认知行为干预护理对抑郁症患者影响的临床对照研究

目的探讨认知行为干预护理对抑郁症患者应对方式的影响。方法采用随机数字表法将符合《中国精神障碍分类与诊断标准(第3版)》(CCMD-3)的64例抑郁症患者分为研究组和对照组各32例。两组患者均接受抗抑郁药物治疗,研究组合并认知行为干预护理,对照组仅予常规精神科护理。所有患者在入组时、治疗6周后采用汉密尔顿抑郁量表24项(HAMD-24)、抑郁自评量表(SDS)、焦虑自评量表(SAS)及简易应对方式问卷(SCSQ)进行评估。结果干预6周后研究组的HAMD-24、SDS、SAS得分较对照组低(P0.01);研究者组SCSQ中消极应对方式评分较对照组低(P0.01),积极应对方式评分则高于对照组(P0.01)。结论认知行为干预护理可能有利于改善抑郁症患者焦虑抑郁情绪和提高其积极应对能力。

Impact of cognitive behavior intervention on coping style in patients with depression

Objective To explore the impact of cognitive behavior intervention on coping style in patients with depression. Meth-ods 64 patients with depression diagnosed by CCMD-3 were randomly divided into two groups. Control group was treated with anti-depression medications and with general psychiatric care, and research group was treated with antidepression medications and cognitive behavior intervention. The validity were evaluated with Hamilton ＇s Depression Scale （ HAMD -24 ） , self - rating depression scale （ SDS） ,self-rating anxiety scale（ SAS） ,simplified coping style questionnaire（ SCSQ） at the base line and 6 weeks after. Results The scores of HAMD-24,SDS,SAS and negative coping style in SCSQ were significantly lower（P〈0. 01）in research group compared to those in control group while the score of positive coping style was higher after intervention（P〈0. 01）. Conclusion Cognitive behavior intervention could relieve the depressive and anxious emotion, enhance the positive coping style and improve the life quality.