摘要
目的探讨重复经颅磁刺激(rTMS)联合正念认知疗法对抑郁症患者认知功能及睡眠障碍的影响.方法选取2019年6月—2021年6月于我院就诊的抑郁症患者90例,按随机数字表法分为两组,各45例.对照组采用常规康复护理干预,观察组在对照组基础上采用rTMS联合正念认知疗法,均持续干预8周.比较两组干预前后重复性成套神经心理状态测验(RBANS)、汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数(PSQI)、一般自我效能感量表(GSES)及Connor-Davison韧性量表(CD-RISC)评分.结果干预前,两组RBANS、HAMD、PSQI、GSES、CD-RISC评分比较,组间差异无统计学意义(P>0.05);干预后,观察组RBANS各维度评分及总分均高于对照组,HAMD、PSQI评分均低于对照组,GSES、CD-RISC评分均高于对照组,组间差异有统计学意义(P<0.05).结论rTMS联合正念认知疗法应用于抑郁症患者中,可有效提高患者自我效能及心理韧性,减轻抑郁症状,改善认知功能及睡眠障碍.
Objective To investigate the effect of repetitive transcranial magnetic stimulation(rTMS)combined with mindfulness-based cognitive therapy on cognitive function and sleep disturbance in patients with depression.Methods A total of 90 patients with depression who were treated in our hospital from June 2019 to June 2021 were selected and divided into two groups according to the random number table method,with 45 cases in each group.The control group was given routine rehabilitation nursing intervention,while the observation group was given rTMS combined with mindfulness-based cognitive therapy on the basis of the control group,with both interventions for 8 weeks.The the scores of repeatable battery for the assessment of neuropsychological status(RBANS),Hamilton depression scale(HAMD),Pittsburgh sleep quality index(PSQI),general self-efficacy scale(GSES)and Connor-Davison resilience scale(CD-RISC)were compared before and after intervention between the two groups.Results Before intervention,there was no significant difference in the scores of RBANS,HAMD,PSQI,GSES and CD-RISC between the two groups(P>0.05);after intervention,the RBANS dimension scores and total score in the observation group were higher than those in the control group,the HAMD and PSQI scores were lower than those in the control group,and the GSES,CD-RISC scores were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The application of rTMS combined with mindfulnessbased cognitive therapy in patients with depression can effectively improve self-efficacy and mental toughness,reduce depressive symptoms,and improve cognitive function and sleep disorders.
作者
亓霞
孙俊霞
崔凤琢
QI Xia;SUN Junxia;CUI Fengzhuo(Department of Psychiatry,Binzhou Youfu Hospital,Shandong Province,Binzhou Shandong,256600,China)
出处
《反射疗法与康复医学》
2021年第20期111-114,共4页
Reflexology And Rehabilitation Medicine
关键词
抑郁症
重复经颅磁刺激
正念认知疗法
认知功能
睡眠障碍
Depression
Repetitive transcranial magnetic stimulation
Mindfulness-Based cognitive therapy
Cognitive function
Sleep disorders
作者简介
亓霞(1978-),女,山东滨州人,本科,主管护师,研究方向:精神科护理。
