分析认知行为干预对青少年抑郁症伴失眠患儿抑郁及睡眠质量的影响

To Analyze the Effects of Cognitive Behavioral Intervention on Depression and Sleep Quality in Adolescent Children with Depression and Insomnia

目的:分析认知行为干预对青少年抑郁症伴失眠患儿抑郁及睡眠质量的影响。方法:选取2020年1月至2022年3月厦门市仙岳医院儿童青少年心理科收治的青少年抑郁症伴失眠患儿69例作为研究对象,按照随机数字表法分为观察组和对照组。对照组给予常规护理干预,观察组给予认知行为干预,采用匹兹堡睡眠指数量表(PSQI)比较2组患者睡眠质量的差异,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者焦虑、抑郁状态的改善情况,并比较2组患者护理满意度。结果:干预3个月后,观察组HAMA评分、HAMD评分、PSQI评分均显著低于对照组,观察组护理满意度显著高于对照组,2组比较差异有统计学意义(P<0.05)。结论:青少年抑郁症伴失眠患儿认知行为干预可有效减轻患儿焦虑、抑郁程度,改善其睡眠质量,提升患儿及家属护理满意度,值得推广使用。

Objective:To analyze the effects of cognitive behavioral intervention on depression and sleep quality in adolescent children with depression and insomnia.Methods:A total of 69 adolescent children with depression and insomnia admitted to the Department of Child and Adolescent Psychology in Xiamen Xianyue Hospital from January 2020 to March 2022 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 34 cases in each group.Control group was given routine nursing intervention,observation group was given cognitive behavior intervention,used Pittsburgh Sleep Quality Index Scale(PSQI)to compare the difference of sleep quality between 2 groups,used Hamilton Anxiely Anxiely Scale(HAMA),Hamilton Depression Rating Scale(HAMD)to compare the improvement of anxiety and depression status between 2 groups,and compare the nursing satisfaction at the same time.Results:After 3 months of intervention,HAMA score,HAMD score and PSQI score of the observation group were significantly lower than the control group,and nursing satisfaction of the observation group was significantly higher than the control group,and the difference between 2 groups was statistically significant(P s<0.05).Conclusion:Cognitive behavioral intervention can effectively reduce anxiety and depression,improve the sleep quality,and enhance nursing satisfaction of children and their families,and is worthy of popularization and use.