药物治疗联合心理干预对肺结核抑郁情绪患者的临床治疗效果分析
Analysis of the clinical therapeutic effect of drug therapy combined with psychological intervention on depression in patients with pulmonary tuberculosis
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2023, 50(5) |
| 作者 |
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| 作者单位 |
北京市大兴区人民医院门诊部 ;
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| 摘要 |
【摘要】目的：探讨肺结核抑郁情绪患者应用药物治疗联合心理干预的临床效果。方法：选取2021年1月-2022年12月北京市大兴区人民医院收治的有抑郁情绪同时已给予心理干预的肺结核患者50例作为观察组，同时选取同期收治的年龄、性别均与观察者匹配的有抑郁情绪但未已给予心理干预的肺结核患50例组为对照组；观察对比两组肺结核患者治疗期间的焦虑抑郁程度、压力水平、用药依从性、生活质量。结果：干预后，两组汉密顿焦虑量表（Hamilton Anxiety Scale，HAMA）、17项汉密尔顿抑郁量表（17 Hamilton Depression Scale，HAMD-17）评分均降低，且观察组评分更低（P＜0.05）；干预前，两组知觉心理压力量表（Perceptual psychological stress scale，CPSS）评分对比（P＞0.05），干预后，观察组CPSS评分明显低于对照组（P＜0.05）；观察组用药依从性明显高于对照组（P＜0.05）；干预后，两组生活质量评分均呈不同程度升幅，且观察组较对照组升幅更大（P＜0.05）。结论：肺结核抑郁情绪患者在药物治疗的同时配合心理干预，可显著改善患者的焦虑抑郁负性情绪，减轻压力，以提高用药依从性，提高生活质量，取得良好预后。
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| Abstract |
Abstract: Objective: To explore the clinical effect of drug therapy combined with psychological intervention on patients with depression in pulmonary tuberculosis. Methods: From January 2021 to December 2022, 50 cases of pulmonary tuberculosis patients with depression and psychological intervention were selected as the observation group in the tuberculosis clinic of Daxing District Peoples Hospital. At the same time, 50 cases of pulmonary tuberculosis patients with depression and no psychological intervention were selected as the control group; Observe and compare the levels of anxiety and depression, stress levels, medication compliance, and quality of life of two groups of pulmonary tuberculosis patients during treatment. Result: After intervention, the scores of the Hamilton Anxiety Scale (HAMA) and the 17 Hamilton Depression Scale (HAMD-17) in both groups decreased, and the observation group had lower scores (P<0.05); Before the intervention, the perceived Psychological stress scale (CPSS) scores of the two groups were compared (P>0.05). After the intervention, the CPSS score of the observation group was significantly lower than that of the control group (P<0.05); The medication compliance of the observation group was significantly higher than that of the control group (P<0.05); After intervention, the quality of life scores of both groups showed varying degrees of increase, and the observation group showed a greater increase than the control group (P<0.05). Conclusion: Combining medication with psychological intervention can significantly improve the negative emotions of anxiety and depression in patients with pulmonary tuberculosis depression, reduce stress, improve medication compliance, improve quality of life, and achieve a good prognosis.
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| 关键词 |
【关键词】药物治疗；心理干预；肺结核；抑郁情绪；治疗效果
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| KeyWord |
【 Keywords 】 Drug therapy; Psychological intervention; Pulmonary tuberculosis; Depression; treatment effect
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| 基金项目 |
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| 页码 |
1147-1150 |
唐文慧*.
药物治疗联合心理干预对肺结核抑郁情绪患者的临床治疗效果分析 [J].
国际精神病学杂志.
2023; 50; (5).
1147 - 1150.