(P>0.05),and the negative response score of the SCSQ scale in the observation group was significantly lower than that in the control group(t=-2.638,P<0.01).After intervention,the total score of STLS in the observation group was not significantly different from that in the control group(P>0.05).Conclusion:Cognitive behavioral group psychological counseling can significantly reduce the level of anxiety and depression and the negative coping style in the elderly CHD patients.
Objective:To explore the intervention effects of cognitive behavioral group psychological counseling on anxiety and depression in elderly patients with coronary atherosclerotic heart disease(CHD).Methods:A total of 124 cases of elderly CHD patients in our hospital from June 2015 to June 2017 were selected for the study and were divided into the observation group(n=62)and the control group(n=62)according to the random number table method.The control group was given the routine nursing and psychological counseling,and the observation group was given the cognitive behavior group psychological counseling based on the control group.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores and the scores of the Simplified Coping Style Questionnaire(SCSQ)and the Status-trait Loneliness Scale(STLS)of the two groups were compared before and after intervention.Results:After intervention,the SAS and SDS scores in the observation group were significantly lower than those in the control group(t=-5.629,-5.548;P<0.001).After intervention,the positive response score of the SCSQ scale in the observation group was not significantly different from that in the control group(P>0.05),and the negative response score of the SCSQ scale in the observation group was significantly lower than that in the control group(t=-2.638,P<0.01).After intervention,the total score of STLS in the observation group was not significantly different from that in the control group(P>0.05).Conclusion:Cognitive behavioral group psychological counseling can significantly reduce the level of anxiety and depression and the negative coping style in the elderly CHD patients.
引文
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[17]杨燕,杨冉明,林潇骁,等.认知行为团体咨询对大学生抑郁症状的干预效果[J].中国心理卫生杂志,2014,28(12):913-919
[18]廖友国.中国人应对方式与心理健康关系的元分析[J].中国临床心理学杂志,2014,22(5):897-900
[19]刘媛媛,张晓燕,张澜.认知行为集体心理咨询对老年高血压患者焦虑情绪的干预效果[J].中国心理卫生杂志,2017,31(1):13-18
[2]朱继芳,李远琼,陈朝容,等.特殊护理干预对冠心病患者焦虑抑郁心理的影响研究[J].重庆医学,2015,44(13):1801-1803(上接第231页)
[3]王晓艳.120例老年冠心病患者的抑郁和焦虑状况调查[D].沈阳:中国医科大学,2010
[4]余道友,李结华.老年冠心病患者焦虑抑郁现状调查[J].中国循证心血管医学杂志,2014,6(5):587-591
[5]李强,陈敏,杨泰,等.抑郁症发病机制的研究进展[J].神经疾病与精神卫生,2016,16(5):524-527
[6]杨静,邢攸红,杨玉,等.综合性心理干预对冠心病介入治疗患者抑郁焦虑及生活质量的影响[J].现代生物医学进展,2016,16(10):1949-1951
[7]葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013
[8]陶明,高静芳.修订焦虑自评量表(SAS-CR)的信度及效度[J].中国神经精神疾病杂志,1994,20(5):301-303
[9]段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679
[10]Han Y,Hu D,Liu Y,et al.Coping styles and social support among depressed Chinese family caregivers of patients with esophageal cancer[J].European Journal of Oncology Nursing the Official Journal of European Oncology Nursing Society,2014,18(6):571-577
[11]梁瑞琼.心理评估与测量学[M].广州:广东高等教育出版社,2016
[12]袁大伟,李瑾.认知行为治疗改善脑卒中后抑郁状况及生活质量的疗效研究[J].神经疾病与精神卫生,2015,15(3):243-245
[13]段征征,刘义兰,陈婷.认知行为干预在腰椎间盘突出患者疼痛中的应用[J].护理学杂志,2015,30(8):40-42
[14]黄丽,赖静.认知行为干预对维持性血液透析患者生活质量的影响[J].西部医学,2015,27(2):309-311
[15]徐亚莉,张卫红.认知行为干预应用于冠心病临床护理中的价值分析[J].中国中医急症,2015,24(9):1690-1692
[16]王渊铭,陈德,王蕊,等.抗抑郁治疗对老年冠心病伴抑郁患者炎症因子及生活质量的影响[J].中国健康心理学杂志,2015,23(3):451-454
[17]杨燕,杨冉明,林潇骁,等.认知行为团体咨询对大学生抑郁症状的干预效果[J].中国心理卫生杂志,2014,28(12):913-919
[18]廖友国.中国人应对方式与心理健康关系的元分析[J].中国临床心理学杂志,2014,22(5):897-900
[19]刘媛媛,张晓燕,张澜.认知行为集体心理咨询对老年高血压患者焦虑情绪的干预效果[J].中国心理卫生杂志,2017,31(1):13-18