医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2015年
5期
977-979
,共3页
干眼病/并发症%焦虑%抑郁%认知%干预性研究
榦眼病/併髮癥%焦慮%抑鬱%認知%榦預性研究
간안병/병발증%초필%억욱%인지%간예성연구
Xerophthalmia/CO%Anxiety%Depression%Cognition%Intervention Studies
【目的】探讨认知行为干预（Cognitive behavioral therapy ，CBT ）对干眼症患者焦虑抑郁情绪的影响。【方法】将90例干眼症患者按随机数字表法分为观察组和对照组，每组45例，对照组进行眼科常规护理，观察组在常规护理的基础上给予CBT ，采用zung氏焦虑自评量表（SAS ）与抑郁自评量表（SDS ）对两组患者出入院时的焦虑和抑郁情绪进行评价，对两组患者护理满意度、疗效进行比较。【结果】观察组患者出院时SAS评分为（40．25±8．14）分明显低于对照组（45．21±8．05）分；SDS评分为（39．95±8．07）分，也明显低于对照组SDS评分（44．68±8．28）分，两组评分比较差异均有统计学意义（ tsas＝3．17，P＜0．01，tsds ＝2．52，P＜0．05）；观察组患者对护理的总满意度高于对照组，差异有显著意义（100％ v s 73．33％，χ2＝13．85， P ＜0．01）；观察组有效率也高于对照组，差异有显著意义（93．33％ v s 77．78％，χ2＝4．41， P ＜0．05）。【结论】CBT能降低干眼症患者焦虑和抑郁情绪，规范健康认知和行为，改善患者预后，提高患者生活质量，方法简单，值得推广。
【目的】探討認知行為榦預（Cognitive behavioral therapy ，CBT ）對榦眼癥患者焦慮抑鬱情緒的影響。【方法】將90例榦眼癥患者按隨機數字錶法分為觀察組和對照組，每組45例，對照組進行眼科常規護理，觀察組在常規護理的基礎上給予CBT ，採用zung氏焦慮自評量錶（SAS ）與抑鬱自評量錶（SDS ）對兩組患者齣入院時的焦慮和抑鬱情緒進行評價，對兩組患者護理滿意度、療效進行比較。【結果】觀察組患者齣院時SAS評分為（40．25±8．14）分明顯低于對照組（45．21±8．05）分；SDS評分為（39．95±8．07）分，也明顯低于對照組SDS評分（44．68±8．28）分，兩組評分比較差異均有統計學意義（ tsas＝3．17，P＜0．01，tsds ＝2．52，P＜0．05）；觀察組患者對護理的總滿意度高于對照組，差異有顯著意義（100％ v s 73．33％，χ2＝13．85， P ＜0．01）；觀察組有效率也高于對照組，差異有顯著意義（93．33％ v s 77．78％，χ2＝4．41， P ＜0．05）。【結論】CBT能降低榦眼癥患者焦慮和抑鬱情緒，規範健康認知和行為，改善患者預後，提高患者生活質量，方法簡單，值得推廣。
【목적】탐토인지행위간예（Cognitive behavioral therapy ，CBT ）대간안증환자초필억욱정서적영향。【방법】장90례간안증환자안수궤수자표법분위관찰조화대조조，매조45례，대조조진행안과상규호리，관찰조재상규호리적기출상급여CBT ，채용zung씨초필자평량표（SAS ）여억욱자평량표（SDS ）대량조환자출입원시적초필화억욱정서진행평개，대량조환자호리만의도、료효진행비교。【결과】관찰조환자출원시SAS평분위（40．25±8．14）분명현저우대조조（45．21±8．05）분；SDS평분위（39．95±8．07）분，야명현저우대조조SDS평분（44．68±8．28）분，량조평분비교차이균유통계학의의（ tsas＝3．17，P＜0．01，tsds ＝2．52，P＜0．05）；관찰조환자대호리적총만의도고우대조조，차이유현저의의（100％ v s 73．33％，χ2＝13．85， P ＜0．01）；관찰조유효솔야고우대조조，차이유현저의의（93．33％ v s 77．78％，χ2＝4．41， P ＜0．05）。【결론】CBT능강저간안증환자초필화억욱정서，규범건강인지화행위，개선환자예후，제고환자생활질량，방법간단，치득추엄。
[Objective] To explore the effects of cognitive behavior intervention on anxiety and depression of patients with dry eye emotions .[Methods]A total of 90 patients were randomly divided into intervention and control groups (n=45 each) .The control group was subject to routine care while the intervention group received cognitive behavioral intervention on the basis of routine care .And two groups were compared with re‐gards to anxiety ,depression ,satisfaction and efficacy .[Results] The self‐rating anxiety scale (SAS) score was 40 .25 ± 8 .14 in intervention group versus 45 .21 ± 8 .05 in control group .And the self‐rating depression scale (SDS) score was 39 .95 ± 8 .07 in intervention group versus 44 .68 ± 8 .28 in control group .And the differences were statistically significant ( P <0 .05) .The overall satisfaction rate was 100% in intervention group versus 73 .33% in control group .And the difference was significant ( P<0 .01) .The effective rate was 93 .33% in intervention group versus 77 .78% in control group .And the difference was significant ( P <0 .05) .[Conclusion] Cognitive behavioral intervention can reduce anxiety and depression ,enhance cognitive and behavioral health ,improve the prognosis and quality‐of‐life of patients with dry eye emotions .
