个性化访谈结合团体活动在唇鼻畸形中度抑郁患者心理干预中的应用  

Individual interview combined with group activities on psychological intervention of nasolabial deformity patients with moderate depression

作　　者：马志伟[1] 赵书娥[3] 陈娟 齐欣 

机构地区：[1]河北省石家庄市第一医院整形美容科,050011 [2]河北省石家庄市第一医院心外科,050011 [3]河北医科大学第三医院教务处,石家庄050051 [4]天津市环湖医院颅脑损伤抢救中心,天津300000

出　　处：《中华现代护理杂志》2017年第26期3387-3390,共4页Chinese Journal of Modern Nursing

基　　金：河北省石家庄市科技计划课题（141462903）

摘　　要：目的 探讨个性化访谈结合团体活动的心理干预形式在唇鼻畸形伴中度抑郁患者手术整复后中的应用效果.方法 采用目的抽样法选择2013年6月—2016年9月在石家庄市第一医院整形科行唇鼻畸形手术整复的226例患者,根据SDS分值结果筛选出存在中度抑郁并且自愿接受心理干预的76例患者,对纳入患者进行个性化访谈结合团体活动的心理干预.比较患者入院时、手术前、出院时SDS得分情况.结果 76例患者入院时、手术前、出院时SDS评分分别为（67.28±2.81）、（67.28±2.81）、（66.93±2.69）分,经配对t检验比较,入院时与手术前、入院时与出院时、手术前与出院时得分差异均有统计学意义（P〈0.05）.结论 个性化访谈可以根据患者年龄、畸形程度评估患者,分析导致抑郁的原因,采取个性化方式并结合团体活动给予相应的心理干预措施,有效改善患者的抑郁心理.Objective To discuss the application effects of individual interview combined with group activities on psychological intervention of nasolabial deformity patients with moderate depression after the reconstruction surgery. Methods A total of 226 nasolabial deformity patients underwent reconstruction surgery in the Plastic Surgery in the First Hospital of Shijiazhuang from June 2013 to September 2016 were selected using random sampling. Among those patients,a number of 76 patients who were diagnosed as moderate depression based on Self-Rating Depression Scale（SDS）scores and voluntarily accepted psychological intervention,were recruited in the study. Individual interview combined with group activities were performed on those patients during the psychological intervention. The SDS scores of patients were compared between different time points：at the admission,before the operation and at the discharge. Results The SDS scores of patients at the admission,before the operation and at the discharge were（67.28±2.81）,（67.28±2.81）and（66.93±2.69） respectively. Paired t test showed that there were statistically significant differences among the SDS scores at the admission,before the operation and at the discharge（P 〈 0.05）. Conclusions Individual interview can determine the causes of depression based on the ages and deformities of patients. The combination of individual interviews and group activities as well as corresponding psychological interventions can effectively improve the depression status of patients.

关 键 词：唇鼻畸形 团体活动 个性化访谈 心理干预 中度抑郁 

分 类 号：R473.78[医药卫生—护理学]