积极心理干预辅助认知行为干预在伴有抑郁的老年慢性心力衰竭患者中的应用

Application of positive psychological intervention assisted cognitive behavioral therapy for elderly patients with chronic heart failure combined with depression

目的:旨在探讨积极心理干预辅助认知行为干预在伴有抑郁的老年慢性心力衰竭患者中的应用效果。方法:选取我院2016年5月-2018年5月收治的伴有抑郁的老年慢性心力衰竭患者90例,采用随机数字表法将患者分为对照组及观察组,每组45例。对照组采用认知行为干预,观察组在对照组的基础上辅助积极心理干预。比较两组干预满意度、干预前后抑郁情绪及生活质量水平的变化情况。结果:观察组患者总满意率明显优于对照组患者(χ~2=4.444,P<0.05);两组患者干预后HAMD评分均较干预前出现明显变化,呈下降趋势,其中观察组HAMD评分下降幅度显著大于对照组(t=-7.505,P<0.001);两组患者干预后PF、RP、BP、MH、RE、VT、SF、GH评分较干预前明显上升;观察组干预后RP、BP、MH、RE、VT、SF评分水平明显高于对照组(t=2.974,2.774,3.014,2.211,2.939,2.507;P<0.05)。结论:积极心理干预辅助认知行为干预可有效改善伴有抑郁的老年慢性心力衰竭患者的抑郁状态,并可提高其生活质量水平及满意度。

Objective:To investigate the application effect of positive psychological intervention assisted cognitive behavioral intervention for elderly patients with chronic heart failure combined with depression.Methods:A total of 90 elderly cases with chronic heart failure combined with depression in our hospital from May 2016 to May 2018 were selected.90 patients were divided into control group and observation group by digital table method with 45 cases in each group.The control group was treated with auxiliary cognitive behavior intervention,and the observation group was treated with positive psychological intervention on the basis of the control group.The changes of depression and quality of life before and after intervention,intervention satisfaction of the two groups were compared.Results:The total satisfaction rate of observation group was significantly higher than that in the control group(χ~2=4.444,P<0.05).After intervention,the HAMD scores of the two groups were significantly changed compared with before nursing with decreased trend,and the decreased of HAMD score in the observation group was significantly more than that in the control group(t=-7.505,P<0.001).After intervention,the PF,RP,BP,MH,RE,VT,SF,GH scores of two groups were significantly higher than that of before treatment(P>0.05).After intervention,the RP,BP,MH,RE,VT,SF score in the observation group were significantly higher than those in the control group(t=2.974,2.774,3.014,2.211,2.939,2.507;P<0.05).Conclusion:Positive psychological intervention assisted cognitive-behavioral intervention can effectively improve the depressive state of elderly patients with chronic heart failure accompanied by depression,and improve their quality of life and nursing satisfaction.