刘小琴 张培

【摘要】 目的：对心理认知护理在抑郁症患者中的效果和对生活质量的影响进行观察。方法：选取2018年1月-2019年11月在笔者所在医院住院治疗的100例抑郁症患者为研究对象。以随机数字表法将患者分为试验组和常规组，每组50例。常规组采用常规护理方式，试验组采用认知性心理护理，分析两组干预效果。结果：干预后试验组HAMD评分及HAMA评分均低于常规组，各项生活质量评分均高于常规组，MMSE评分高于常规组，CNS评分低于常规组，差异均有统计学意义（P<0.05）。结论：心理认知护理能够有效改善抑郁症患者的病情，值得推广。

【关键词】 心理认知护理 抑郁症 生活质量

doi：10.14033/j.cnki.cfmr.2020.13.041 文献标识码 B 文章编号 1674-6805（2020）13-0-03

Effect of Psychological Cognition Nursing on Depression Patients and Its Influence on Quality of Life/LIU Xiaoqin， ZHANG Pei. //Chinese and Foreign Medical Research， 2020， 18（13）： -103

[Abstract] Objective： To observe the effect of psychological cognitive care in patients with depression and its impact on quality of life. Method： A total of 100 patients with depression who were hospitalized in our hospital from January 2018 to November 2019 were selected as the research subjects. Patients were divided into the experimental group and the routine group by random number table method， with 50 cases in each group. The routine group used conventional nursing methods to intervene the patients， and the experimental group used cognitive psychological nursing to intervene the patients. The intervention effect of the two groups was analyzed. Result： After the intervention， the HAMD score and HAMA score in the experimental group were lower than those in the routine group， quality of life score was higher than that in the routine group， the MMSE score was higher than that in the routine group， and the CNS score was lower than that in the routine group， the differences were statistically significant （P<0.05）. Conclusion： Psychological and cognitive care can effectively improve the condition of patients with depression， and it is worth promoting.

[Key words] Cognitive and cognitive nursing Depression Quality of life

First-authors address： Chongqing Jiangjin Mental Rehabilitation Hospital， Chongqing 402260， China

抑郁癥是一种临床常见的精神疾病，是心境障碍的重要类型之一[1]。该病症患者的临床症状主要表现为情绪消沉、意志行为衰弱、对外在反应迟缓等，病情严重患者会出现自杀等轻生行为，对患者的日常生活及生命安全产生了极大的威胁[2]。据相关研究结果表明，大部分抑郁症患者存在较为极端的思维倾向，记忆力衰退严重，认知僵化，难以独立处理问题[3]。有关研究调查数据显示，出现过自杀意念或自杀行为的抑郁症患者比例高达70%[4]。因此需要对抑郁症患者进行有效干预，避免该情况发生。在临床当中抑郁症的主要治疗手段为药物治疗，但在进行药物治疗的同时还需要对患者的心理进行干预，改变患者的僵化认知和极端思维，有效促进患者病情康复[5]。本次研究的主要目的为对心理认知护理在抑郁症患者中的效果和对生活质量的影响进行观察，详情报告如下。……