认知行为护理改善抑郁症患者功能失调性认知的研究  

The Study of Cognitive Behavioral Care on Improving Dysfunctional Cognition of Patients with Depression

作　　者：贺定翠[1] 李艺华[1] 

机构地区：[1]荆州市精神卫生中心,湖北荆州434000

出　　处：《现代临床医学》2013年第1期73-75,共3页Journal of Modern Clinical Medicine

摘　　要：目的:探讨认知行为护理对抑郁症患者功能失调性认知的疗效。方法:将符合CCMD-3抑郁症诊断标准的首发抑郁症患者共86例随机分为研究组和对照组,每组各43例。在维持药物治疗的基础上,对照组采用常规护理,研究组合并认知行为护理。于治疗前及治疗后第4周、第8周采用功能失调性状况评定量表(DAS)和汉密尔顿抑郁量表(HAMD)评价护理疗效。结果:2组患者治疗后第4周、第8周HAMD评分较治疗前均有显著性差异(P<0.05),治疗后第4周、第8周研究组HAMD评分较对照组均有显著性差异(P<0.05)。2组治疗后第4周、第8周DAS总分及DAS各因子分较治疗前均有显著性差异(P<0.05)。治疗后第4周、第8周DAS总分、完美化因子、依赖性因子、认知哲学因子2组比较均有显著性差异(P<0.05);治疗后第8周,吸引和排斥因子、强制性因子、自主性态度因子2组比较有显著性差异(P<0.05)。结论:认知矫正治疗能改善抑郁症患者功能失调性认知的缺陷。Objective： To explore the effect of cognitive behavior nursing patients with depression. Methods： Accorded with the CCMD - 3 ： depression episode patients with major depression, 86 patients were randomly divided into s each 43 with maintaining the basis of drug treatment;the control group had routin on dysfunctional cognition of diagnosis standard in first- tudy group and control group, e nursing, the study group had cognitive behavioral nursing. In 4 weeks and 8 weeks , and before and after treatment, were been assessment of curative effect and nursing care by using the dysfunctional state Rating Scale（DAS） and Hamilton Depression Scale （HAMD）. Results：In the two groups compared after treatment of 4 weeks, 8 weeks on HAMD score with before treatment, the differences were statistically significant （ P 〈 0.05 ）. After treatment of 4 weeks and 8 week, the study group on HAMD score was than the control group, there was a statistically difference （P 〈 0.05 ）. In the two groups compared after treatment of 4 weeks and 8 weeks with before treatment in total score of DAS and the factors of DAS, the differences were statistically significant （P 〈 0.05）. 4 and 8 weeks after treatment, on the total score of DAS, perfect factor, dependent factor, cognitive philosophy factor, between the groups the differences were statistically significant （P 〈 0.05 ）. 4 weeks of after treatment, the study group on attractive and repulsive factor, mandatory factor, autonomous attitude factor compared with the control group , the difference was statistically significant （ P 〈 0.05 ）. Conclusion： Cognitive remediation therapy can improve defect of dysfunctional cognition of patients with depression.

关 键 词：抑郁症 认知行为护理 功能失调性认知 

分 类 号：R473.74[医药卫生—护理学]