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[1]刘瑒,毛富强,李静,等.老年慢性病患者精神症状内观认知疗法干预研究[J].天津医科大学学报,2021,27(02):163-166.
 LIU Yang,MAO Fu-qiang,LI Jing,et al.Naikan cognitive therapy intervention on mental symptoms of elderly patients with chronic diseases[J].Journal of Tianjin Medical University,2021,27(02):163-166.
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老年慢性病患者精神症状内观认知疗法干预研究(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
27
期数:
2021年02期
页码:
163-166
栏目:
临床医学
出版日期:
2021-03-15

文章信息/Info

Title:
Naikan cognitive therapy intervention on mental symptoms of elderly patients with chronic diseases
文章编号:
1006-8147(2021)02-0163-04
作者:
刘瑒12毛富强1李静王旭1张彤1王戈1
(1.天津医科大学精神卫生与心理学系,天津 300070;2.天津市安定医院精神科,天津 300222)
Author(s):
LIU Yang12MAO Fu-qiang1LI Jing1WANG Xu1ZHANG Tong1 WANG Ge1
(1.Department of Psychiatry and Psychology,Tianjin Medical University,Tianjin 300070,China;2. Department of Psychiatry,Tianjin Mental Health Centre,Tianjin 300222,China)
关键词:
内观认知疗法慢性病精神症状
Keywords:
Naikan cognitive therapychronic diseasesmental symptoms
分类号:
R749
DOI:
-
文献标志码:
A
摘要:
目的:探讨内观认知疗法对老年慢性病患者精神症状的干预效果,为改善老年慢性病患者的心理健康提供依据。方法:在天津市某三甲医院保健病房招募老年慢性病患者自愿参加,最终筛选出符合要求的老年慢性病患者70例,根据随机数字表法随机分为研究组35例,对照组35例。对研究组进行内观认知疗法(NCT)治疗,对照组进行常规心理疏导。两组均在干预前、后进行SCL-90、自尊量表、家庭功能评定、情感平衡量表测评。结果:除外无效数据,研究组32例,对照组33例。干预前两组患者各评估指标间比较均无明显差异,研究组NCT干预后SCL-90总分及躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和其他因子得分均显著降低,差异具有统计学意义(t=3.691~14.134, 均P<0.05)。研究组NCT干预后自尊、家庭功能和情感平衡显著提高,差异均具有统计学意义(均P<0.05)。对照组各指标干预前、后差异均无统计学意义(均P>0.05)。结论:内观认知疗法可显著改善老年慢性病患者的精神症状,并且对提高老年慢性病患者的自尊、家庭功能和情感平衡有较好效果。
Abstract:
Objective: To explore the effects of Naikan cognitive therapy(NCT) on mental symptoms of elderly patients with chronic diseases and to provide basis for improving mental health of elderly patients with chronic diseases. Methods: The elderly patients with chronic diseases who intended to improve their mental health were recruited from the health department of a third-class hospital in Tianjin to participate voluntarily. 70 elderly patients with chronic diseases who meet the requirements were selected and randomly divided into the study group of 35 and the control group of 35. The study group was treated with NCT,while the control group did the routine participating in psychotherapy.Before and after treatment,SCL-90,Self-Esteem Scale,Family Assessment Device and Affective Balance Scale were measured in the two groups. Results: A total of 32 persons in the study group and 33 persons in the control group were obtained with valid data. There was no significant difference between the two groups before the intervention. After NCT intervention,the total score of SCL-90 and the scores of somatization,obsession,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia and other factors were significantly decreased in the study group,the difference was statistically significant(t=3.691-14.134,all P< 0.05).After NCT intervention,self-esteem,family function and emotional balance of the study group were significantly improved,the differences were statistically significant(all P< 0.05). There was no significant difference in the control group before and after intervention(all P > 0.05). Conclusion: NCT can significantly improve mental symptoms of elderly patients with chronic diseases,and improve the self-esteem,family function and emotional balance of elderly patients with chronic diseases.

参考文献/References:

[1] Durstine J L,Gordon B,Wang Z Z,et a1.Chronic disease and the link to ph-ysical activity[J]. J Sport Health Sci,2013,2(1): 3
[2] 程怀志,郭斌,谢欣,等. 我国慢性病患病率的社会人口学分析[J]. 医学与社会,2014,27(3) : 4
[3] 方必基,刘彩霞,方菁赣,等. 基于症状自评量表的老年躯体疾病患者心理健康状况分析[J].中国全科医学,2015,18(25): 3109
[4] 张涵,郭继志,王瑞梅,等. 老年慢性病患者心理健康状况及应对方式分析[J].中华疾病控制杂志,2016,20(7):659
[5] 谢秀梅,李别非. 余国龙老年慢性病患者心理健康状况及其影响因素[J].中国临床心理学杂志,2002,10 (3):214
[6] 陈立英,孙玉梅. 慢性病患者焦虑抑郁与应对方式相关性研究[J].解放军护理杂志,2003,20:33
[7] 孔令娜,周颖清. 居家老年慢性病患者抑郁情绪与社会支持、应对方式及生命质量的相关性[J].中国老年学杂志,2012,32:4548
[8] 章金辉.老年慢性病并发抑郁患者的心理干预[J].中国康复,2008,23(4):265
[9] 黄文姬.认知行为干预在老年慢性病合并抑郁患者护理中的应用[J].深圳中西医结合杂志,2015,25(6):168
[10] 毛富强. 内观认知疗法理论与操作[J].中华行为医学与脑科学杂志,2016,25(7):650
[11] 毛富强. 内观认知疗法应用研究进展[J].中国健康心理学杂志,2014,22(2):316
[12] 张明园. 精神科评定量表手册[M].长沙:湖南科学技术出版社,1998,16-27
[13] 汪向东,王希林,马弘. 心理卫生评定量表手册:增订版[M].北京:中国心理卫生杂志社,1999,149-152,318-320,79-80
[14] 杨蓓,杨翔,李雪. 老年慢性病住院患者对家庭探视心理需求及影响因素的调查研究[J].重庆医学,2016,45(34):4834
[15] 钱铭怡,黄学军,肖广兰. 羞耻感与父母养育方式、自尊、成就动机、心理控制源的相关研究[J].中国临床心理学杂志,2002,10(4):241
[16] 陈建文,王滔. 大学生自尊、自我统合与心理健康关系的初步研究[J].中国临床心理学杂志,2004,12(2):161
[17] 张勇辉,刘宏伟,毛富强. 单亲医学生心身症状及内观认知疗法干预效果分析[J].中国学校卫生,2012,33(3):350
[18] 李业平,刘涛,蒋雪波. 护理本科生家庭功能与心理健康水平的相关研究[J]. 中国健康心理学杂志,2012,20(11):1752
[19] 刘法虎. 大学生情感平衡、领悟社会支持与交流恐惧的关系[J].中国健康心理学杂志,2008,16(9):993

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备注/Memo

备注/Memo:
作者简介 刘瑒(1990-),女,医师,硕士在读,研究方向:精神病与精神卫生;通信作者:毛富强,E-mail:maofq@tmu.edu.cn。
老年慢性病患者精神症状内观认知疗法干预研究
更新日期/Last Update: 2021-03-10