心理减压干预联合认知情绪调节对无抽搐电休克治疗抑郁症患者的效果观察  

Observation of the effect of psychological stress relief intervention combined with cognitive emotion regulation on the treatment of depression patients with non convulsive electroconvulsive therapy

作　　者：胡淑倩 许艳 张娜娜 HU Shuqian;XU Yan;ZHANG Nana(East Hospital Afiliated to Xuzhou Medical University/East People's Hospital of Xuzhou,Xuzhou 221004,China)

机构地区：[1]徐州医科大学附属东方医院/徐州市东方人民医院,江苏徐州221004

出　　处：《心理月刊》2025年第3期155-157,共3页

摘　　要：目的探讨心理减压干预联合认知情绪调节对无抽搐电休克(MECT)治疗抑郁症患者的影响。方法选取2021年4月~2024年5月本院收治的电休克治疗抑郁症患者80例,采用随机数字表法分为两组,每组各40例。对照组实施常规护理,干预组则在对照组基础上联合心理减压干预与认知情绪调节。比较两组患者的心理弹性、病耻感、应对方式、抑郁情绪、认知偏差及自杀意念评分。结果干预后,干预组心理弹性各维度评分显著高于对照组(P<0.05);干预组病耻感各维度评分显著低于对照组(P<0.001);应对方式方面,干预组消极应对评分更低,积极应对方式评分更高(P<0.001);干预组抑郁及认知偏差评分更低,自杀意识评分显著高于对照组(P<0.05)。结论心理减压干预联合认知情绪调节能有效提高电休克治疗抑郁症患者的心理弹性,降低自杀意识,显著改善患者的心理状态和预后。Objective To explore the effect of psychological stress reduction intervention combined with cognitive emotion regulation on the treatment of depression patients with non convulsive electroconvulsive therapy(MECT).Methods A total of 80 patients with depression treated with electroconvulsive therapy from April 2021 to May 2024 were selected and divided into two groups by random number table method,with 40 patients in each group.The control group received routine nursing,and the intervention group combined psychological decompression intervention and cognitive emotion regulation on the basis of the control group.The scores of resilience,stigma,coping style,depression,cognitive bias and suicidal ideation were compared between the two groups.Results After intervention,the scores of resilience in the intervention group were significantly higher than those in the control group(P<0.05).The stigma scores of the intervention group were significantly lower than those of the control group(P<0.001).In terms of coping style,the negative coping style score was lower in the intervention group,and the positive coping style score was higher(P<0.001).Depression and cognitive bias scores were lower in the intervention group,and suicidal awareness scores were significantly higher than those in the control group(P<0.05).Conclusion Psychological decompression intervention combined with cognitive emotion regulation can effectively improve the resilience of electroconvulsive therapy patients with depression,reduce suicide consciousness,and effectively improve the prognosis.

关 键 词：认知情绪调节 无抽搐电休克 抑郁症 心理弹性 应对方式 

分 类 号：R47[医药卫生—护理学]