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正念减压联合认知行为干预对抑郁症患者自我效能、抑郁症状及睡眠质量的影响

Effects of Mindfulness-based Stress Reduction Combined with Cognitive Behavioral Intervention on Self-efficacy,Depressive Symptoms and Sleep Quality in Patients with Depression
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摘要 目的:研究抑郁症患者接受正念减压联合认知行为干预的临床效果,重点研究此种干预措施对患者抑郁症状、自我效能、睡眠质量产生的影响。方法:选取2022年5月至2023年10月泉州市第三医院收治的抑郁症患者96例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组48例。对照组开展常规护理,观察组开展正念减压联合认知行为干预。于干预前后对患者的睡眠质量、抑郁症状以及自我效能情况进行系统评估,并将干预前后2组的各项评估结果进行比较分析。结果:1)评估睡眠质量。干预后2组患者的睡眠障碍均轻于干预前,且观察组干预后的各项评分均低于对照组。2)评估抑郁程度。2组干预后的抑郁程度均缓解,观察组评估所得分数低于对照组。3)评估自我效能。干预后患者的自我效能感均有提高,观察组评分高于对照组。结论:对抑郁症患者实施正念减压联合认知行为干预能够获得较为理想的干预效果,无论是提高自我效能、减轻抑郁症状,抑或是改善睡眠状态均有理想效果,具备临床价值。 Objective:To study the clinical effect of mindfulness-based stress reduction combined with cognitive behavioral intervention in patients with depression,focusing on the impact of such intervention on depressive symptoms,self-efficacy,and sleep quality.Methods:A total of 96 patients with depression admitted to our hospital from May 2022 to October 2023 were selected as the research objects.They were grouped by random number table method,with 48 cases in the control group and 48 cases in the observation group.Routine nursing and mindfulness-based decompression combined with cognitive behavioral intervention were carried out in both groups,respectively.The sleep quality,depressive symptoms,and self-efficacy of the patients were systematically evaluated before and after intervention,and the evaluation results of the two groups were compared and analyzed before and after intervention.Results:Evaluation of sleep quality:After intervention,the sleep disorders of both groups were lighter than before intervention,and the scores of the observation group were lower than those of the control group.Assessing the degree of depression:The degree of depression was alleviated in both groups after the intervention,and the assessment score in the observation group was lower than that in the control group.Evaluation of self-efficacy:The patients′self-efficacy was improved after the intervention,and the score of the observation group was higher than that of the control group after the intervention.Conclusion:The combination of mindfulness-based stress reduction and cognitive behavior intervention in patients with depression can achieve ideal intervention effects,whether it is to improve self-efficacy,reduce depressive symptoms,or improve sleep state,which has clinical value.
作者 谢伟红 陈雪云 XIE Weihong;CHEN Xueyun(The Third Hospital of Quanzhou,Quanzhou 362000,China)
机构地区 泉州市第三医院
出处 《世界睡眠医学杂志》 2024年第3期604-606,610,共4页 World Journal of Sleep Medicine
关键词 抑郁症 常规护理 正念减压 认知行为干预 睡眠质量 自我效能 抑郁症状 干预效果 Depression Routine nursing Mindfulness-based stress reduction Cognitive behavior intervention Sleep quality Self-efficacy Depressive symptoms Intervention effect
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