居家认知行为疗法对老年抑郁患者情绪及认知功能的影响

The effect of home cognitive behavioral therapy to the emotion and cognitive func-tion of elderly patients with depression

目的 探讨居家认知行为疗法对老年抑郁患者情绪及认知功能的影响.方法 2014年6月至2015年6月选取在本院出院的84例老年抑郁患者为研究对象,根据随机数字表法将患者分为观察组（n=42）及对照组（n=42）,对照组出院后给予常规社区随访,观察组出院后应用居家认知行为疗法进行随访,对比分析两组患者出院后3个月、6个月汉密尔顿抑郁评分（HAMD）及简易智力状态量表（MMSE）评分,出院后6个月对患者生活质量进行评分.结果 两组出院后3个月、6个月HAMD评分均低于治疗前,观察组出院后3个月、6个月HAMD评分低于对照组（P〈0.05）.两组出院后3个月、6个月MMSE评分均高于治疗前,观察组出院后3个月、6个月MMSE评分高于对照组（P〈0.05）.观察组干预6个月后总体健康、生理功能、生理职能、社会功能、健康精神、情感职能等方面评分显著高于对照组（P〈0.05）.结论 居家认知行为疗法能有效减轻老年抑郁患者抑郁情绪,改善患者认知功能,提高患者远期生活质量.

Objective To explore the effect of home cognitive behavioral therapy to the emotion and cognitive function of elderly patients with depression. Methods A total of 84 cases of elderly patients with depression in our hos-pital from June 2014 to June 2015 were selected as the research objects, and were divided into observation group and control group according to the random number table method, 42 cases of each group. The control group was given routine community follow-up after discharge, while the patients of the observation group were given home cognitive behavioral therapy after discharged. The score of Hamilton Depression （ HAMD ） and Mini Mental State Examination scale （ MMSE） of the patients of the two groups after discharge 3 months and 6 months were compared and analyzed. Results The score of HAMD of the two groups after dischare 3 months and 6 months was lower than before treatment. The score of HAMD of the observation group after discharge 3 months and 6 months were lower than that of the control group （ P〈0. 05 ） . The score of MMSE of the two groups after discharge 3 months and 6 months were lower than before treat-ment. The score of MMSE of the observation group after discharge 3 months and 6 months were higher than that of the control group （P〈0. 05） . The score of overall health, physiological function and physiological role, social function, mental health and affection function of the observation group after interved for 6 months were significantly higher than that of the control group （ P〈0. 05 ） . Conclusions Home cognitive behavioral therapy can effectively alleviate the de-pression of senile depression patients, improve patients cognitive function and improve patients long-term life quality.