支持性心理治疗对老年抑郁症患者疗效及生活质量的影响  

Effect of supportive psychotherapy on efficacy and quality of life in elderly patients with depression

作　　者：黄杏笑[1] 杨航[1] 饶冬萍[1] 李少华[1] 陆雪玲[1] 谭艳芳[1] 

机构地区：[1]广州市精神病医院老年科,510370

出　　处：《中华现代护理杂志》2014年第3期271-273,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨支持性心理治疗对老年抑郁症患者疗效及生活质量的影响。方法选择门诊老年抑郁症患者106例，采用随机数字表法分为干预组和对照组，每组各53例，两组均采用抗抑郁常规药物治疗，对照组接受常规护理指导，干预组接受支持性心理治疗，治疗时间为8周。治疗前后采用17项汉密尔顿抑郁量表（HAMD）、健康评定量表（SF-36）评定两组疗效及健康相关生活质量。结果干预8周后，干预组患者HAMD总分为（5．3＆#177;2．2）分，对照组为（8．2＆#177;2．8）分，两组比较差异有统计学意义（t＝5．7243，P＜0．01）。干预组治愈率为54．9％，对照组为31．9％，两组比较差异有统计学意义（χ2＝5．2484，P＜0．05）。治疗8周后，干预组SF-36量表各维度得分均高于对照组，其中干预组患者躯体疼痛得分为（13．7＆#177;3．3）分，总体健康得分为（8．5＆#177;1．2）分，社会功能得分为（8．6＆#177;3．3）分，精神健康得分为（5．6＆#177;2．0）分，对照组分别为（6．3＆#177;2．4），（4．3＆#177;0．9），（3．7＆#177;1．0），（3．3＆#177;0．8）分，两组比较差异均有统计学意义（t值分别为12．6035，19．4704，9．7711，7．3578；P＜0．05）。结论支持性心理治疗有利于提高老年抑郁患者的疗效及生活质量。Objective To study the effect of supportive psychotherapy on efficacy and quality of life in elderly patients with depression .Methods A total of 106 cases of elderly patients with depression were selected and randomly divided into the intervention group and the control group , each with 53 cases.Both groups received conventional antidepressant , and the control group received traditional nursing guidance while the intervention group received supportive psychotherapy for 8 weeks.HAMD and SF-36 were used to evaluate efficacy and quality of life in both groups after treatment .Results After 8 weeks of intervention , the total score of HAMD was（5.3 ＆#177;2.2）in the intervention group and （8.2 ＆#177;2.8）in the control group, and the difference was statistically significant （t=5.724 3,P＆lt;0.01）.The cure rate was 54.9%in the intervention group and 31.9%in the control group, with statistically significant difference （χ2 =5.248 4,P＆lt;0.05）.Scores of all dimensions in SF-36 were also higher in the intervention group than in the control group , in which the score of body pain , general health, social function and mental health was respectively （13.7 ＆#177;3.3）, （8.5 ＆#177;1.2）, （8.6 ＆#177;3.3）, （5.6 ＆#177;2.0）in the intervention group and （6.3 ＆#177;2.4）,（4.3 ＆#177;0.9）,（3.7 ＆#177;1.0）,（3.3 ＆#177;0.8）in the control group, and the differences were statistically significant （t=12.603 5,19.470 4,9.771 1,7.357 8, respectively;P＆lt;0.05）.Conclusions The supportive psychotherapy is helpful to improve the efficacy and quality of life of elderly patients with depression .

关 键 词：老年 支持性心理治疗 抑郁症 疗效 生活质量 

分 类 号：R473.74[医药卫生—护理学]