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目的分析正念认知疗法(mindfulness-based cognitive therapy,MBCT)干预对抑郁症患者心理状态及自杀意念的影响。方法经医院伦理委员会批准及患者知情同意,并签署知情同意书,将80例抑郁症患者纳入本次研究,按照随机数表法将2组患者分为观察组及对照组,每组40例,对照组患者接受常规护理,观察组患者接受MBCT干预,对比2组患者的心理状态、生活质量及自杀意念等差异。结果观察组患者接受MBCT干预后,无抑郁、可能抑郁、无睡眠障碍等比例高于对照组患者,严重抑郁及明显睡眠障碍比例低于对照组患者(P<0.05);生理领域、心理领域、社会关系领域和环境领域生活质量评分值高于对照组患者(P<0.05);对自杀行为性质的认识、对自杀者的态度、对自杀者家属的态度、对安乐死的态度评分值及对自杀持反对态度的比例均高于对照组患者(P<0.05)。结论 MBCT干预可以优化抑郁症患者的心理状态,在提升其生活质量的同时降低其自杀意念。
Abstract：Objective To analyze the effects of intervention by mindfulness-based cognitive therapy(MBCT) on the mental status and suicide intention in patients with depression.Methods Eighty patients with depression were included in the study,and were randomly divided into the observation group and the control group,each consisting of 40 patients.The patients in the control group received routine nursing care,while those in the observation group received MBCT intervention.Then,mental status,life quality and suicide intention were compared between the patients of the 2 groups.Results Following MBCT intervention,the rates of no depression,suspected depression and no sleeping disorder in the patients of the observation group were higher than those of the control group,and the rates of severe depression and obvious sleeping disorder were significantly lower than those of the control group(P<0.05);Life quality scores in physical,mental,social relationship,environment and other domains were all higher than those of the control group(P<0.05).The evaluation scores concerning the perception of the nature of suicide behavior,the attitudes towards suicides,the attitude towards family dependents of suicides and the attitude towards euthanasia were all higher than those of the control group(P<0.05).Conclusion MBCT intervention could optimize the mental status of the patients with depression,improve life quality and reduce the intention to commit suicide.
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基本信息:
中图分类号:R749.4
引用信息:
[1]穆燕.正念认知疗法干预对抑郁症患者心理状态及自杀意念的影响[J].海军医学杂志,2017,38(06):530-533.
2017-11-28
2017-11-28