| 刘星星,许勤伟,李赛兰.心理干预法对抑郁症病人的临床疗效观察[J].安徽医药,2017,21(3):462-464. |
| 心理干预法对抑郁症病人的临床疗效观察 |
| Clinical curative effect of psychological intervention on the patients with depression |
| 投稿时间：2016-08-04 |
| DOI： |
| 中文关键词: 抑郁症 心理疗法 治疗结果 |
| 英文关键词: Depressive disorder Psychotherapy Treatment outcome |
| 基金项目:国家自然科学基金(81271502);海南省自然科学基金(20168324,5) 心理干预法对抑郁症病人的临床疗效观察刘星星a,许勤伟a,李赛兰b (海南省安宁医院 a.精神科,b.医学心理科,海南 海口 570206) Clinical curative effect of psychological intervention on the patients with depression LIU Xingxing,XU Qinwei,LI Sailan |
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| 中文摘要: |
| 目的 观察心理干预法对抑郁症病人的临床疗效。 方法 抑郁症病人60例,采用随机数字表法分为心理干预组(治疗组)和对照组各30例,其中治疗组在常规抑郁症对症药物处理基础上予以心理干预法,对照组病人仅采用常规抑郁症对症药物处理措施。心理干预在入院时进行,每天上下午各1次,每次干预时间为20 min,共7 d。两组病人均在入院时和入院后7 d分别采用汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对其焦虑、悲观等消极不良情绪状况进行相关的综合临床疗效评分,不良反应指标评分评价其用药期间的不良反应情况。 结果 治疗组在实施心理干预后,其汉密尔顿抑郁量表评分(10.2±2.1)分、焦虑自评量表评分(30.2±2.1)分和抑郁自评量表评分(30.7±2.9)分均较对照组改善更优,均差异有统计学意义(P＜0.05)；治疗组不良反应中度10例(33.3%)、重度3例(10.0%)、总积分46和总不良反应率43.3%,对照组不良反应中度14例(46.7%)、重度5例(16.7%)、总积分54和总不良反应率63.3%。 结论 心理干预措施有利于改善抑郁症病人的心理状态,减少其焦虑、悲观等消极不良情绪的发生发展,保障常规药物对症处理治疗抑郁症的疗效,同时能更好地辅助改善病人用药的不良反应,体现医学人文情怀。 |
| 英文摘要: |
| Objective To observe the clinical effect of psychological intervention on patients with depression. Methods Sixty cases of hospitalized patients with depression were randomized into psychological intervention group (treatment group) and control group with 30 cases in each group.In the treatment group patients had psychological intervention based on the conventional depression therapy while in the control group patients only received conventional depression therapy.Psychological intervention was carried out on the 7 days of hospitalization,which was once a day every day,and each lasted 20 minutes.At admission and 7 d after admission two groups of patients were assessed by Hamilton depression rating table (HAMD),anxiety self rating scale (SAS) and depression self rating scale (SDS) on negative emotional states like anxiety and pessimism with scores of comprehensive clinical efficacy and adverse drug reaction scores were used to assess adverse reactions. Results In the treatment group,after the implementation of psychological intervention,the scores of the Hamilton depression scale (10.2±2.1),self rating anxiety scale(30.2±2.1)and depression self rating scale(30.7±2.9) were improved better than the control group (P<0.05).The differences were statistically significant.There were 10 (33.3%) cases of moderate adverse reaction,3 (10.0%) cases of severe adverse reaction in the treatment group.The total score was 46 and the total adverse reaction rate was 43.3%.There were 14 (46.7%) cases of moderate adverse reaction and 5 (16.7%) cases of severe adverse reaction in the control group.The total score was 54 and the total adverse reaction rate was 63.3%. Conclusions Psychological intervention helps improve the psychological status of patients with depression,reduce the occurrence and development of negative emotions like anxiety and pessimism,ensure the efficacy of conventional depression therapy,and improve drug adverse reaction in patients,which embodies the philosophy of medical humanities. |
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