心理治疗对老年抑郁和焦虑共病患者认知功能和睡眠质量的影响

Effect of Psychotherapy on Cognitive Function and Sleep Quality in Senile Patients with Comorbidity of Depression and Anxiety

目的:分析在老年抑郁和焦虑共病患者的治疗中,采用心理治疗对于患者的认知功能、睡眠质量、精神状态情况的影响。方法:选取2017年3月至2018年5月惠州市中心人民医院收治的老年抑郁和焦虑共病患者60例作为研究对象,随机分为对照组与观察组,每组30例。对照组采用常规抗抑郁药物进行治疗,观察组在对照组的基础上加用心理治疗方法进行治疗,比较治疗后2组患者的认知功能、睡眠质量、精神状态。结果:治疗后,观察组的日常生活活动(ADL)评分、简易精神状态量表(MMSE)评分、匹兹堡睡眠质量指数(PSQI)评分均明显优于对照组,差异均有统计学意义(均P<0.05)。结论:在老年抑郁和焦虑共病患者的治疗中,采用心理治疗方法不仅能够有效改善其认知功能与精神状态,还能够有效提升其睡眠质量,进而提升其总体治疗效果与质量,值得临床推广应用。

Objective:To analyze the effect of psychotherapy on cognitive function,sleep quality and mental state of senile patients with comorbidity of depression and anxiety.Methods:A total of 60 elderly patients with comorbidity of depression and anxiety admitted to Huizhou Central People′s Hospital from March 2017 to May 2018 were selected as the subjects of this study,and they were randomly divided into the control group and the observation group,with 30 patients assigned to each of the two groups.Conventional antidepressant therapy was used in the control group,and additional psychological therapy was used in the observation group on the basic of the control group.After the treatment,the cognitive function,sleep quality and mental state of patients in the two groups were compared.Results:After the treatment,the Activity of Daily Living(ADL)score,Mini-Mental State Examination(MMSE)score and Pittsburgh Sleep Quality Index(PSQI)score of the observation group were significantly better than those of the control group,and the differences were statistically significant(Ps<0.05).Conclusion:In the treatment of senile patients with comorbidity of depression and anxiety,the use of psychological treatment can not only effectively improve the cognitive function and mental state of patients,but also effectively enhance the sleep quality of patients,and then improve the overall therapeutic effect and the quality of care.It is worthy of clinical promotion.