摘要
目的:探讨关爱帮扶综合模式联合认知行为疗法对抑郁症患者睡眠质量的影响。方法:选取2022年4月至2023年6月淄博市第五人民医院心理科收治的抑郁症患者78例作为研究对象,按照随机数字表法分为对照组和观察组,每组39例。对照组给予常规药物联合常规护理干预,观察组加用关爱帮扶综合模式联合认知行为疗法干预。采用抑郁自评量表(SDS)比较2组患者干预前后的抑郁状态;采用汉密尔顿抑郁量表(HAMD)比较2组患者干预前后抑郁状态的改善效果,采用匹兹堡睡眠质量指数(PSQI)评估2组患者干预前后睡眠质量的变化,采用蒙特利尔认知评估量表(MoCA)评估2组患者的认知功能,采用健康调查简表(SF-36)比较2组患者干预前后生命质量的变化。结果:干预后,观察组的HAMD评分、SDS评分、PSQI评分均显著低于对照组,差异有统计学意义(P<0.05);干预后,观察组MoCA评分、SF-36评分均显著高于对照组,差异有统计学意义(P<0.05)。结论:对于抑郁症患者采用关爱帮扶综合模式联合认知行为疗法可有效改善患者的睡眠质量,缓解患者的抑郁状态,提高生命质量和认知功能,值得临床推广应用。
Objective:To explore the effect of caring and helping integrated mode combined with cognitive behavioral therapy on sleep quality of patients with depression.Methods:A total of 78 patients with depression admitted to the Psychology Department of the Fifth People′s Hospital of Zibo City from April 2022 to June 2023 were selected as the research objects,and were divided into control group and observation group according to random number table method,with 39 cases in each group.The control group was given conventional drugs combined with routine nursing intervention,and the observation group was given comprehensive care and help mode combined with cognitive behavioral therapy intervention.Self-rating Depression Scale(SDS)was used to compare the depression status of the two groups before and after the intervention.Hamilton Depression Scale(HAMD)was used to compare the improvement effect of depression state between the two groups before and after intervention,Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the change of sleep quality between the two groups before and after intervention,and Montreal Cognitive Assessment Scale(MoCA)was used to evaluate the cognitive function of the two groups.The changes of quality of life before and after intervention were compared between the two groups by using the brief form of health survey(SF-36).Results:After the intervention,the HAMD score,SDS score and PSQI score of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).After the intervention,the MoCA score and SF-36 score of the observation group were significantly higher than those of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:For patients with depression,the combination of caring and helping mode and cognitive behavioral therapy can effectively improve the sleep quality of patients,alleviate the depression state of patients,improve the quality of life and cognitive function,which is worthy of clinical application.
作者
房艳艳
徐红
车群
孙娜
曹苗苗
FANG Yanyan;XU Hong;CHE Qun;SUN Na;CAO Miaomiao(The Fifth People′s Hospital of Zibo City,Zibo 255100,China)
出处
《世界睡眠医学杂志》
2024年第7期1644-1647,共4页
World Journal of Sleep Medicine
基金
淄博市医药卫生项目(20230310034)。
关键词
关爱帮扶综合模式
认知行为疗法
抑郁症
睡眠质量
抑郁状态
生命质量
认知功能
常规护理
Caring and helping comprehensive model
Cognitive behavioral therapy
Depression
Sleep quality
Depressive state
Quality of life
Cognitive function
Routine care
作者简介
房艳艳(1976.09-),女,本科,副主任护师,研究方向:心理护理在抑郁症患者护理中的应用,E-mail:18560897316@163.com;通信作者:徐红(1982.10-),女,本科,主管护师,研究方向:心理护理在抑郁症患者护理中的应用,E-mail:15169385185@163.com。
