认知行为干预对抑郁症患者负性情绪和服药依从性的影响  

Effects of Cognitive Behaviour Intervention on Negative Emotion and Medication Adherence in Patients with Depression

作　　者：禹婷婷[1] 徐丹[1] 朱咏娜[1] 刘敬文[1] YU Ting-ting XU Dan ZHU Yong-na et al.(Shenzhen Kangning Hospital, Shenzhen 518020, China)

机构地区：[1]广东省深圳市康宁医院,广东深圳518020

出　　处：《中国医学创新》2017年第7期138-141,共4页Medical Innovation of China

基　　金：深圳市科技计划资助项目(JCYJ20150402093137759)

摘　　要：目的:探讨认知行为干预对抑郁症患者负性情绪和服药依从性的影响。方法:86例抑郁症患者按随机数字表法分为对照组和干预组,每组43例。对照组患者接受常规抗抑郁药物治疗及专科护理,干预组在此基础上联合应用认知行为干预。采用24项版汉密尔顿抑郁量表(HAMD-24)、汉密尔顿焦虑量表(HAMA)和Morisky服药依从性量表分别在入组时、治疗6周后对患者进行测评。结果:两组患者入组时HAMD-24、HAMA评分和服药依从性比较差异无统计学意义(P>0.05);治疗6周后干预组HAMD-24、HAMA评分明显低于对照组,服药依从性明显高于对照组,比较差异均有统计学意义(P<0.05)。结论:认知行为干预能够改善抑郁症患者的抑郁、焦虑情绪,提高服药依从性。Objective： To explore the effects of cognitive behavior intervention on negative emotion and medication adherence in patients with depression.Method： 86 patients with depression were divided into control group and intervention group according to the random number table method, 43 cases in each group.The control group received conventional antidei,ressant and nursing.Patients in intervention group were given cognitivebehavior intervention additionally.Before and after 6 weeks treatment, negative emotion and medication adherence were evaluated by Hamilton Depression Scale （ HAMD-24 ）, Hamilton Anxiety Scale （ HAMA ） and Morisky Adherence Scale.Result： Compared with control group, there were no significant differences in scores of HAMD-24, HAMA and percentage of medication adherence in intervention group when entered group （ P〉0.05 ） .But after 6 weeks treatment, the scores of HAMD-24 and HAMA were significantly lower and the percentage of medication adherence were significantly higher than that of control group, the differences were statistically significant （ P〈0.05 ） . Conclusion： The cognitive behavior intervention could relieve the depressive and anxious emotion, improve the medication adherence of the patients with depression.

关 键 词：认知行为干预 抑郁症 负性情绪 服药依从性 

分 类 号：R473.74[医药卫生—护理学]