摘要
目的:从护理角度探讨认知行为疗法在抑郁症治疗中的作用。方法:将84例抑郁症患者随机分为2组,采用单纯药物治疗和联合认知行为治疗,以Beck抑郁自评量表(BDI)、Hamilton抑郁量表17项(HAMD)、Beck制定的功能失调性状况评定量表(DAS)、社会功能缺陷状况评定量表(SDSS)量表为评定工具进行评定。结果:出院时2组BDI、HAMD、DAS评分较治疗前有明显下降(P<0.05),但联合治疗组DAS评分较单纯药物治疗组下降更明显(P<0.01)。出院后1年,2组BDI、HAMD、DAS评分比较有显著性差异(P<0.05)。结论:抑郁症状与认知障碍有密切相关,认知行为治疗对抑郁症的预后起重要作用,在整体护理中认知行为疗法作为精神病患者心理护理的重要手段之一。
AIM:To explore the efficacy of cognitiv e-behavioral therapy in the treatme nt of depression from nursing aspect.METHODS:84depression patients were randomly divided into study group an d control group.Study group was treated by drugs combined with cognitive-behavioral therapy while control grou p just by drugs.The clinical effect was evaluated with Beck depression invento ry(BDI ),Hamilton depressive(HAMD),Dysfunctiondl attitude scales(DAS)and Social disability state scales(SDSS).RESULTS:The scores of BDI ,HAMD and DAS significantly decreased at discharge in two groups(P<0.05),but the score of DAS in study group dec reased significantly than that of control group(P<0.01).There were significant difference in the decreasedscores of BDI ,HAMD,DAS and SDSS between two groups one ye ar later after discharge(P<0.05).CONCLUSIONS:The depressive symptoms have related with cognitive disorder ,the cognitive-behavioral therap y play the important role in the prognosis of depression and is one of important ways that nursing patients in the general nurs ing.
出处
《中国临床康复》
CSCD
2003年第3期479-480,共2页
Chinese Journal of Clinical Rehabilitation
关键词
认知行为疗法
抑郁症
治疗
作用
SUBJECT WORDS :depression
cognitive therapy
rehabilitation nursing
