认知心理治疗对结核病伴抑郁患者负面情绪、希望水平及自我效能的影响  

Effects of cognitive psychotherapy on mental state,medication compliance and quality of life in patients with tuberculosis complicated with depression

作　　者：赵琳[1] 张晓虎[2] ZHAO Lin;ZHANG Xiaohu(Department of Infectious Diseases,The First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院感染性疾病科,473000 [2]南阳市中心医院感染科

出　　处：《中国健康心理学杂志》2021年第8期1205-1209,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:2018020378)。

摘　　要：目的:研究认知心理治疗对结核病伴抑郁患者负面情绪、希望水平及自我效能的影响。方法:选取2018年5月至2019年5月在某院就诊的结核病伴抑郁患者160例,将2018年5-11月就诊的患者选取80例作为观察组,2018年12月至2019年5月就诊的患者选取80例作为对照组。对照组患者采用常规管理;观察组患者在对照组基础上采用认知心理治疗法进行干预,两组患者均干预4周。采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、Herth希望水平量表(HHI)、Morisky用药依从性量表(MMAS-8)、自我效能量表(GSES)和生活质量量表(SF-36)比较两组患者干预前后的心理状态、希望水平、用药依从性、自我效能和生活质量。结果:干预后,观察组患者在SDS、SAS得分上显著低于对照组(t=-5.510,-5.454;P<0.05);干预后观察组患者在HHI各维度得分和总分上显著高于对照组(t=5.31,8.48,6.26,10.00;P<0.05);干预后观察组患者用药依从性上显著高于对照组(Z=2.976,P<0.05);干预后,观察组患者在GSES得分上显著高于对照组(t=7.054,P<0.05);干预后观察组SF-36得分高于对照组(t=3.726,P<0.05)。结论:认知心理疗法应用于结核病伴抑郁患者可调节其焦虑和抑郁心态、提高其对生活和疾病的希望水平、提高自身用药依从性及自我效能、改善生活质量。Objective:To study the effect of cognitive psychotherapy on mental state, medication compliance and quality of life in patients with tuberculosis complicated with depression.Methods:A total of 160 tuberculosis patients with depression in our hospital from May 2018 to May 2019 were randomly divided into observation group(n=80)and control group(n=80).Patients in the control group were treated with routine management, patients in the observation group were intervened with cognitive psychotherapy on the basis of the control group, and patients in both groups were intervened for four weeks.Self-rating depression scale(SDS),self-rating anxiety scale(SAS),Herth Hope level scale(HHI),Morisky Drug Compliance scale(MMAS-8),self-efficacy scale(GSES)and quality of Life scale(SF-36)were used to compare the psychological status, hope level, medication compliance, self-efficacy and quality of life between the two groups before and after intervention.Results:After intervention, the scores of SDS and SAS in the observation group were significantly lower than those in the control group(t=-5.510,-5.454;P<0.05),while the scores and total scores of HHI in the observation group were significantly higher than those in the control group(t=5.31,8.48,6.26,10.00;P<0.05),and the medication compliance of the patients in the observation group was significantly higher than that in the control group(Z=2.976,P<0.05).After intervention, the scores of GSES in the observation group were significantly higher than those in the control group(t=7.054,P<0.05).The scores of SF-36 in the observation group were significantly higher than those in the control group(t=3.726;P<0.05).Conclusion:The application of cognitive psychotherapy to tuberculosis patients with depression can regulate their anxiety and depression, improve their hope for life and disease, improve their medication compliance and improve their quality of life.

关 键 词：认知心理治疗 结核 抑郁 希望水平 生活质量 

分 类 号：R749.92[医药卫生—神经病学与精神病学]