心理护理干预对抑郁症患者临床疗效的影响  

The influence of psychological nursing intervention to effect of clinic therapy on depression

作　　者：许丽霞[1] 王秀芬[1] 孙惠萍[1] 曹志坤[1] 周策[1] 

机构地区：[1]河北省人民医院,050051

出　　处：《护理实践与研究》2011年第1期16-18,共3页Nursing Practice and Research

基　　金：河北省科技厅立项课题;编号:09276135

摘　　要：目的:探讨心理护理干预对抑郁症患者临床疗效的影响。方法:对我院住院治疗的76例抑郁症患者随机分成治疗组和对照组各38例,两组同时服用相同的抗抑郁药舍曲林25～75mg,每日1次,并给予常规护理,治疗组增加心理护理干预措施,包括精神分析、认知疗法、音乐疗法等,同时给患者讲解抑郁症的相关知识,做好健康教育,督促患者定期复查,做好随访工作。分别在治疗前后2、4、8周末用汉密顿抑郁量表(HAMD)评分和四级疗效评定、服药依从性比较。结果:心理干预前两组HAMD评分无统计学差异(P>0.05),护理干预8周末HAMD评分治疗组明显低于对照组,服药依从性明显高于对照组,具有显著性差异(P<0.01),两组疗效评定治疗组显效率明显高于对照组(P<0.05)。结论:心理护理干预可提高临床疗效及服药依从性,降低复发率,提高生活质量。Objective：To explore the influence of pchcological nursing intervention to effect of clinic therapy on depression. Methods ：76 cases with depression who were treated in our hospital from were randomly divided into therapy group and control group with 38 cased respectively. Two group inpatients taked the same midicine at the same time （Sertralin 25 -75 mg,PO once a day） and routine nursing care. In therapy group, the inpatients were increased psycbeological nursing intervention measures. The intervention measurs included psychological analysis, cognitive therapy and music therapy etc. Meanwhile doctors instructed the study inpatients the relative knowladge ,gave heathy education and arranged the patients to check up regularly. Two groups patients were evaluated before intervention and after intervention by HAMD and compared with the compliance. Results：There was no significant statistic difference between two groups before intervention evaluated by HAMD （ P 〉 0.05 ）. After 8 weeks intervention, the therapy group patients had a higher scores by HAMD and a higher compliance in taking mediclns than the control group patients（P 〈0. 01 ）. There were significant difference between two groups in theraputic effects （P 〈 0.05）. Conclusion ：The Psychological Nursing Intervention can improve the effect of clinic therapy, decrease recurrence rate and elevate the living qualities.

关 键 词：心理护理 抑郁症 临床疗效 

分 类 号：R473.74[医药卫生—护理学]