认知行为疗法在老年抑郁症患者中的临床护理观察  

Clinical nursing observation of cognitive behavioral therapy in elderly patients with depression

作　　者：周倩如 张立秀[1] 顾清昕 崔金鑫 李婷 韩慧[2] ZHOU Qianru;ZHANG Lixiu;GU Qingxin;CUI Jinxin;LI Ting;HAN Hui(Huzhou Normal University,Huzhou 313000,China;Huzhou FirstPeople's Hospital,Huzhou 313000,China)

机构地区：[1]湖州师范学院,浙江湖州313000 [2]湖州市第一人民医院,浙江湖州313000

出　　处：《心理月刊》2025年第5期150-152,158,共4页

摘　　要：目的 分析对老年抑郁症患者采取认知行为疗法的临床应用效果。方法 将2024年1月~10月本院收治的90例老年抑郁症患者作为研究对象,采用随机数字表法分为两组,分别命名为对照组(45例,采用常规护理模式)与观察组(45例,采用认知行为疗法),对两组患者的护理成效进行分析,临床评估指标为两组患者护理干预前后汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、自杀态度问卷(QSA)评分、认知功能、护理依从性及护理满意度。结果 与干预前比较,干预后两组患者HAMD、HAMA评分均降低,且观察组患者低于对照组;与干预前比较,干预后两组患者家属态度、性质认识、安乐死态度、自身态度及简易智力状况检查量表(MMSE)与蒙特利尔认知评估量表(MoCA)评分升高,且观察组高于对照组;观察组患者依从性及护理满意度均高于对照组,差异有统计学意义(P<0.05)。结论 对老年抑郁症患者采取认知行为疗法具有良好的临床应用效果,能有效改善患者焦虑、抑郁情绪,降低自杀态度,通过认知行为疗法,改善患者的认知功能,提高患者依从性与满意度。Objective To analyze the clinical application effect of cognitive behavioral therapy in elderly patients with depression.Methods A total of 90 elderly patients with depression admitted to our hospital from January to October 2024 were divided into two groups by random number table method,which were respectively named control group(45 cases,using conventional nursing mode)and observation group(45 cases,using cognitive behavioral therapy).The nursing effect of the two groups of patients was analyzed.The clinical evaluation indicators were Hamilton depression scale(HAMD)score,Hamilton anxiety scale(HAMA)score,suicide attitude questionnaire(QSA)score,cognitive function,nursing compliance and nursing satisfaction before and after the nursing intervention.Results Compared with before intervention,HAMD and HAMA scores in both groups were decreased after intervention,and the observation group was lower than the control group.Compared with before intervention,the attitudes of family members,nature cognition,euthanasia attitude,self-attitude and scores of MMSE and MoCA of patients in the two groups increased after intervention,and the observation group was higher than the control group.The compliance and nursing satisfaction of patients in observation group were higher than those in control group,the diference was statistically significant(P<0.05).Conclusion Cognitive behavioral therapy for elderly patients with depression has a good clinical application effect,which can effectively improve patients'anxiety and depression,and reduce their suicidal attitude.Through cognitive behavioral therapy,patients'cognitive function can be improved,and patients'compliance and satisfaction can be improved.

关 键 词：老年 抑郁症 认知行为疗法 认知功能 

分 类 号：R47[医药卫生—护理学]