摘要
目的探讨认知性心理护理在抑郁症患者中的应用效果。方法选取2016年1月~2017年12月我院收治的60例抑郁症患者作为研究对象,按照随机数字表法分为观察组(30例)与对照组(30例)。对照组采用常规护理,观察组采用认知性心理护理。比较两组的护理效果、汉密尔顿抑郁量表(HAMD)评分及护理总满意度。结果观察组患者的护理效果显著高于对照组,差异有统计学意义(P<0.05);两组患者护理后的HAMD评分显著低于护理前,观察组护理后的HAMD评分显著低于对照组,差异均有统计学意义(P<0.05);观察组患者的护理总满意度显著高于对照组,差异有统计学意义(P<0.05)。结论临床上针对抑郁症患者开展认知性心理护理效果良好,患者的抑郁症状显著改善,具有较高的推广价值。
Objective To explore the application effect of cognitive psychological nursing in patients with depression.Methods Sixty patients with depression admitted to our hospital from January 2016 to December 2017 were enrolled and they were diveded into the study group(30 cases) and the control group(30 cases) according to the random number table method. The control group received routine care and the observation group used cognitive psychological care. The nursing effect, Hamilton depression scale(HAMD) score, and total satisfaction of care were compared between the two groups. Results The nursing effect of the observation group was significantly higher than that of the control group, the difference was statistically significant(P<0.05). The HAMD scores of the two groups after the nursing were significantly lower than those before the nursing, the HAMD scores of the observation group were significantly lower than those of the control group, the differences were statistically significant(P<0.05). The total satisfaction of patients in the observation group was significantly higher than that in the control group, the difference was statistically significant(P<0.05).Conclusion Cognitive psychological care for patients with depression is clinically effective, and the patients′ depressive symptoms are significantly improved, which has a high promotion value.
引文
[1]曹译丹,石捷,陶建青,等.以家庭为中心的心理护理对老年抑郁症患者认知功能的影响[J].广西医科大学学报,2016,33(4):752-754.
[2]杨向群.聚焦解决模式干预抑郁症在患者家属心理护理中的应用价值[J].检验医学与临床,2017,14(16):2446-2448.
[3]王玉杰,石志敏.穴位按摩配合心理干预在妇科恶性肿瘤术后抑郁治疗中的应用效果观察[J].护理研究,2017,31(2):731-733.
[4]江赟,曹群,项丹.预见性心理护理对伴有抑郁症患者术后恢复的影响[J].河北医药,2017,39(13):2058-2060.
[5]沈嫣,祝春英.抑郁症患者医护合作式心理护理决策模式应用实践研究[J].检验医学与临床,2016,13(24):3516-3518.
[6]赵靓,饶静云,甘灏云,等.纸质版词条和电子版词条在精神心理护理教学中的应用效果分析[J].护理研究,2017,31(12):1446-1449.
[7]卢雪珍,陈文霞,吴辉霞.Roy适应模式实施心理舒适护理在产后抑郁症患者中应用的效果[J].中国医药导报,2016,13(22):168-171.
[8]赵彦慧,夏曙光,邹德惠.心理护理干预对脑卒中后抑郁患者血浆Hcyhs-CRP影响的研究[J].河北医学,2016,22(6):1035-1037.
[9]王霞,陈琼妮.基于认知行为疗法的自助干预对门诊首发抑郁症患者心理健康水平影响的研究[J].中国护理管理,2016,16(5):700-704.
[10]孙素改,李春雷,左喜爱.心理护理对产后抑郁症的预防[J].长春中医药大学学报,2016,32(1):156-158.
[11]高颖,陶筱琴,武静,等.团体认知行为治疗对抑郁症患者应对方式的影响[J].护理学杂志,2016,31(23):68-69.
[12]谭红,胡晓芸,牛小群.产后抑郁患者健康教育和心理护理干预的效果评价[J].昆明医科大学学报,2016,37(6):147-150.
[13]高宝娟,严雪霏.心理护理联合健康教育对产后抑郁的干预作用[J].中国妇幼保健,2017,32(13):2841-2843.
[14]白利颖,张钊,王佳,等.60例胎膜早破产妇抑郁症发生率与社会支持度的关系调查[J].护理研究,2016,30(21):2663-2666.
[15]吴桂香,高清花,郭华英,等.优质护理心理咨询室工作平台对门诊慢性丙肝抗病毒治疗过程中抑郁症状的影响观察[J].贵州医药,2017,41(11):1218-1219.