中国民康医学
中國民康醫學
중국민강의학
MEDICAL JOURNAL OF CHINSEE PEOPLE HEALTH
2015年
4期
1-2,10
,共3页
抑郁症%心理护理干预%认知功能%汉密顿抑郁量表%汉密顿焦虑量表%威斯康星卡片分类测验
抑鬱癥%心理護理榦預%認知功能%漢密頓抑鬱量錶%漢密頓焦慮量錶%威斯康星卡片分類測驗
억욱증%심리호리간예%인지공능%한밀돈억욱량표%한밀돈초필량표%위사강성잡편분류측험
Depression%Psychological nursing intervention%Cognitive function%Hamilton depression scale%Hamilton anxiety scale%Wisconsin card sorting test
目的：：探讨心理护理干预对抑郁症患者认知功能的影响。方法：将60例抑郁症患者随机分为两组，研究组患者29例，对照组患者31例，两组患者均口服舍曲林治疗并接受常规护理，研究组患者在此基础上给予心理护理干预，观察8周。于干预前及干预第8周末采用汉密顿抑郁量表、汉密顿焦虑量表和威斯康星卡片分类测验对两组患者进行测评分析。结果：干预8周末两组患者汉密顿抑郁量表、汉密顿焦虑量表评分及威斯康星卡片分类测验错误数、持续错误数、非持续错误数评分较治疗前有显著下降(P<0.01)，分类数评分较治疗前有显著升高(P<0.01)；同期两组患者间比较，干预前除威斯康星卡片分类测验非持续错误数评分外，两组患者其他评分差异无显著性(P>0.05)，干预8周末研究组患者汉密顿抑郁量表评分显著低于对照组(P<0.01)，威斯康星卡片分类测验分类数评分显著高于对照组(P<0.01)。结论：对抑郁症患者在常规治疗的基础上进行心理护理干预，能更有效地改善其认知功能。
目的：：探討心理護理榦預對抑鬱癥患者認知功能的影響。方法：將60例抑鬱癥患者隨機分為兩組，研究組患者29例，對照組患者31例，兩組患者均口服捨麯林治療併接受常規護理，研究組患者在此基礎上給予心理護理榦預，觀察8週。于榦預前及榦預第8週末採用漢密頓抑鬱量錶、漢密頓焦慮量錶和威斯康星卡片分類測驗對兩組患者進行測評分析。結果：榦預8週末兩組患者漢密頓抑鬱量錶、漢密頓焦慮量錶評分及威斯康星卡片分類測驗錯誤數、持續錯誤數、非持續錯誤數評分較治療前有顯著下降(P<0.01)，分類數評分較治療前有顯著升高(P<0.01)；同期兩組患者間比較，榦預前除威斯康星卡片分類測驗非持續錯誤數評分外，兩組患者其他評分差異無顯著性(P>0.05)，榦預8週末研究組患者漢密頓抑鬱量錶評分顯著低于對照組(P<0.01)，威斯康星卡片分類測驗分類數評分顯著高于對照組(P<0.01)。結論：對抑鬱癥患者在常規治療的基礎上進行心理護理榦預，能更有效地改善其認知功能。
목적：：탐토심리호리간예대억욱증환자인지공능적영향。방법：장60례억욱증환자수궤분위량조，연구조환자29례，대조조환자31례，량조환자균구복사곡림치료병접수상규호리，연구조환자재차기출상급여심리호리간예，관찰8주。우간예전급간예제8주말채용한밀돈억욱량표、한밀돈초필량표화위사강성잡편분류측험대량조환자진행측평분석。결과：간예8주말량조환자한밀돈억욱량표、한밀돈초필량표평분급위사강성잡편분류측험착오수、지속착오수、비지속착오수평분교치료전유현저하강(P<0.01)，분류수평분교치료전유현저승고(P<0.01)；동기량조환자간비교，간예전제위사강성잡편분류측험비지속착오수평분외，량조환자기타평분차이무현저성(P>0.05)，간예8주말연구조환자한밀돈억욱량표평분현저저우대조조(P<0.01)，위사강성잡편분류측험분류수평분현저고우대조조(P<0.01)。결론：대억욱증환자재상규치료적기출상진행심리호리간예，능경유효지개선기인지공능。
Objective:To explore influence of psychological nursing intervention ( PNI) on cognitive function of depression pa-tients. Methods:Sixty depression patients were randomly assigned to research (n=29) and control group (n=31). Both groups took orally Sertraline and received routine nursing, and on that basis, research group accepted PNI for 8 weeks. Assessments were carried out with the Hamilton depression scale ( HAMD) , Hamilton anxiety scale ( HAMA) and Wisconsin card sorting test ( WCST) before the intervention and at the end of the 8th week of the intervention. Results:At the end of the 8th week of the intervention, the HAMD and HAMA scores as well as errors, perseverative errors, non-perseverative errors of WCST of the two groups decreased more signifi-cantly (P<0.01) and categories achieved increased (P<0. 01) compared with those before the treatment. Contemporaneous group comparisons showed no significant differences in scores except the non-perseverative errors between the two groups (P>0. 05), while at the end of the 8th week of the intervention, the HAMD score was significantly lower (P<0. 01) and categories achieved were higher (P<0. 01) in research than those in control group. Conclusions:Psychological nursing intervention on the basis of routine treatment could effectively improve cognitive function of the depression patients.
