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鼓圈治疗对复发性抑郁障碍老年患者认知功能的疗效
张素娟唐颖张顺于振剑刘海艳刘斯倩马文有
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目的 探讨鼓圈治疗对复发性抑郁障碍老年患者认知功能的改善效果。方法 选取2018年 1—10 月在开滦精神卫生中心住院治疗的复发性抑郁障碍老年患者60 例,随机分为研究组(30 例)和 对照组(30 例),对照组给予抗抑郁药物等常规治疗护理;研究组在常规治疗护理的基础上给予鼓圈治 疗。采用住院患者护士观察量表(NOSIE)和蒙特利尔认知评估量表(MoCA)评定患者临床症状与认知功 能,并进行分析比较。结果 (1)积极因素:组内不同时点间评分差异有统计学意义(研究组:F=62.95, P < 0.001;对照组:F=61.32,P< 0.001),同一时点两组间评分差异比较均有统计学意义(4 周末: F=8.88,P=0.004;8 周后:F=6.53,P=0.013)。(2)消极因素:组内不同时点间评分差异有统计学意义(研 究组:F=70.00,P< 0.001;对照组:F=45.35,P< 0.001),同一时点两组间评分差异比较均无统计学意义 (4周末:F=0.23,P=0.635;8周末:F=0.09,P=0.767)。(3)MoCA评分:组内不同时点间评分差异有统计学意 义(研究组:F=36.12,P<0.001;对照组:F=11.81,P<0.001),同一时点两组间评分差异比较均有统计学意 义(4 周末:F=4.24,P=0.044;8周末:F=4.39,P=0.040)。(4)线性回归结果提示,患者是否参与鼓圈治疗是 患者MoCA 评分变化的独立影响因素(OR=9.253,95%CI=3.096~27.660,P < 0.001)。结论 相比接受 单纯使用抗抑郁药物治疗及护理的患者,经鼓圈治疗后,患者的积极因素改善更好,消极因素改善更快, 尤其是鼓圈治疗对患者认知功能的改善更为快速、有效。
基金项目:河北省重点科技研究计划(20191324)
Study on curative effect of drum circle therapy on cognitive function on elderly patients withrecurrent depression disorder
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Abstract:
Objectives To investigate the improvement of cognitive function of elderly patients with recurrent depression disorder who was treated by drum circle therapy. Methods A total of 60 elderly patients with recurrent depressive disorder hospitalized in Kailuan Mental Health Center from January to October 2018 were selected, and divided into a study group and a control group, with 30 patients in each group. Patients in the control group received routine treatment and nursing. Besides routine treatment and nursing, the study group received drum circle treatment. The clinical symptoms and cognitive functions of inpatients were assessed by the Nurse Observation Scale( NOSIE) and Montreal Cognitive Assessment Scale( MoCA), and the results were analyzed and compared. Results (1) Positive factor: There were statistically significant differences in scores in the group at different time points( study group: F=62.95,P<0.001; control group: F=61.32, P<0.001 ). There were statistically significant differences in scores between the two groups at the same time point( End of the 4th week: F=8.88,P=0.004; End of the 8th week: F=6.53,P=0.013).( 2) Negative factor: There were statistically significant differences in scores in the group at different time points( study group: F=70.00,P < 0.001; control group: F=45.35,P < 0.001). There were no statistically significant differences in scores between the two groups at the same time point( End of the 4th week: F=0.23,P=0.635; End of the 8th week: F=0.09,P=0.767).( 3) MoCA: There were statistically significant differences in scores in the group at different time points( study group: F=36.12,P<0.001; control group: F=11.81,P<0.001). There were statistically significant differences in scores between the two groups at the same time point( End of the 4th week: F=4.24,P=0.044; End of the 8th week: F=4.39,P=0.040).( 4) The results of linear regression showed that whether patients participated in drum circle therapy was an independent factor affecting the change of MoCA score( OR=9.253, 95%CI: 3.096-27.660,P< 0.001). Conclusions Compared with patients receiving antidepressant drugs and nursing care alone, patients' positive factors improved better and negative factors improved faster after drum circle therapy, especially the improvement of cognitive function of patients responding to MoCA score by drum circle therapy was faster and more effective.

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