认知行为护理疗法在抑郁症患者中应用效果探讨

目的探讨抑郁症患者实施认知行为护理疗法对改善心理状况和完善应对方式的效果。方法选取该院于2010年2月—2012年8月收治66例抑郁症患者,利用随机数字表法进行分组,设为研究组和对照组,每组各33例。两组患者均给予抗抑郁药物治疗,而对照组采取常规精神科护理,研究组采取认知行为护理。在住院当天及开展护理第4周末分别利用SDS、SAS及CSQ量表对两组患者进行测评,并做好对比。结果①研究组SDS和SAS得分低于对照组（P〈0.05）。②研究组的＂解决问题＂和＂求助＂评分高于对照组（P〈0.05）;研究组的＂回避＂和＂自责＂评分低于对照组（P〈0.05）。结论认知行为护理干预能缓解焦虑、抑郁情绪,提升应对技巧。

Cognitive behavioral nursing therapy effect was observed in patients with depression

Objective To investigate the depression cognitive behavioral nursing therapy to improve the psychological condition and improve the effect of coping style, and provide practical guidance for clinical nursing. Methods In our hospital in 2010 year in February -2012 year in August 66 cases of depression patients, using the method of random digits table group, were divided into study group and control group, each group of 33 cases. Two groups of patients were treated with antidepressant therapy, while the control group adopted routine psychiatric nursing, the research group used cognitive behavioral nursing therapy. After four weekend ,two groups were provided SDS, SAS and CSQ. Results （1） study group SDS and SAS were lower than those in the control group （P〈0.05）. （2） study group of ＂problem solving＂ and ＂help＂ scores higher than that of the control group （P〈0.05）; the study group ＂avoidance＂ and ＂remorse＂ scores lower than those in the control group （P〈0.05）. Conclusion The implementation of cognitive behavior nursing intervention can reduce anxiety, depression and other negative emotions, improve the coping skills, obtain satisfactory clinical effect.