认知行为干预联合药物治疗对抑郁症患者应对方式和社会支持的影响

Effects of cognitive behavioral intervention combined with drug therapy on coping style and social support in patients with depression

目的 探讨认知行为干预联合药物治疗对抑郁症患者应对方式和社会支持的影响。方法 选择2019年3月-2021年2月在本院就诊的126例抑郁症患者作为研究对象,按随机数表法分为观察组和对照组两组,每组各63例。所有患者均遵医嘱使用常规抗抑郁症药物,对照组联合给予常规护理,观察组患者在此基础上采取认知行为护理干预。护理干预前和护理干预3个月时,对两组患者进行抑郁自评量表(SDS)、汉密顿抑郁量表(HAMD)、简易应对方式量表(SCSQ)和社会支持评定量表(SSRS)评价。结果 护理干预3个月时,两组患者SDS和HAMD评分均明显降低,且观察组患者SDS和HAMD评分低于对照组,差异有统计学意义(P<0.05);护理干预3个月时,两组患者积极应对和消极应对两个维度评分均有改善,且观察组患者积极应对评分高于对照组,消极应对评分低于对照组,差异有统计学意义(P<0.05);护理干预3个月时,两组患者SSRS中的主观支持、客观支持和利用度三个维度评分均有升高,且观察组患者主观支持、客观支持和利用度三个维度评分高于对照组,差异有统计学意义(P<0.05)。结论 认知行为护理干预联合药物治疗能够有效减轻抑郁症患者的临床症状和病情程度,对于应对方式和社会支持的改变具有积极意义。

Objective To explore the effects of cognitive behavioral intervention combined with drug therapy on coping style and social support in patients with depression.Methods A total of 126 patients with depression, those were admitted to our hospital from March 2019 to February 2021, were selected as the study subjects, and they were divided into observation group(63 cases) and control group(63 cases) according to random number table method. All patients were followed the doctor’s advice to use conventional antidepressant drugs, the control group was given conventional nursing, and the observation group was given cognitive behavioral nursing intervention on this basis. The patients were evaluated by using self-rating depression scale(SDS), Hamilton depression Scale(HAMD), simplified coping style questionnaire(SCSQ) and social support rate scale(SSRS) before nursing intervention and at 3 months after nursing intervention.Results After 3 months of nursing intervention, the scores of SDS and HAMD in the two groups were significantly decreased, and the SDS and HAMD scores in the observation group were significantly lower than those in the control group(P<0.05). After 3 months of nursing intervention, the scores of positive coping and negative coping in the two groups were significantly improved, and the scores of positive coping in the observation group was significantly higher than that in the control group, while the scores of negative coping was significantly lower than that in the control group(P<0.05). After 3 months of nursing intervention, the scores of subjective support, objective support and utilization degree of SSRS in the two groups were significantly increased, and the scores of the three dimension of SSRS in the observation group were higher than those in the control group(P<0.05).Conclusions Cognitive behavioral nursing intervention combined with drug therapy could effectively reduce the clinical symptoms and severity of depression patients, and had positive significance for the change of coping style and social support.