以家庭为中心的协同护理对抑郁症患者照顾者家庭负担及社会支持的影响  

The effects of family-centered collaborative care on family burden and social support for caregivers of patients with depression

作　　者：谢红芬 王桂梅 胡启梅 贾建清 吉晓燕 姜微 XIE Hongfen;WANG Guimei;HU Qimei;JIA Jianqing;JI Xiaoyan;JIANG Wei(Clinical Psychology Department,Zhenjiang Mental Health Center,Zhenjiang,212005,China)

机构地区：[1]镇江市精神卫生中心临床心理科,212005 [2]镇江市精神卫生中心护理部,212005

出　　处：《中华护理杂志》2018年第6期662-667,共6页Chinese Journal of Nursing

基　　金：镇江市2017年重点研发计划社会发展项目(SH2017012);镇江市2017年卫生计生科技重点专项项目(SHW2017014);镇江市2015年社会发展指导性项目(FZ2015050);镇江市2015年社会发展指导性项目(FZ2015051)

摘　　要：目的探讨以家庭为中心的协同护理对抑郁症患者照顾者家庭负担及社会支持的影响。方法应用随机数字表法,将纳入研究的76对抑郁症患者及其照顾者分为试验组和对照组各38对。以照顾者为研究对象,试验组运用以家庭为中心的协同护理,包括:以认知行为改变为基础的团体训练,以提升自我应对和照护能力为导向的授权教育,以全面康复为目标的协同服务,以及搭建微信平台下的家庭监护;对照组按常规方法给予教育指导。6个月末对两组照顾者采用家庭负担量表、社会支持评定量表进行评价。结果干预前两组照顾者的疾病家庭负担评分和社会支持评分差异无统计学意义(P>0.05);干预6个月末试验组照顾者的家庭经济负担、家庭日常活动、家庭娱乐活动、家庭关系维度及社会支持评分优于对照组,差异有统计学意义(P<0.05)。结论以家庭为中心的协同护理能明显改善抑郁症患者照顾者家庭负担,有效提高照顾者社会支持水平。Objective To explore the effects of family-centered collaborative care on family burden and social support for caregivers of patients with depression. Methods Seventy-six enrolled pairs of patients and caregivers were randomly divided into the intervention group and the control group. The caregivers were research subjects. The control group was given routine education guidance. The intervention group was provided with family-centered collaborative care,including：group training based on cognitive behavioral change,authorization education aiming for improvement of self-coping and caring ability,collaborative services with goals of comprehensive rehabilitation,and home monitoring with WeChat platform. The family burden scale and social support rating scale were used to evaluate two groups at the end of 6 months. Results There were no statistically significant differences between two groups in caregivers＇ disease family burden scores and social support scores（P〉0.05）. The family financial burden, household daily activities,family entertainment activitles,family relationship and social support score were better in the intervention group than those in the control group,and the differences were statistically significant（P〈0.05）. Conclusion Family-centered collaborative care can significantly improve family burden of patients with depression and effectively raise the level of social support for caregivers.

关 键 词：抑郁症 家庭护理(专业) 社会支持 

分 类 号：R473.74[医药卫生—护理学]