小组积极心理支持护理干预对抑郁症患者康复效果的影响  

Effect of the group’s positive psychological support nursing intervention on the rehabilitation of patients with depression

作　　者：王妙华 刘海斌[1] 张建芳[1] WANG Miao-hua;LIU Hai-bin;ZHANG Jian-fang(Department of Psychiatry,Baoji Rehabilitation Hospital,Baoji 721001,Shaanxi,CHINA)

机构地区：[1]宝鸡市康复医院精神科

出　　处：《海南医学》2019年第11期1487-1489,共3页Hainan Medical Journal

摘　　要：目的探究小组积极心理支持护理干预对抑郁症患者的康复效果的影响。方法选择2017-2018年在宝鸡市康复医院就诊的96例抑郁症患者进行研究,按随机数表法将患者均分为对照组(n=48)和观察组(n=48),两组患者均进行抗抑郁药物治疗,对照组进行常规护理,观察组在对照组基础之上进行小组积极心理支持护理,每两周一个疗程。一个月后,比较两组患者康复效果、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分、生活质量评分及治疗依从性。结果观察组患者的治疗有效率为91.67%,明显高于对照组的66.67%,差异有统计学意义(P<0.05)。护理后,两组HAMD、HAMA评分均明显的降低,且观察组评分明显低于对照组,差异有统计学意义(P<0.05);护理后,两组患者的生活质量各个指标评分均明显提高,且观察组评分明显高于对照组,差异均有统计学意义(P<0.05);观察组患者的治疗依从性为93.75%,明显高于对照组的79.17%,差异有统计学意义(P<0.05)。结论小组积极心理支持护理干预能显著提高患者的治疗依从性,改善患者焦虑、抑郁等负性情绪,且能改善患者的生活质量,具有较好的康复效果。Objective To explore the effect of the group’s positive psychological support nursing intervention on the rehabilitation of patients with depression. Methods Ninety-six patients with depression who were admitted to the Department of Psychiatry, Baoji Rehabilitation Hospital from 2017 to 2018 were enrolled. The patients were divided into control group(n=48) and observation group(n=48) according to the random number table method. Both groups of patients were treated with antidepressant medication. Patients in the control group received routine care, while those in the observation group received positive psychological support nursing intervention on the basis of the control group, for one course every two weeks. One month later, the rehabilitation effects, Hamilton Depression Rating Scale(HAMD), Hamilton Anxiety Scale(HAMA) score, quality of life score, and treatment adherence were compared between the two groups. Results The effective rate of treatment in the observation group was 91.67%, which was significantly higher than 66.67% in the control group(P<0.05). After nursing, the scores of HAMD and HAMA of the two groups were significantly decreased, and the scores in the observation group were significantly lower than those in the control group(P<0.05). After the nursing, the scores of the quality of life of the two groups were significantly improved, and the scores of the observation group were significantly higher than those of the control group(P<0.05). The treatment compliance of the observation group was 93.75%,which was significantly higher than 79.17% of the control group(P<0.05). Conclusion The group’s positive psychological support nursing intervention can significantly improve the patient’s treatment compliance, negative emotions such as anxiety and depression, and the patient’s quality of life, with better rehabilitation effect.

关 键 词：抑郁症 积极心理支持 康复 汉密尔顿抑郁量表 汉密尔顿焦虑量表 

分 类 号：R473.74[医药卫生—护理学]