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系统心理干预在缓解阿尔茨海默病患者照顾者抑郁症状中的实践

王姝亚 金丽芬 白志仙 刘凯 高娟 吴婷婷   

  1. 云南省第一人民医院风湿免疫科,650032 昆明市(王姝亚);护理部(金丽芬,白志仙);儿科(刘凯);心内科(高娟);老年病科(吴婷婷)
  • 出版日期:2018-02-25 发布日期:2018-02-25
  • 基金资助:
    云南省教育厅科研基金(2016ZDX010)

Effect of the comprehensive intervention on depression of caregivers of patients with Alzheimer's Disease

  • Online:2018-02-25 Published:2018-02-25

摘要: 目的:分析系统心理干预对阿尔茨海默病(Alzheimer's Disease,AD)患者照顾者抑郁症状的缓解作用。方法:选择既往在我院就诊并符合AD诊断标准的患者照顾者80例进行SCL-90、SDS、LES、HADM 4个量表评估,通过3次筛选,将有抑郁症的照顾者随机分为干预组(n=40)和对照组(n=40),对干预组进行系统的心理干预治疗,干预2个月后对两组研究对象进行SCL-90、SDS、LES、HADM 4个量表的测试,收集数据进行分析。结果:干预前,对照组和干预组的SCL-90、SDS、LES、HADM评分无统计学差异(P>0.05);干预后,干预组的量表评分均低于对照组(P均<0.05)。结论:对阿尔茨海默病患者的照顾者进行全面系统的心理干预,有利于缓解其抑郁症状,是具有可操作性的心理干预措施,应该延伸至社区。

Abstract: Objective: To investigate the effect of comprehensive and systematic interventions on depressive symptoms of caregivers of patients with Alzheimer's Disease. Methods: 80 caregivers of patients with Alzheimer's Disease from tertiary hospitals in Kunming were chosen and randomly divided into the control group (n=40) and the experimental group (n=40). Basic interventions, thematic interventions and short-term group CBT were provided for each patient in the experimental group, while no specific training was supplied to the control group. 2 months after the intervention, all subjects were evaluated through scales including SCL-90, SDS, LES and HADM. Results: After the intervention, scores of SCL-90, SDS, LES, and HADM of the two groups both decreased significantly (P<0.05). The scores of SCL-90, SDS, LES, and HADM of the experimental group were lower than those of the control group (P<0.05). Conclusion: The comprehensive and systematic intervention could effectively alleviate depressive symptoms of caregivers of patients with Alzheimer's Disease. We suggest the comprehensive intervention should be applied widely to the community.