正念认知疗法联合综合护理模式在抑郁症患者中的效果研究  

Effect study of mindfulness cognitive therapy combined with comprehensive nursing model in patients with depression

作　　者：李海燕 徐捷[2] 陈喜梅 钟婷婷 刘月泉[2] 黄海红 LI Hai-yan;XU Jie;CHEN Xi-mei;ZHONG Ting-ting;LIU Yue-quan;HUANG Hai-hong(The Seventh Ward,Ganzhou Third People′s Hospital,Jiangxi Province,Ganzhou341000,China;Department of Traditional Chinese Medicine Rehabilitation,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou341000,China;Women′s Third Ward,Ganzhou Third People′s Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市第三人民医院七病区,江西赣州341000 [2]赣南医学院第一附属医院康复中医科,江西赣州341000 [3]江西省赣州市第三人民医院女三区,江西赣州341000

出　　处：《中国当代医药》2021年第24期266-268,272,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2020ZSF274)。

摘　　要：目的研究抑郁症患者在治疗期接受正念认知疗法联合综合护理干预的临床效果。方法选择2018年8月—2020年11月赣州市第三人民医院收治的72例抑郁症患者作为研究对象,采取随机分组法分成对照组和观察组,每组各36例。对照组采用正念认知疗法干预;观察组采用正念认知疗法联合综合护理干预。对比两组护理前后心理状态、生活质量、睡眠质量评分、对干预模式满意度、不良事件发生情况、心理状态的复常时间和住院总时间。结果观察组护理后的心理状态、睡眠质量评分低于对照组,生活质量评分高于对照组,差异均有统计学意义(P<0.05)。观察组的护理总满意度高于对照组,观察组的不良事件总发生率低于对照组,差异均有统计学意义(P<0.05)。观察组的心理状态复常时间和住院时间短于对照组,差异均有统计学意义(P<0.05)。结论抑郁症患者接受正念认知疗法联合综合护理干预,能改善患者的心理状态、睡眠质量、生活质量,减少不良事件发生,迅速恢复心理状态,缩短住院时间,使满意度提高。Objective To study the clinical effect of mindfulness cognitive therapy combined with comprehensive nursing intervention in patients with depression during treatment.Methods A total of 72 patients with depression admitted to Ganzhou Third People′s Hospital from August 2018 to November 2020 were selected as the study subjects.They were divided into the control group and the observation group by randomization method,36 cases in each group.The control group was only treated with mindfulness cognitive therapy,the observation group received mindfulness cognitive therapy combined with comprehensive nursing intervention.Psychological state,quality of life,quality of sleep,satisfaction with intervention mode,occurrence of adverse events,time to return to normal mental state and total length of hospital stay were compared between two groups before and after nursing.Results The scores of mental state and sleep quality in the observation group were lower than those in the control group,and the scores of life quality in the observation group were higher than those in the control group,with statistical differences(P<0.05).The nursing total satisfaction of the observation group was higher than that of the control group,the total incidence of adverse events in observation group was lower than that of the control group,the differences were statistically significant(P<0.05).The psychological state normalization time and hospitalization time of observation group were shorter than those of the control group,the differences were statistically significant(P<0.05).Conclusion Mindfulness cognitive therapy combined with comprehensive nursing intervention can improve the psychological state,sleep quality and quality of life of patients with depression,reduce adverse events,quickly restore the psychological state,shorten the length of hospital stay,and improve the satisfaction.

关 键 词：抑郁症 正念认知 综合护理 心理状态 睡眠质量 不良事件 

分 类 号：R473.74[医药卫生—护理学]