认知行为护理疗法对抑郁症患者负性情绪和应对方式的影响

目的探讨认知行为护理疗法对抑郁症患者负性情绪和应对方式的影响。方法将46例抑郁症患者，随机分为观察组（23例）和对照组（23例），两组均使用抗焦虑、抑郁的药物并实施常规护理，观察组在此基础上实施针对性的认知行为护理疗法。干预前后采用抑郁自评量表（SDS）、焦虑自评量表（SAS）和应对方式问卷（CSQ）对两组患者的负性情绪和应对方式进行评估，并进行对比性分析。结果干预前两组患者CSQ得分比较差异均无统计学意义（P〉0．05）；实施认知行为护理疗法3个月后，观察组患者的抑郁、焦虑水平均低于对照组，差异有统计学意义（t=4．22，3．98，P〈0．01）；应对方式问卷中“解决问题、求助”因子分高于对照组，差异有统计学意义（t=3．39，P〈0．05；t=5．38，P〈0．01），“自责、回避”因子分低于对照组，差异有统计学意义（t=4．02，P〈0．01；t=3．58，P〈0．05），而“幻想、合理化”因子分则变化不明显，差异无统计学意义（t=0．08，2．39，P〉0．05）。结论认知行为护理疗法能显著改善抑郁症患者的抑郁、焦虑情绪，提高其应对技巧，促进患者康复。

Effect of cognitive-behavior nursing intervention on negative sentiment and coping style in depression patients

Objective To study the cognitive-behavior nursing intervention on negative sentiment and coping style in depression patients. Methods Forty-six depression patients were randomly divided into intervention group (n =23) and control group (n =23). Both group received antidepressant drugs,anti-anxiety drugs and conventional care. Other than this, intervention group received cognitive-behavior nursing intervention. All the patients were assessed with Zung's Self-rating Depression Scale (SDS) ,Zung's Self-rating Anxiety Scale (SAS) and Coping Style Questionnaire (CSQ) before and after the intervention. Results Before intervention GSQ cares of the two groups were not significantly different (P＞0.05) ;The scores of SDS and SAS in the intervention group were significantly lower than those in the control group(t =4. 22,3. 98,P ＜0. 01). The scores of problem-solving and asking for help in the CSQ increased significantly and scores of self-blame and avoidance decreased in the intervention group as compared to the control group (t = 3. 39, P ＜ 0. 05; t = 5. 38, P ＜ 0. 01). But the scores of fancy and rationalization were of no significant difference between the two groups (t =0. 08,2.39,P ＞0. 05). Conclusions The cognitive-behavior nursing intervention has a significant impact on the improvement of negative sentiment and coping style in depression patients thus benefits their rehabilitation.