认知行为治疗与系统性家庭治疗对轻中度产后抑郁患者的影响

Effects of cognitive behavioral therapy and systematic family therapy on patients with mild to moderate postpartum depression

目的探讨认知行为治疗与系统性家庭治疗对轻中度产后抑郁患者的应用价值。方法从2018年4月~2020年1月,本院收治的98例轻中度产后抑郁患者作为研究对象,利用随机数字表法将其分为对照组49例(常规治疗)和观察组49例(认知行为治疗与系统性家庭治疗),对比两组患者的治疗效果、睡眠质量、爱丁堡产后抑郁问卷评分(EPDS)、生活质量。结果分析治疗效果:和对照组轻中度产后抑郁患者的治疗有效率(83.67%)相比,观察组轻中度产后抑郁患者的治疗有效率(97.96%)更高,P<0.05;观察组入睡时间(1.37±0.83)、睡眠时间(1.78±0.65)、睡眠效率(1.61±0.67)、睡眠障碍(1.17±0.45)等评分较对照组低,P<0.05;治疗前,两组EPDS评分对比无统计学差异,P>0.05,治疗后,观察组评分(13.14±2.63)较对照组低,P<0.05;在生活质量方面,观察组各项评分高于对照组,P<0.05。结论实施认知行为治疗与系统性家庭治疗方案,可以更好的改善产后抑郁患者的不良情绪和睡眠,提高其生活质量。

Objective To analyze the application value of cognitive behavioral therapy and systematic family therapy on patients with mild to moderate postpartum depression.Methods From April 2018 to January 2020,98 patients with mild to moderate postpartum depression admitted to this hospital were used as the research objects,and they were divided into a control group of 49 cases(conventional treatment)and an observation group of 49 cases using a random number table method Cases(cognitive behavior therapy and systemic family therapy),compare the treatment effect,sleep quality,EPDS score(Edinburgh Postpartum Depression Questionnaire),and quality of life of the two groups of patients.Results Analysis of treatment effect:Compared with the treatment effective rate(83.67%)of patients with mild to moderate postpartum depression in the control group,the treatment effective rate(97.96%)of patients with mild to moderate postpartum depression in the observation group was higher,P<0.05.The scores of time to fall asleep(1.37±0.83),sleep time(1.78±0.65),sleep efficiency(1.61±0.67),sleep disturbance(1.17±0.45)were lower than those of the control group,P<0.05.Before treatment,the EPDS scores of the two groups were compared There was no statistical difference,P>0.05.After treatment,the score of the observation group(13.14±2.63)was lower than that of the control group,P<0.05.In terms of quality of life,the scores of the observation group were higher than those of the control group,P<0.05.Conclusion The implementation of cognitive behavioral therapy and systematic family therapy can reduce EPDS score on patients with mild to moderate postpartum depression,and improve their quality of life and sleep.