认知行为干预联合运动疗法对抑郁症患者心理状态及生活质量的影响  

Effect of Cognitive Behavior Intervention in Combination with Kinesitherapy on Psychological Sta-tus and Living Quality of Patients with Depression

作　　者：向琴[1] 彭芙蓉[2] 潘梅[1] 安春 XIANG Qin;PENG Fu-rong;PAN Mei(Department of Chronic Diseases The Third People＇s Hospital of Panzhihua City, Panzhihua Sichuan Province, 214400,China)

机构地区：[1]攀枝花市第三人民医院慢性科,四川攀枝花617061 [2]攀枝花市第三人民医院身心科,四川攀枝花617061

出　　处：《医学临床研究》2018年第6期1104-1107,共4页Journal of Clinical Research

摘　　要：【目的】探讨认知行为干预联合运动疗法对抑郁症患者心理状态及生活质量的影响。【方法】选择2015年1月至2016年12月本院收治的抑郁症患者913例为研究对象，随机分为观察组460例和对照组453例，对照组给予口服盐酸氟西汀治疗及常规护理干预，观察组在对照组的基础上联合应用认知行为干预及运动疗法，随访6个月，采用心理健康量表（SCL-90）、简易生活质量量表（SF-36）评估患者心理状态、生活质量。【结果】观察组抑郁、焦虑、偏执、强迫症状、精神病性、人际关系敏感评分明显低于对照组（P〈0．01）；生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分均明显高于对照组（P〈0．01）。【结论】认知行为干预联合运动疗法有助于改善抑郁症患者心理状态，提高生活质量。[Objective]To investigate the effect of cognitive behavior intervention in combination with kinesitherapy on the psychological status and living quality of patients with depression, and to provide reference for developing the nurs- ing intervention method for depression patients. [Methods]A total of 913 cases of depression patients admitted to hospital from January 2015 to December 2016 were selected as the research subjects. They were divided into the observation group （ n =460 cases） and the control group （ n =453 cases）. Patients in the control group received oral administration of flu- oxertine hydrochloride and routine nursing intervention, while patients in the observation group received cognitive behavior intervention in combination with kinesitherapy on the basis of the treatment in the control group. After 6 months of fol- low-up, the psychological status and living quality of the patients were assessed using symptom check list-90 （SCL-90） and short-form health survey questionnaire （SF-36）. [Results]The scores of depression, anxiety, bigotry （paranoid）, ob- sessive-compulsive symptoms, psychoticism and interpersonal sensitivity in the observation group were significantly lower than those in the control group （ t = 19.737 - 72.760, P 〈 0.01 ）. The scores of physiological function, physiological role, body pain, general health, vitality, social function, emotional function and mental health were significantly higher in the observation group than in the control group （ t = 19.087~55.713, P ~0.01）. [Conclusion] Cognitive behavior intervention in combination with kinesitherapy can improve the psychological status and enhance the living quality of depression patients.

关 键 词：抑郁症/护理 认知疗法/方法 运动疗法/方法 心理学 医学 生活质量 

分 类 号：R749.42[医药卫生—神经病学与精神病学]