系统心理干预在缓解阿尔茨海默病患者照顾者抑郁症状中的实践  

Effect of the comprehensive intervention on depression of caregivers of patients with Alzheimer's Disease

作　　者：王姝亚 金丽芬[2] 白志仙[2] 刘凯[3] 高娟[4] 吴婷婷[5] 

机构地区：[1]云南省第一人民医院风湿免疫科,昆明市650032 [2]云南省第一人民医院护理部,昆明市650032 [3]云南省第一人民医院儿科,昆明市650032 [4]云南省第一人民医院心内科,昆明市650032 [5]云南省第一人民医院老年病科,昆明市650032

出　　处：《中国护理管理》2018年第2期268-272,共5页Chinese Nursing Management

基　　金：云南省教育厅科研基金(2016ZDX010)

摘　　要：目的 :分析系统心理干预对阿尔茨海默病(Alzheimer's Disease,AD)患者照顾者抑郁症状的缓解作用。方法 :选择既往在我院就诊并符合AD诊断标准的患者照顾者80例进行SCL-90、SDS、LES、HADM 4个量表评估,通过3次筛选,将有抑郁症的照顾者随机分为干预组(n=40)和对照组(n=40),对干预组进行系统的心理干预治疗,干预2个月后对两组研究对象进行SCL-90、SDS、LES、HADM 4个量表的测试,收集数据进行分析。结果:干预前,对照组和干预组的SCL-90、SDS、LES、HADM评分无统计学差异(P>0.05);干预后,干预组的量表评分均低于对照组(P均<0.05)。结论 :对阿尔茨海默病患者的照顾者进行全面系统的心理干预,有利于缓解其抑郁症状,是具有可操作性的心理干预措施,应该延伸至社区。Objective：To investigate the effect of comprehensive and systematic interventions on depressive symptoms of caregivers of patients with Alzheimer＇s Disease.Methods：80 caregivers of patients with Alzheimer＇s Disease from tertiary hospitals in Kunming were chosen and randomly divided into the control group（n=40） and the experimental group（n=40）.Basic interventions,thematic interventions and short-term group CBT were provided for each patient in the experimental group,while no specific training was supplied to the control group.2 months after the intervention,all subjects were evaluated through scales including SCL-90,SDS,LES and HADM.Results：After the intervention,scores of SCL-90,SDS,LES,and HADM of the two groups both decreased significantly（P〈0.05）.The scores of SCL-90,SDS,LES,and HADM of the experimental group were lower than those of the control group（P〈0.05）.Conclusion：The comprehensive and systematic intervention could effectively alleviate depressive symptoms of caregivers of patients with Alzheimer＇s Disease.We suggest the comprehensive intervention should be applied widely to the community.

关 键 词：阿尔茨海默病 抑郁 心理干预 团体认知行为治疗 

分 类 号：R47[医药卫生—护理学]