摘要
目的探讨认知行为干预对女性不孕症患者抑郁的影响。方法将两个时间段收集到的符合入组标准的患者分为干预组和对照组,随机确定两组干预实施的先后顺序。干预组在常规护理的基础上实施认知行为干预,对照组仅给予常规护理。采用一般资料问卷、自评抑郁量表、医学应对问卷、自尊量表、社会支持评定量表对患者进行调查分析。结果干预前,两组患者各量表得分差异均无统计学意义(P>0.05);干预后,对照组患者的自尊得分〔(26.8±3.5)分和(30.1±2.9)分〕、面对得分〔(20.0±2.7)分和(22.8±3.0)分〕、社会支持总分〔(35.8±5.5)分和(40.8±5.8)分〕、主观支持得分〔(20.4±4.2)分和(23.9±3.2)分〕、对支持的利用度得分〔(6.8±1.4)分和(8.4±1.9)分〕均低于干预组,屈服得分〔(11.2±2.9)分和(8.5±2.6)分〕、抑郁得分〔(56.3±7.2)分和(44.6±7.7)分〕均高于干预组,差异均有统计学意义(P<0.05)。结论认知行为干预可以有效地改善女性不孕症患者抑郁情绪。
Objective To explore the effect of cognitive - behavioral intervention on depression in infertile women. Methods Qualified patients collected in two time slots were randomly assigned as the control group and the intervention group. The patients in the control group were only given routine nursing care, and those in the trial group based were given additional intervention of cognitive behavior based on the routine nursing care. Results Before intervention, there was no significantly difference in the scores of each scale between two groups （P 〉 0. 05 ）. After cognitive - behavioral intervention, the scores of self - esteem [ （26.8 ±3.5） vs. （30.1 ±2.9）], confrontation [ （20.0 ±2.7） vs. （22.8 ±3.0））, the total social support （（35.8±5.5） vs. （40.8±5.8））, subjective support [ （20.4±4.2） vs. （23.9±3.2））, support utilization [ （6.8± 1.4） vs. （8.4 ± 1.9） ± in the intervention group were higher than those in the control group; the scores of resignation [ （ 11.2 ±2. 9） vs. （8.5 ±2. 6） ], SDS ± （56. 3 ±7.2） vs. （44. 6 ±7. 7） ] in the intervention group were lower than those in the control group （P 〈 0.05 ）. Conclusion The cognitive - behavioral intervention can reduce the level of depression in infertile women effectively.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第11期1278-1281,共4页
Chinese General Practice
基金
湖南省自然科学基金项目(10JJ3074)
关键词
认知行为干预
不育
女性
抑郁
Cognitive - behavioral intervention
Infertility, female
Depression
