首页|护士引导的团体回忆疗法对抑郁症合并轻度认知障碍老年患者的效果

护士引导的团体回忆疗法对抑郁症合并轻度认知障碍老年患者的效果

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目的 探讨护士引导的团体回忆疗法对老年抑郁症合并轻度认知障碍(MCI)患者的干预效果.方法 本研究对象为2021年1月~2022年12月120例老年抑郁症合并MCI患者,随机分为两组,对照组采用常规治疗,观察组在常规治疗基础上采用护士引导的团体回忆疗法,比较治疗前后焦虑、抑郁自评量表(SAS)、(SDS),简明精神状态检查量表(MMSE).结果 两组干预后SAS评分、SDS评分均显著降低,且治疗后观察组两项评分均显著优于对照组(P<0.05);两组干预后MMSE量表定向、语言、记忆、注意与计算、延迟回忆评分及总分均显著升高,干预后观察组语言、记忆、延迟回忆评分以及总分显著高于对照组(P<0.05),两组定向、注意与计算差异无统计学意义(P>0.05).结论 护士引导的团体回忆疗法能够降低老年抑郁症合并MCI患者的焦虑、抑郁情绪,提升语言、记忆等认知功能.
The effect of Nurse-led group reminiscence therapy in geriatric depression patients with mild cognitive im-pairment
Objective To explore the effect of nurse-led group recall therapy on the intervention of geriatric depression patients combined with mild cognitive impairment(MCI).Methods A total of 120 elderly patients with depression combined with MCI from January 2021 to December 2022 were the subjects of this study and divided into two groups by simple randomization method.The control group was treated with conventional treatment,and the observation group was treated with nurse-led group recall therapy based on conventional treatment.The anxiety and depression self-assessment scale(SAS),(SDS),and Brief Mental State Examination Scale(MMSE)were compared before and after treatment.Results SAS scores and SDS scores were significantly lower in both groups after the intervention,and both scores were significantly better in the observation group than in the control group after the treatment(P<0.05).The MMSE scale scores of orientations,language,memory,attention and calculation,delayed recall and total score were significantly higher in both groups after the intervention,and the scores of languages,memory,delayed recall and total score were significantly higher in the observation group than in the control group after the intervention(P<0.05).The differences between the two groups in orientation,attention and calculation were not statistically significant(P>0.05).Conclusion Nurse-led group reminiscence therapy can reduce anxiety and depression and enhance cog-nitive functions such as language and memory in elderly patients with comorbid MCI depression.

Nurse-led group reminiscence therapyGeriatric depressionMild cognitive impairment

刘盼、吴丽丽、胡昕

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淮安市第三人民医院老年精神科(淮安,223001)

淮安市第三人民医院精神科(四病区)

淮安市第三人民医院内科

护士引导 团体回忆疗法 老年抑郁症 轻度认知障碍

江苏省卫生健康科研项目

Z2021044

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(1)
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