The application research of cognitive behavioral therapy in anxiety and depression of patients with post-intensive care syndrome
10.3969/j.issn.1008-9691.2025.02.016
- VernacularTitle:认知行为疗法在重症监护后综合征患者中的应用研究
- Author:
Ying TAN
1
;
Wenfeng SANG
;
Lijie SUN
;
Danfeng LI
;
Jirong ZHANG
Author Information
1. 濮阳油田总医院呼吸与危重症医学科,河南 濮阳 457000
- Publication Type:Journal Article
- Keywords:
Cognitive behavioral therapy;
Post-intensive care syndrome;
Anxiety;
Depressed;
Fatigue
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2025;32(2):212-216
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of cognitive behavioral therapy(CBT)on improving anxiety,depression,sleep,and fatigue in patients with post-intensive care syndrome(PICS).Methods Sixty PICS patients transferred from the department of respiratory intensive care unit(RICU)of Puyang Oilfield General Hospital from September 2022 to February 2023 were selected as the study subjects.Patients were divided into a control group and an intervention group using a random number table method,with 30 cases in each group.The control group only received routine health education,while the intervention group received CBT on the basis of routine health education.After 3 months of intervention,the changes in hospital anxiety and depression scale(HADS),Pittsburgh sleep quality index(PSQI),and fatigue assessment scale(FAS)before and after intervention were observed in both groups of patients.Results There was no statistically significant difference in anxiety,depression,PSQI,and FAS scores between the two groups of patients before intervention.The scores gradually decreased over time and reached the lowest level at 3 months after intervention.After intervention,the above scores in the intervention group were significantly lower than those in the control group(anxiety score:5.06±1.76 vs.9.33±1.42,depression score:6.93±1.64 vs.7.63±1.61,PSQI score:5.27±1.37 vs.8.43±2.56,FAS score:5.67±0.47 vs.9.97±0.21,all P<0.05).Conclusion Implementing CBT for PICS patients can alleviate anxiety and depression,improve their sleep quality and fatigue symptoms,thereby enhancing their quality of life.