正念认知疗法联合常规护理在抑郁症患者中的应用效果

Application Effect of Mindfulness-based Cognitive Therapy Combined with Routine Nursing in Patients with Depression

目的:探讨正念认知疗法(MBCT)联合常规护理对抑郁症患者的临床疗效。方法:选取2016年11月至2018年10月厦门市仙岳医院收治的抑郁症患者90例作为研究对象,按照随机数字表法随机分为对照组与观察组,每组45例。对照组采用常规护理,观察组则在对照组基础上联合MBCT。比较2组干预前后的汉密尔顿抑郁量表(HAMD)、总体幸福感量表(GWB)评分、匹兹堡睡眠质量指数量表(PSQI)与随访期间的生命质量评价量表(SF-36)评分。结果:干预后,观察组HAMD评分(7.33±1.98)分较对照组(10.42±2.12)分低,GWB评分(112.36±16.85)分较对照组(86.25±13.34)分高,PSQI评分(6.17±1.36)分较对照组(10.33±2.48)分低,差异有统计学意义(P<0.05);随访期间,观察组SF-36评分(生理功能、生理职能、社会功能、情感职能、躯体疼痛、精神健康、活力、总体健康)较对照组(60.40±6.13)分、(60.44±6.04)分、(61.44±6.23)分、(65.34±7.13)分、(60.50±6.33)分、(66.25±7.04)分、(60.34±7.13)分、(64.41±7.03)分高,差异有统计学意义(P<0.05)。结论:MBCT联合常规护理对抑郁症的临床疗效显著,可有效改善患者病情,提高其幸福感、睡眠质量与生命质量。

Objective:To investigate the clinical efficacy of mindfulness-based cognitive therapy(MBCT)combined with routine nursing in patients with depression.Methods:A total of 90 patients with depression who treated in the hospital from November 2016 to October 2018 were divided into observation group(45 cases)and control group(45 cases)according to random number table.Control group was given routine nursing,and observation group was given MBCT based on control group.The scores of Hamilton Depression Scale(HAMD),General Well-Being Schedule(GWB)before and after intervention,Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36)during follow-up were compared between two groups.Results:After intervention,the HAMD score in observation group[(7.33±1.98)points]was lower than that in control group[(10.42±2.12)points],and the GWB score of observation group[(112.36±16.85)points]was higher than that of control group[(86.25±13.34)points],and the PSQI score in observation group[(6.17±1.36)points]was lower than that in control group[(10.33±2.48)points](P<0.05);During follow-up,the SF-36 scores(physiological function,role physical,social function,role emotional,body pain,mental health,vitality,overall health)of observation group were higher than those of control group[(60.40±6.13)points,(60.44±6.04)points,(61.44±6.23)points,(65.34±7.13)points,(60.50±6.33)points,(66.25±7.04)points,(60.34±7.13)points,(64.41±7.03)points](P<0.05).Conclusion:MBCT combined with routine nursing for depression has significant clinical efficacy,it can improve conditions of disease,increase happiness,quality of the sleep and quality of life of the patients.