齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
Journal of Qilu Nursing
2015年
18期
29-30
,共2页
认知疗法%精神分裂症%抑郁障碍%认知功能状态%生活质量
認知療法%精神分裂癥%抑鬱障礙%認知功能狀態%生活質量
인지요법%정신분렬증%억욱장애%인지공능상태%생활질량
Cognitive therapy%Schizophrenia%Depressive disorder%Cognitive function%Quality of life
目的：探讨认知疗法在精神分裂症伴抑郁障碍患者中的应用方法及效果。方法：将68例精神分裂症伴抑郁障碍患者随机分为研究组和对照组各34例，对照组给予常规治疗和护理，研究组在对照组基础上实施认知疗法，比较两组护理效果。结果：两组出院前汉密尔顿抑郁量表（HAMD）总分低于入院时（P ＜0.01），研究组出院前 HAMD 总分低于对照组（P ＜0.05）；两组焦虑/躯体化、日夜变化、阻滞、绝望感评分比较差异有统计学意义（P ＜0.05）；两组治疗后简明精神病量表（BPRS）、阴性症状量表（SANS）评分低于治疗前（P ＜0.05）；两组临床疗效比较差异无统计学意义（P ＞0.05）；两组出院6个月及1年随访结果比较差异有统计学意义（P ＜0.05）。结论：认知疗法可改善精神分裂症伴抑郁障碍患者心理状态，提高患者认知功能，优化治疗效果。
目的：探討認知療法在精神分裂癥伴抑鬱障礙患者中的應用方法及效果。方法：將68例精神分裂癥伴抑鬱障礙患者隨機分為研究組和對照組各34例，對照組給予常規治療和護理，研究組在對照組基礎上實施認知療法，比較兩組護理效果。結果：兩組齣院前漢密爾頓抑鬱量錶（HAMD）總分低于入院時（P ＜0.01），研究組齣院前 HAMD 總分低于對照組（P ＜0.05）；兩組焦慮/軀體化、日夜變化、阻滯、絕望感評分比較差異有統計學意義（P ＜0.05）；兩組治療後簡明精神病量錶（BPRS）、陰性癥狀量錶（SANS）評分低于治療前（P ＜0.05）；兩組臨床療效比較差異無統計學意義（P ＞0.05）；兩組齣院6箇月及1年隨訪結果比較差異有統計學意義（P ＜0.05）。結論：認知療法可改善精神分裂癥伴抑鬱障礙患者心理狀態，提高患者認知功能，優化治療效果。
목적：탐토인지요법재정신분렬증반억욱장애환자중적응용방법급효과。방법：장68례정신분렬증반억욱장애환자수궤분위연구조화대조조각34례，대조조급여상규치료화호리，연구조재대조조기출상실시인지요법，비교량조호리효과。결과：량조출원전한밀이돈억욱량표（HAMD）총분저우입원시（P ＜0.01），연구조출원전 HAMD 총분저우대조조（P ＜0.05）；량조초필/구체화、일야변화、조체、절망감평분비교차이유통계학의의（P ＜0.05）；량조치료후간명정신병량표（BPRS）、음성증상량표（SANS）평분저우치료전（P ＜0.05）；량조림상료효비교차이무통계학의의（P ＞0.05）；량조출원6개월급1년수방결과비교차이유통계학의의（P ＜0.05）。결론：인지요법가개선정신분렬증반억욱장애환자심리상태，제고환자인지공능，우화치료효과。
Objective:To explore the application method and effect of cognitive therapy in patients with schizophrenia associated with depressive disorder. Methods:68 patients with schizophrenia associated with depressive disorder were randomly divided into the study group and the control group(34 cases in each group). The patients in the control group were given routine treatment and nursing care;the pa-tients in the study group were treated with cognitive therapy on the basis of the routine one,the nursing effect was compared between the two groups. Results:The HAMD score was lower before discharge than that on admission in the two groups(P < 0. 01);the HAMD score in the study group was lower than that in the control group before discharge(P < 0. 05);there were statistically significant differences in the comparison of anxiety/ somatization,diurnal variation,retardarce and feeling of despair of the patients between the two groups(P < 0. 05);the scores of BPRS and SANS were lower after the treatment than those before the treatment in the two groups(P < 0. 05);the comparison of the curative effect was not significantly different between the two groups(P > 0. 05);the difference in the comparison of the 6 - month and one - year follow - up results was statistically significant between the two groups(P < 0. 05). Conclusion:The cognitive therapy can improve the psychological state of patients with schizophrenia associated with depressive disorder and can improve the cognitive function of the patients and optimize the treatment effect.
