| 认知行为疗法治疗难治性抑郁患者的效果及护理 |
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| 引用本文： | 邹新花,梅映台,杨丽芬. 认知行为疗法治疗难治性抑郁患者的效果及护理[J]. 解放军护理杂志, 2011, 28(20) |
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| 作者姓名： | 邹新花 梅映台 杨丽芬 |
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| 作者单位： | 1. 丽水市中医院副院长办公室,浙江丽水,323000
2. 丽水市第二人民医院护理部,浙江丽水,323000 |
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| 摘 要： | 目的探讨认知行为疗法治疗难治性抑郁患者的效果及护理方法。方法便利抽样法选择2009年10月至2010年9月在丽水市第二人民医院住院的40例符合中国精神障碍分类与诊断标准(第3版)抑郁症诊断标准的患者。按入院先后顺序将患者分为观察组和对照组,每组20例。两组患者均采用5-羟色胺再摄取抑制剂类抗抑郁药物治疗20周以上,并联合一种抗精神病药或情绪稳定剂,5-羟色胺再摄取抑制类抗抑郁药剂量相对保持固定(20～40mg/d)。对照组患者进行常规护理,观察组患者采用认知行为疗法及护理。连续治疗20周,采用汉密尔顿抑郁量表(Hamilton depressive scale-17items,HAMD17)和抑郁自评量表(self-rating depressive scale,SDS)对两组患者进行调查。结果治疗前后,两组患者的HAMD评分的差异有统计学意义(均P<0.05);治疗第10周末、第20周末,两组患者HAMD评分的差异有统计学意义(均P<0.05)。治疗前后,两组患者的SDS评分的差异有统计学意义(均P<0.05);治疗第10周末、第20周末,两组患者SDS评分的差异有统计学意义(均P<0.05)。经治疗20周...
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| 关 键 词： | 行为认知治疗 抗抑郁药 难治性抑郁 护理 |
Effects and Nursing of Cognitive Behavior Therapy on Refractory Depression |
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| ZOU Xin-hua,MEI Ying-tai,YANG Li-fen. Effects and Nursing of Cognitive Behavior Therapy on Refractory Depression[J]. Nursing Journal of Chinese People's Liberation Army, 2011, 28(20) |
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| Authors: | ZOU Xin-hua MEI Ying-tai YANG Li-fen |
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| Affiliation: | ZOU Xin-hua1,MEI Ying-tai2,YANG Li-fen2(1.Office of Vice-president,Lishui Hospital of traditional Chinese Medicine,Lishui 323000,Zhejiang Province,China,2.Nursing Department,No.2 People's Hospital of Lishui,China) |
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| Abstract: | Objective To observe the effects and nursing approach of cognitive behavior therapy for patients with refractory depression.Methods From October 2009 to September 2010,40 depression patients who met the diagnostic criteria of CCMD3 in No.2 People's Hospital of Lishui were divided into observation group(n=20) and control group(n=20) based on the sequence of entering the groups.The patients in both groups were treated with selective serotomin reuptake Inhibitors(SSRIs) for over 20 weeks combined with one kind... |
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| Keywords: | cognitive behavior therapy antidepressant refractory depression nursing |
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