认知干预对抑郁症患者抑郁程度及自理能力的影响观察

Impact of cognitive behavioral therapy on depression severity and self-care ability of patients with severe depression

目的探讨认知干预对抑郁患者抑郁程度及生活自理能力的影响。方法将抑郁症患者56例随机分为两组,进行为期4周的对照研究,分别实施医院常规治疗护理(对照组)和医院常规治疗联合认知干预(研究组);采用汉密顿抑郁量表(HAMD)和精神科护士量表(NOSIE)评定。结果研究组在经过4周的认知干预后HAMD、NOSIE评定结果与入院初比较,差异均有统计学意义(P<0.01)。结论认知干预在改善患者认知,降低其抑郁程度,提高患者的生活自理能力方面有着积极的意义。

Objective To investigate the efficacy of cognitive＇, behavioral therapy in the treatment of severe depression. Methods Fifty six patients with depression were randomly divided into treatment and control groups. The course of the treatment was four weeks. The control group received conventional therapy, while the treatment group received conventional therapy com-bined with cognitive behavioral therapy. The Hamilton Depression Rating Scale （HAMD） and the Nurses＇ Observation Scale for Inpatient Evaluation （NOSIE） were used to assess the efficacy of the therapy. Results Compared with the control group, ratings of both the HAMD and NOSIE in the treatment group were statistically significant （P 〈 0.01 ） after the treatment. Conclusion Cognitive behavioral intervention has a positive impact on the improvement of the cognitive function, self - care ability, and severity of depres,sion in patients with severe depression.