社区老年人认知行为团体治疗的效果分析

Effect Analysis of Cognitive-Behavioral Group Therapy of Elderly People in Community

目的:探讨给予社区老年人认知行为团体治疗的效果及对焦虑、抑郁情绪的影响。方法:选取2018年1月-2020年12月北京市东城区龙潭社区卫生服务中心收治的380例具有焦虑、抑郁情绪的社区老年患者为研究对象,根据随机数字表法分为观察组和对照组,各190例。对照组给予常规心理健康教育,观察组在对照组基础上给予认知行为团体治疗。对比两组患者治疗前后焦虑自评量表(SAS)、抑郁自评量表(SDS)及认知能力、生活质量评分。结果:治疗前,两组SAS、SDS评分比较,差异无统计学意义(P>0.05);治疗后,两组SAS、SDS评分均低于治疗前,差异有统计学意义(P<0.05);观察组SAS、SDS评分低于对照组,差异有统计学意义(P=0.000)。治疗前,两组定向力、记忆力、语言能力、回忆能力、注意力和计算力、认知能力总分比较,差异无统计学意义(P>0.05);治疗后,两组各项评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗前,两组躯体功能、心理功能、社会功能评分比较,差异无统计学意义(P>0.05)。治疗后,两组躯体功能、心理功能、社会功能评分均高于治疗前,差异有统计学意义(P<0.05);观察组各项评分均高于对照组,差异有统计学意义(P=0.000)。结论:认知行为团体治疗能够有效缓解社区老年人的焦虑、抑郁情绪,同时可提高其认知能力和整体生活质量。

Objective:To investigate the effect of cognitive-behavioral group therapy and its influence on anxiety and depression emotions among elderly people in the community.Methods:A total of 380 elderly patients in the community with anxiety and depression emotions who were admitted to Longtan Community Health Service Center of Dongcheng District in Beijing from January 2018 to December 2020 were selected as the study subjects.They were divided into observation group and control group according to random number table method,with 190 cases in each group.The control group was given routine mental health education,and the observation group was given cognitive-behavioral group therapy on the basis of the control group.The selfrating anxiety scale(SAS),self-rating depression scale(SDS),cognitive ability,and quality of life scores before and after treatment in two groups were compared.Results:Before treatment,there was no significant difference in SAS and SDS scores between the two groups(P>0.05).After treatment,the SAS and SDS scores in the two groups were lower than those before treatment,and the difference was statistically significant(P<0.05);and the SAS and SDS scores in the observation group was lower than the control group,and the difference was statistically significant(P=0.000).Before treatment,there was no significant difference in the total scores of orientation,memory,language ability,recall ability,attention and calculation ability,and cognitive ability between the two groups(P>0.05).After treatment,the scores in the two groups were higher than those before treatment,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in somatic function,psychological function and social function scores between the two groups(P>0.05).After treatment,the scores of somatic function,psychological function and social function in the two groups were higher than those before treatment,and the difference was statistically significant(P<0.05);and the scores in the observation group was higher than the control group,and the difference was statistically significant(P=0.000).Conclusion:Cognitive-behavioral group therapy can effectively relieve anxiety and depression emotions of the elderly in the community,and simultaneously improve their cognitive ability and overall quality of life.