“一病一优”护理模式在老年抑郁症住院患者中的应用  

Application of One Illness and One Superior nursing mode for inpatients with senile depression

作　　者：王静[1] 孔丽华 李骥[1] WANG Jing;KONG Lihua;LI Ji(Department of Psychiatric Rehabilitation,Wuxi Mental Health Center,Wuxi,Jiangsu,214000)

机构地区：[1]江苏省无锡市精神卫生中心精神康复科,江苏无锡214000

出　　处：《中西医结合护理（中英文）》2018年第2期23-26,共4页Journal of Clinical Nursing in Practice

基　　金：2016年度无锡市卫生计生委科研项目(MS201626)

摘　　要：目的探究"一病一优"护理模式在老年抑郁症住院患者中的应用效果。方法将2015年6月—2016年6月收治的老年抑郁症住院患者64例为对照组,将2016年7月—2017年7月收治的患者64例作为观察组。对照组常规治疗和护理,观察组在对照组基础上开展"一病一优"护理模式。对比2组干预前后抑郁情况、自我效能感及生活质量变化。结果干预后,2组汉密尔顿抑郁量表(HAMD)评分降低、一般自我效能感量表(GSES)评分升高,观察组HAMD评分低于对照组、GSES评分高于对照组,差异有统计学意义(P<0.05)。干预后,2组社会能力、社会兴趣、个人整洁、抑郁评分均降低,且观察组评分低于对照组,差异有统计学意义(P<0.05)。结论 "一病一优"护理模式运用于老年抑郁症住院患者可有效减轻其抑郁情绪,改善生活情况,提高自我效能感,值得推广应用。Objective To explore the effect of One Illness and One Superior nursing model for inpatients with senile depression.Methods Totally 64 inpatients with senile depression admitted to the hospital from June 2015 to June 2016 were selected as the control group.Another 64 patients admitted to the hospital from July 2016 to July 2017 were included as the observation group.Patients in both two groups received comprehensive treatment and routine care,and One Illness and One Superior nursing model was carried out in the observation group.The depression condition,self-efficacy and changes in quality of life were assessed and compared between two groups.Results The Hamilton Depression Scale(HAMD)of observation group was lower than that of control group after one month's nursing intervention(P<0.05),General Self-Efficacy Scale(GSES)of observation group was higher than that of control group after one month's nursing intervention(P<0.05).According to the Nurses’Observation Scale Inpatient Evaluation(NOSIE),scores of social ability,social interest,personal cleanliness and depression in the observation group were lower than those in the control group after 1 month of nursing(P<0.05).Conclusion The application of the One Illness and One Superior nursing model can effectively reduce depression status of patients with senile depression.It can also improve living conditions of patients and improve their sense of self-efficacy.

关 键 词：老年抑郁症 汉密尔顿量表 自我效能 一病一优 心理支持 

分 类 号：R473.74[医药卫生—护理学]