老年自杀幸存者的住院护理:护士带领的基于正念的认知疗法
Dandan Li1, Mingsi Fan2, Hailei Bian1
1Operation Room, Dongfang Hospital Affiliated to Tongji University, Shanghai, China.
Alpha psychiatry
|October 3, 2024
概括
护士领导的基于正念的认知疗法 (MBCT) 在老年自杀幸存者中显著减少了自杀念头,绝望和抑郁症. 这种干预也改善了这个弱势群体的身体症状.
科学领域:
- 老年精神病学是一门精神病学专业.
- 心理干预 心理干预
- 自杀学 自杀学
背景情况:
- 幸存自杀企图的老年人面临重大挑战,包括持续的自杀念头,绝望和抑郁.
- 住院的老年自杀幸存者需要有效的治疗干预措施来减轻这些风险并改善整体幸福感.
- 基于正念的认知疗法 (MBCT) 在治疗各种心理疾病方面表现有前途.
研究的目的:
- 评估护士主导的基于正念认知治疗 (MBCT) 在住院的老年自杀幸存者的疗效.
- 评估MBCT对自杀念头,绝望,抑郁和身体症状的影响.
- 确定MBCT作为该群体的住院护理计划的作用.
主要方法:
- 从160名中年和老年自杀幸存者的回顾性数据收集 (2018年1月 - 2023年8月).
- 患者被分为传统护理组和MBCT组.
- 倾向性得分匹配用于平衡基线特征,随后进行多重后勤回归分析,以评估干预对自杀念头量表 (SSI),贝克绝望量表 (BHS),患者健康问卷-15 (PHQ-15) 和老年抑郁量表 (GDS-15) 在6个月后期的得分的影响.
主要成果:
- 在倾向性得分匹配后,在MBCT和传统组之间没有观察到基线数据的显著差异.
- 在6个月的随访中,MBCT组在SSI,BHS,PHQ-15和GDS-15上的得分明显低于传统组 (P < .05).
- 多重后勤回归证实,MBCT干预是影响SSI,BHS,PHQ-15和GDS-15分数下降的重要因素.
结论:
- 护士主导的MBCT是住院的老年自杀幸存者的有效干预措施.
- 应用MBCT可以显著减少自杀念头,绝望和抑郁症状.
- 该干预措施还显示出在这个患者群体中改善身体症状的潜力.
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