对门诊抑郁症患者实施家庭干预的效果分析  

Effect of family intervention on the depressed outpatients

作　　者：吴艳[1] 许冬梅[2] 李耀所 田红[4] 李鑫[5] 王珍宝[6] 杨甫德[7] 

机构地区：[1]北京回龙观医院临床一科,北京市100096 [2]北京回龙观医院护理部,北京市100096 [3]北京回龙观医院心理科,北京市100096 [4]北京回龙观医院临床三科,北京市100096 [5]北京回龙观医院临床二科,北京市100096 [6]北京回龙观医院门诊,北京市100096 [7]北京回龙观医院医院办公室,北京市100096

出　　处：《护理管理杂志》2016年第10期746-748,共3页Journal of Nursing Administration

基　　金：北京市医院管理局重点医学专业发展计划项目(ZYLX201409)

摘　　要：目的评价对门诊抑郁症患者实施家庭干预的效果。方法选取2014年8月至2015年8月在北京市某精神专科医院门诊定期复诊的抑郁症患者208例,分为观察组和对照组。两组在接受常规治疗和护理指导的同时,观察组实施家庭干预2个月,采用汉密顿抑郁量表、一般自我效能感量表及服药依从性评定标准对患者进行评定。结果干预后,观察组的汉密顿抑郁量表评分低于对照组(P<0.01),一般自我效能感量表评分、服药依从性高于对照组(P<0.01)。结论家庭干预能改善门诊抑郁症患者的抑郁情绪,提高患者自我效能水平和服药依从性。Objective To evaluate the effect of family intervention on the depressed outpatients. Methods A total of 208 depressed outpatients who regu- larly back to the outpatient service of one psychiatric hospital in Beijing referral were divided into the experimental group and the control group. All patients re- ceived conventional therapy and nursing instruction. In addition, patients in the experimental group received family intervention for 2 months. Hamilton Depression Scale（ HAMD）, General Self - Efficacy Scale（GSES） and medication compliance were used to evaluate patients before and after intervention. Results After in- tervention, patients in the experimental group had lower HAMD score than that of the control group （ P 〈 0. 01 ）, while GSES and medication compliance scores were significantly higher than those of the control group （ P 〈 0.01 ）. Conclusion Family intervention can relieve patients＇depression and enhance the level of serf- efficacy and medication compliance.

关 键 词：家庭干预 门诊 抑郁症 

分 类 号：R749.4[医药卫生—神经病学与精神病学]