团体认知行为疗法对抑郁失眠患者的影响

Effect of Group Cognitive Behavioral Therapy on Patients with Depression and Insomnia

目的:探讨团体认知行为疗法对抑郁失眠患者的影响。方法:选取2018年1月至2019年2月石家庄市第八医院收治的抑郁失眠患者88例作为研究对象,按照随机数字表法分为对照组和观察组,每组44例。对照组患者给予常规的抗抑郁药进行治疗,观察组患者在常规抗抑郁药治疗的基础上给予团体认知行为疗法,干预后对2组患者的临床疗效及睡眠状况进行比较。结果:治疗前2组间患者的HAMD-17及PSQI评分差异均无统计学意义(P> 0. 05);治疗后2组患者的HAMD-17及PSQI评分都有明显的降低,而观察组患者降低的均更明显。结论:团体认知行为疗法不仅能改善抑郁失眠患者的抑郁情绪、还能明显提高患者的睡眠质量,在临床工作中值得进行推广、应用。

Objective:To explore the effect of group cognitive behavior therapy on patients with depression and insomnia.Methods:From January 2018 to February 2019,88 patients with depression and insomnia were selected from Shijiazhuang No.8 Hospital.The patients were randomly divided into control group( n =44)and observation group( n =44).The patients in the control group were treated with routine antidepressants,and the patients in the observation group were treated with group cognitive behavior therapy on the basis of routine antidepressants.After intervention,the clinical efficacy and sleep status of the two groups were compared.Methods:The control group received routine nursing intervention,and the treatment group gave empathy care on the basis of the control group method and the nursing effects were compared between the two groups.Results:There was no significant difference in the scores of HAMD-17 and PSQI between the two groups before treatment(P>0.05),but the scores of HAMD-17 and PSQI in the two groups were significantly decreased after treatment,while those in the observation group were much lower than those in the observation group(P>0.05).Conclusion:Minimally invasive choledocholithotomy has the advantage of laparoscopy,without increasing postoperative complications,and can promote postoperative gastrointestinal function recovery and improve postoperative sleep status.