心理行为护理干预对抑郁症患者疗效及治疗依从性的影响  

Influence of psychological nursing intervention on therapeutic efficacy and treatment compliance of patients with depression

作　　者：郎春英 赖玉兰[1] 李伟丽[1] 钟文凯[1] 肖凤新[1] 陈东萍[1] 

机构地区：[1]惠州市第二人民医院,广东惠州516001

出　　处：《现代临床护理》2010年第11期30-32,共3页Modern Clinical Nursing

摘　　要：目的探讨心理行为护理干预对抑郁症患者疗效及治疗依从性的影响。方法将本院门诊120例抑郁症患者随机分为干预组和对照组,每组各60例,对照组在抗抑郁药物治疗的基础上给予一般心理护理,干预组在抗抑郁药物治疗同时给予强化心理行为护理干预。比较两组患者治疗前和治疗6w后抑郁状况及治疗依从性情况。结果干预6w后两组汉密尔顿抑郁量表(hamilton depression scale,HAMD-17)评分及HAMD减分率、治疗依从性比较,差异具有统计学意义(均P<0.001),干预组优于对照组。结论心理行为干预可提高患者治疗依从性及临床疗效。Objective To explore the influence of psychological nursing intervention on therapeutic effect and treatment compliance of patients with depression.Methods A total of 120 inpatients with depression were randomly and evenly divided into the intervention group and the control group on the basis of antidepressant therapy.The control group was given only routine nursing and the intervention group given systemic psychological nursing intervention besides routine nursing.Before and six weeks after the treatment the efficacy and compliance were measured with Hamilton Depression Rating Scale （HAMD） and self-made questionnaire on treatment compliance.The results were compared.Results There were significant differences in HAMD scores and reduction rate and treatment compliance between the two groups after six weeks （P 0.001）,and the improvement of the intervention group was better than the control group.Conclusion Psychological nursing intervention can enhance understanding of depression and improve treatment compliance and clinical efficacy.

关 键 词：心理行为干预 抑郁症 治疗依从性 

分 类 号：R473.74[医药卫生—护理学]