认知行为干预对住院阿尔茨海默症症主要照护亲属情绪和应对方式的影响
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摘要
目的探讨认知行为干预对住院阿尔茨海默症症主要照护亲属情绪和应对方式的影响。方法对入组76例亲属随机分为研究组和对照组,各38例,对照组仅给予精神科常规健康宣教,研究组施行以认知行为干预为基础的综合干预8周,于干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和特质应对方式问卷(TCSQ)对两组亲属进行对照研究。结果干预后,研究组SAS、SDS评分均低于干预前及对照组(P<0.05),TCSQ评分高于干预前及对照组(P<0.05),但对照组干预前后SDS、SAS、TCSQ评分比较,差异均无统计学意义(P>0.05)。结论认知行为干预能有效缓解阿尔茨海默症症照护亲属的焦虑抑郁等负面情绪,并改进其应对方式,值得推广应用。
Objective To explore the effect of cognitive behavioral intervention on the emotions and coping styles of the main caregivers of Alzheimer's disease in hospital.Methods 76 relatives were randomLy divided into study group and control group,38 cases in each group.The control group was only given routine health education in psychiatry,while study group was given comprehensive intervention based on cognitive behavior intervention for 8 weeks.Before and after intervention,the relatives of two groups were compared by self-rating anxiety scale(SAS),self-rating depression scale(SDS) and trait coping style questionnaire(TCSQ).Results The scores of SAS and SDS in study group were lower than those before intervention and control group(P<0.05),and TCSQ was higher than those before intervention and control group(P<0.05),but there was no significant difference in the scores of SDS,SAS and TCSQ before and after intervention in control group(P>0.05).Conclusion Cognitive behavior intervention can effectively alleviate negative emotion such as anxiety,depression and so on of the care-taking relatives to the patient of Alzheimer's Disease and improve their coping styles,which is worth spreading.
Objective To explore the effect of cognitive behavioral intervention on the emotions and coping styles of the main caregivers of Alzheimer's disease in hospital.Methods 76 relatives were randomLy divided into study group and control group,38 cases in each group.The control group was only given routine health education in psychiatry,while study group was given comprehensive intervention based on cognitive behavior intervention for 8 weeks.Before and after intervention,the relatives of two groups were compared by self-rating anxiety scale(SAS),self-rating depression scale(SDS) and trait coping style questionnaire(TCSQ).Results The scores of SAS and SDS in study group were lower than those before intervention and control group(P<0.05),and TCSQ was higher than those before intervention and control group(P<0.05),but there was no significant difference in the scores of SDS,SAS and TCSQ before and after intervention in control group(P>0.05).Conclusion Cognitive behavior intervention can effectively alleviate negative emotion such as anxiety,depression and so on of the care-taking relatives to the patient of Alzheimer's Disease and improve their coping styles,which is worth spreading.
引文
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[2]李昂.2010-2050年中国老年痴呆的预测研究[D].苏州:苏州大学,2015.
[3]毛艺璇.认知行为干预对抑郁症照顾者心理状态及应对方式的影响[J].精神医学杂志,2017,30(4):303-305.
[4]汪向东,王希林,马弘.心理卫生评定量表手册[J].中国心理卫生杂志,1999,13(增刊):235-238.
[5]王春芳,蔡则环,徐清.抑郁自评量表-SDS对1340例正常人评定分析[J].中国神经精神疾病杂志,1986,12(5):267-268.
[6]潘永洁,王俊凤,曲瑞云.离异家庭高中生生活事件、应对方式和社会支持的调查研究[J].中国健康心理学杂志,2012,20(9):1376-1377.
[7]李建芳.综合心理护理干预对老年性痴呆照料者情绪与生活质量的影响[J].中医药管理杂志,2015,23(11):97-99.
[8]马金萍,卢国华,于丽蓉.中学生应激与应对方式:情绪弹性的中介作用[J].中国健康心理学杂志,2016,24(9):1418-1420.
[9]陆敏灵,黄冬枚.老年性痴呆病人照顾者负担及干预措施研究进展[J].护理研究,2015,29(9):1025-1029.
[10]Gonclayes-Pereira M,Carmo I,da Silva JA,et al.Care giving expeirence sna d knowledge about demntiain Portugueseclinical out patient settings[J].Int Psychogeriatr,2010,22(2):270-280.