现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
11期
1635-1636,1638
,共3页
抑郁症/治疗%住院病人%干预性研究%心理疗法%小组心理干预
抑鬱癥/治療%住院病人%榦預性研究%心理療法%小組心理榦預
억욱증/치료%주원병인%간예성연구%심리요법%소조심리간예
Depressive disorder/therapy%Inpatients%Intervention studies%Psychotherapy%Psychological nurs-ing intervention
目的：探讨小组心理干预对住院抑郁症患者抑郁、焦虑情绪的影响。方法将2012年1~12月在重庆三峡中心医院平湖分院心身康复科住院的80例符合中国精神障碍分类与诊断标准第3版（CCMD-3）且伴有焦虑症状的住院抑郁症患者分为对照组和干预组各40例，对照组患者给予常规治疗护理，干预组患者在常规治疗护理基础上进行小组心理干预，干预5个月后对两组患者进行汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）评分比较。结果两组干预后HAMD和HAMA评分均低于干预前，差异有统计学意义（P<0.01），干预组进行小组心理干预后HAMD和HAMA评分均显著低于对照组，差异有统计学意义（P<0.01）。结论小组心理干预能明显改善抑郁症患者焦虑情绪，巩固药物治疗效果。
目的：探討小組心理榦預對住院抑鬱癥患者抑鬱、焦慮情緒的影響。方法將2012年1~12月在重慶三峽中心醫院平湖分院心身康複科住院的80例符閤中國精神障礙分類與診斷標準第3版（CCMD-3）且伴有焦慮癥狀的住院抑鬱癥患者分為對照組和榦預組各40例，對照組患者給予常規治療護理，榦預組患者在常規治療護理基礎上進行小組心理榦預，榦預5箇月後對兩組患者進行漢密爾頓抑鬱量錶（HAMD）、漢密爾頓焦慮量錶（HAMA）評分比較。結果兩組榦預後HAMD和HAMA評分均低于榦預前，差異有統計學意義（P<0.01），榦預組進行小組心理榦預後HAMD和HAMA評分均顯著低于對照組，差異有統計學意義（P<0.01）。結論小組心理榦預能明顯改善抑鬱癥患者焦慮情緒，鞏固藥物治療效果。
목적：탐토소조심리간예대주원억욱증환자억욱、초필정서적영향。방법장2012년1~12월재중경삼협중심의원평호분원심신강복과주원적80례부합중국정신장애분류여진단표준제3판（CCMD-3）차반유초필증상적주원억욱증환자분위대조조화간예조각40례，대조조환자급여상규치료호리，간예조환자재상규치료호리기출상진행소조심리간예，간예5개월후대량조환자진행한밀이돈억욱량표（HAMD）、한밀이돈초필량표（HAMA）평분비교。결과량조간예후HAMD화HAMA평분균저우간예전，차이유통계학의의（P<0.01），간예조진행소조심리간예후HAMD화HAMA평분균현저저우대조조，차이유통계학의의（P<0.01）。결론소조심리간예능명현개선억욱증환자초필정서，공고약물치료효과。
Objective To investigate the effect of group psychological intervention on hospitalized patients with dys-thymia disorders indepression and anxiety. Methods A total of 80 inpatients with dysthymia disorders associated with anxiety from January to December of 2012 ,who met the criterion of Chinese Classification and Diagnosis of Mental Diseases-3rd edition (CCMD-3),were divided into the control group and the intervention group,40 cases in each group. The patients in the control group received routine nursing care and the patients in the intervention group received extra systematic group psychological inter-vention on the basis of control group. Hamilton′s Deprssion Scale(HAMD) and Hamilton′s Deprssion Anxiety(HAMA) were used to evaluate the clinical effect between the two groups after 5-month intervention. Results The scores of HAMD and HAMA after intervention were significantly lower than those before intervention in both groups (P<0.01). The scores of HAMD and HAMA after intervention in the intervention group were lower than those in the control group with statistically significant difference (P<0.01). Conclusion The group psychological nursing intervention can effectively improve the clinical symptoms of patients with dys-thymia disorders associated with anxiety,and enhance therapeutic effect of patients.
