认知行为疗法在抑郁患者中的应用疗效对比研究
|
摘要
目的分析认知行为疗法联合常规护理在抑郁症患者护理中的应用。方法选取我院90例抑郁症患者,分为常规组行传统健康教育与娱疗活动,认知组在常规组基础上行认知行为疗法,两组各45例,且所有患者均通过盐酸舍曲林药物治疗及精神科常规护理;对比分析两组治疗后的疗效及复发率。结果治疗7天、15天、45天后认知组田纳西自我概念量表及个体和社会功能量表评分均高于常规组(P<0.05),汉密尔顿抑郁量表评分均低于常规组(P<0.05);随访1、2年后,认知组复发率均低于常规组(P<0.05)。结论认知行为疗法联合常规护理能够改善抑郁症患者临床症状,有效降低复发率,促进疾病康复,因此具有较高的应用价值。
Objective To analyze the application of cognitive behavioral therapy combined with routine nursing care in patients with depression disorder. Methods 90 cases of depression disorder were selected in our hospital and were divided into the convention group received traditional health education and recreational therapy,and the cognition group received cognitive behavioral therapy on the basis of the convention group,with 45 cases in each. All the patients were given sertraline hydrochloride and traditional psychiatric nursing care. The curative effects and recurrence rates were compared between the two groups after the treatment. Results Treatment for 7 days,15 days,45 days after treatment,the scores of Tennessee self concept scale,and the personal and social performance scale in the cognition group were higher than that in the convention group(P<0.05)and the Hamilton depression scale were lower than that in the convention group(P<0.05);after following-up for 1,2 years,the recurrence rate in the cognition group were lower than that in the convention group(P<0.05). Conclusion Cognitive behavioral therapy combined with routine nursing care can improve the clinical symptoms of patients with depression disorder,which can reduce the recurrence rate and promote rehabilitation,so it has higher application value.
Objective To analyze the application of cognitive behavioral therapy combined with routine nursing care in patients with depression disorder. Methods 90 cases of depression disorder were selected in our hospital and were divided into the convention group received traditional health education and recreational therapy,and the cognition group received cognitive behavioral therapy on the basis of the convention group,with 45 cases in each. All the patients were given sertraline hydrochloride and traditional psychiatric nursing care. The curative effects and recurrence rates were compared between the two groups after the treatment. Results Treatment for 7 days,15 days,45 days after treatment,the scores of Tennessee self concept scale,and the personal and social performance scale in the cognition group were higher than that in the convention group(P<0.05)and the Hamilton depression scale were lower than that in the convention group(P<0.05);after following-up for 1,2 years,the recurrence rate in the cognition group were lower than that in the convention group(P<0.05). Conclusion Cognitive behavioral therapy combined with routine nursing care can improve the clinical symptoms of patients with depression disorder,which can reduce the recurrence rate and promote rehabilitation,so it has higher application value.
引文
1.王佳冰,闫玮娟.认知行为疗法在脑卒中抑郁症患者康复护理中的应用[J].当代护士,2014,(10):31-32.
2.Parikh SV,Quilty LC,Ravitz P,et al.Canadian Network for Mood and Anxiety Treatments(CANMAT)2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder:Section 2.Psychological Treatments[J].Can JPsychiatry,2016,61(9):524-539.
3.卢朝晖,王敏,王宁.正念认知疗法用于抑郁症复发预防的研究现状[J].医学与哲学,2012,33(11B):49-50.
4.Posar A,Resca F,Visconti P.Autism according to diagnostic and statistical manual of mental disorders 5 th edition:The need for further improvements[J].Journal of Pediatric Neurosciences,2015,10(2):146-148.
5.Kobak KA,Mundt JC,Kennard B.Integrating technology into cognitive behavior therapy for adolescent depression:a pilot study[J].Ann Gen Psychiatry,2015,14:37.
6.蔡道堂,韩峰,汪浩.浅谈认知行为疗法在抑郁症治疗中的作用[J].当代医药论丛,2014,(02):111-112.
7.Watanabe N,Horikoshi M,Yamada M,et al.Adding smartphone-based cognitive-behavior therapy to pharmacotherapy for major depression(FLATT project):study protocol for a randomized controlled trial[J].Trials,2015,16:293.
8.马玲.护理中运用认知-行为疗法在抑郁症患者中的临床效果研究[J].华南国防医学杂志,2014,(10):1031-1033.
9.田秀丽,甘景梨,赵兰民,等.抑郁症患者的认知功能损害及其相关因素[J].国际精神病学杂志,2012,(03):158-161.
10.王震,章显宝,肖伟,等.针刺结合认知行为疗法治疗卒中后抑郁症30例临床观察[J].甘肃中医学院学报,2013,(04):41-43.
11.王阳,王纯,关承斌,等.抑郁症患者自尊、主观幸福感及其症状学影响因素分析[J].中国健康心理学杂志,2012,20(5):641-642.
12.张瑞芬,夏娟静,冷文娟.抑郁症患者社会支持与自我效能的相关性研究[J].中国健康心理学杂志,2011,19(12):1423-1424.
2.Parikh SV,Quilty LC,Ravitz P,et al.Canadian Network for Mood and Anxiety Treatments(CANMAT)2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder:Section 2.Psychological Treatments[J].Can JPsychiatry,2016,61(9):524-539.
3.卢朝晖,王敏,王宁.正念认知疗法用于抑郁症复发预防的研究现状[J].医学与哲学,2012,33(11B):49-50.
4.Posar A,Resca F,Visconti P.Autism according to diagnostic and statistical manual of mental disorders 5 th edition:The need for further improvements[J].Journal of Pediatric Neurosciences,2015,10(2):146-148.
5.Kobak KA,Mundt JC,Kennard B.Integrating technology into cognitive behavior therapy for adolescent depression:a pilot study[J].Ann Gen Psychiatry,2015,14:37.
6.蔡道堂,韩峰,汪浩.浅谈认知行为疗法在抑郁症治疗中的作用[J].当代医药论丛,2014,(02):111-112.
7.Watanabe N,Horikoshi M,Yamada M,et al.Adding smartphone-based cognitive-behavior therapy to pharmacotherapy for major depression(FLATT project):study protocol for a randomized controlled trial[J].Trials,2015,16:293.
8.马玲.护理中运用认知-行为疗法在抑郁症患者中的临床效果研究[J].华南国防医学杂志,2014,(10):1031-1033.
9.田秀丽,甘景梨,赵兰民,等.抑郁症患者的认知功能损害及其相关因素[J].国际精神病学杂志,2012,(03):158-161.
10.王震,章显宝,肖伟,等.针刺结合认知行为疗法治疗卒中后抑郁症30例临床观察[J].甘肃中医学院学报,2013,(04):41-43.
11.王阳,王纯,关承斌,等.抑郁症患者自尊、主观幸福感及其症状学影响因素分析[J].中国健康心理学杂志,2012,20(5):641-642.
12.张瑞芬,夏娟静,冷文娟.抑郁症患者社会支持与自我效能的相关性研究[J].中国健康心理学杂志,2011,19(12):1423-1424.