叙事疗法对双相抑郁症患者生活质量的影响研究  

The research of narrative therapy on the quality of life of patients with bipolar depression

作　　者：刘刚 钟鸣 崔明湖[1] Liu Gang;Zhong Ming;Cui Minghu(Binzhou Medical University, Binzhou 256603, China;Binzhou Youfu Hospital)

机构地区：[1]滨州医学院,256603 [2]滨州市优抚医院

出　　处：《中国医院统计》2018年第2期104-106,110,共4页Chinese Journal of Hospital Statistics

摘　　要：目的探讨叙事疗法对双相抑郁症患者生活质量的影响。方法将46例双相情感障碍抑郁发作的患者随机分为干预组和对照组各23例,其中干预组患者用丙戊酸钠片、喹硫平片联合叙事疗法,对照组单纯给予丙戊酸钠片、喹硫平片药物治疗。治疗前后采用汉密顿抑郁量表17项版本评测疗效,治疗前及治疗2、4、8周时采用生活质量测定量表中文版测验评估其生活质量。结果治疗前两组的汉密顿抑郁量表总分差别无统计学意义(P>0.05);治疗后两组的汉密顿抑郁量表总分差别有统计学意义(P<0.05)。两组患者各时间点生活质量测定量表各领域分及总分的差别有统计学意义(P<0.05),即时间效应有统计学意义。经各时间点的两两比较,差别也有统计学意义(P<0.05)。结论叙事疗法对双相抑郁症患者的干预能改善其残留症状,可提高患者的生活质量,预防复发和改善预后,值得在临床上应用和推广。Objective To explore the effect of narrative therapy on the quality of life of patients with bipolar depression. Methods Forty-six patients with bipolar disorder and depression were randomly divided into the experiment group and the con-trol group(n = 23). The patients in the experimental group were treated with sodium valproate and quetiapine, combined narrative therapy, while the control group was simply given sodium valproate and quetiapine treatment. Before and after treatment, the effi-cacy was evaluated by the Hamilton depression rating scale （HAMD 17 version） , and the quality of life was assessed by the Chi-nese version of the quality of life scales（QOL） before the treatment and two, four and eight weeks during the treatment. Results There was no statistical significance for the HAMD scale score difference of two groups before treatment (P〉0.05). There was statistical significance for the HAMD scale score difference of two groups after treatment (P〈0.05). Every field points and the total score of QOL-EREF at each point time were statistically significant (P〈O. 05). Through multiple comparisons, each point at different time was statistically significant(P〈0.05). Conclusion The intervention of narrative therapy in patients with bipolar depression can improve the residual symptoms, and improve the curative effect and quality of life.

关 键 词：双相抑郁症 叙事疗法 生活质量 

分 类 号：R749.4[医药卫生—神经病学与精神病学]