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系统认知治疗技术在慢性抑郁症患者临床心理护理中的应用(1)
http://www.100md.com 2020年4月15日 《中国当代医药》 202011
     [摘要]目的 探讨系统认知治疗技术在慢性抑郁症患者临床心理护理中的应用效果。方法 选取2015年6月~2019年6月在我院住院的60例慢性抑郁症患者,按随机数字表法分为对照组和观察组,每组各30例。对照组接受常规护理治疗,观察组基于常规护理联合系统认知治疗技术护理干预。比较两组护理干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、消极心境和积极心境评分,以及两组干预后的治疗依从性。结果 两组干预前的SDS和SAS评分比较,差异无统计学意义(P>0.05);两組干预后的SDS和SAS评分低于干预前,观察组干预后的SDS和SAS评分低于对照组,差异均有统计学意义(P<0.05);两组干预前的消极心境和积极心境评分比较,差异无统计学意义(P>0.05);两组干预后的消极心境评分低于干预前,观察组干预后的消极心境评分低于对照组,两组干预后的积极心境评分高于干预前,观察组干预后的积极心境评分高于对照组,差异均有统计学意义(P<0.05);观察组干预后的治疗依从性高于对照组,差异有统计学意义(P<0.05)。结论 对慢性抑郁患者的临床心理护理中应用系统认知治疗技术,能有效改善其焦虑、抑郁情绪,打消患者的消极心境,提升患者的治疗依从性,值得在临床推广和应用。

    [关键词]系统认知治疗技术;慢性抑郁症;心理护理;治疗依从性

    [Abstract] Objective To explore the effect of systemic cognitive therapy technology in clinical psychological nursing of patients with chronic depression. Methods Sixty patients with chronic depression who were hospitalized in our hospital from June 2015 to June 2019 were selected. They were divided into control group and observation group according to the random number table method, 30 cases in each group. Patients in the control group received conventional nursing treatment, and patients in the observation group were additionally provided with systemic cognitive therapy technology on the basis of the control group. The self-rating anxiety scale (SAS) score, self-rating depression scale (SDS) score, negative mood score and positive mood score, and treatment compliance after intervention between the two groups were compared. Results There were no significant differences in SDS or SAS scores before intervention between the two groups (P>0.05). The scores of SDS and SAS in the two groups after intervention were lower than those before intervention, the SDS and SAS scores of patients in the observation group after intervention were lower than those in the control group, and the differences were statistically significant (P<0.05). There were no statistical differences in negative mood and positive mood scores before intervention in the two groups (P>0.05). The scores of negative mood after intervention in the two groups were lower than those before intervention, the negative mood score after intervention in the observation group was lower than that of the control group, and the scores of positive mood after intervention in the two groups were higher than those before intervention, the positive mood score was higher than that in the control group, the differences were statistically significant (P<0.05). The treatment compliance of patients in the observation group after intervention was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion The application of systematic cognitive therapy in clinical psychological nursing of patients with chronic depression can effectively improve their anxiety and depression, dispel the negative mood, and increase the treatment compliance. It is worth promoting and using in clinical practice., http://www.100md.com(万红英 刘娟)
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