集束化护理对女性抑郁症患者抑郁情绪和负性认知的影响  

Bundle of care improves the mood and negative cognition of female patients with depressive disorder

作　　者：鲍丽萍[1] 沈棫华 吴秀梅[2] 丁宁[3] 汪琳 程万良[5] 黄书才 梁可美[1] 沈曦[1] BAO Liping;SHEN Yuhua;WU Xiumei;DING Ning;WANG Lin;CHENG Wanliang;HUANG Shucai;LIANG Kemei;SHEN Xi(Nursing Department,The Fourth People′s Hospital of Wuhu,Wuhu 241000,China)

机构地区：[1]芜湖市第四人民医院门诊部,安徽芜湖241000 [2]芜湖市第四人民医院护理部,安徽芜湖241000 [3]芜湖市第四人民医院十二病区,安徽芜湖241000 [4]芜湖市第四人民医院十一病区,安徽芜湖241000 [5]芜湖市第四人民医院七病区,安徽芜湖241000

出　　处：《皖南医学院学报》2020年第3期297-300,共4页Journal of Wannan Medical College

基　　金：芜湖市科技成果转化项目(2018cg11)。

摘　　要：目的:探讨集束化护理对女性抑郁症患者抑郁情绪和负性认知的影响。方法:选取2017年4月~2018年2月收治的33例女性抑郁症患者为常规组,2018年3月~2019年5月收治的32例女性抑郁症患者为观察组。常规组采用精神科常规护理,观察组在此基础上给予集束化护理措施,采用病人健康问卷-9(PHQ-9)、汉密尔顿抑郁量表(HAMD-24项)进行评定,比较两组女性抑郁症患者抑郁情绪及负性认知。结果:观察组和常规组入院时、3周后、6周后PHQ-9总评分均依次下降(P<0.05);实施集束化护理3周、6周后观察组PHQ-9总评分低于常规组(P<0.05)。观察组和常规组入院时、3周后、6周后PHQ-9抑郁程度均呈下降趋势(χ^2趋势=86.802和χ^2趋势=80.609,P=0.000);实施集束化护理3周、6周后观察组PHQ-9抑郁程度低于常规组,差异有统计学意义(P<0.05)。观察组和常规组入院时、3周后、6周后HAMD-24项总评分及各维度评分均依次下降(P<0.05);且实施集束化护理3周、6周后观察组HAMD-24项总评分及各维度评分低于常规组,差异有统计学意义(P<0.05)。结论:集束化护理能够有效改善女性抑郁症患者的抑郁情绪及负性认知。Objective:To investigate the effects of bundle care on improving the mood and negative cognition of female patients with depression.Methods:Thirty-three female patients with depression,admitted to and treated in the Fourth People′s Hospital of Wuhu between April 2017 and February 2018,were included in control group,and anotheR32 treated in the same institution from March 2018 to May 2019 were recruited into observational group.Patients in control group received conventional psychiatric care,on which basis the patients in observational group were given bundle of care.Status of depression and negative cognition was evaluated and compared in all patients using the PHQ-9 scale and the Hamilton Depression Scale(HAMD-24).Results:Total scoring on PHQ-9 was subsequently decreased in both groups upon admission,and by the end of the 3 rd and 6 th week of treatment(P<0.05),and significantly loweRin observational group than in control group at week 3 and 6(P<0.05).The depression rated by PHQ-9 showed a downward trend in both groups upon admission,at week 3 and 6 following medication(χ^2 trend=86.802;χ^2 trend=80.609;P=0.000),and betteRrelief in the observational group than in control group by the 3 rd and 6 th week(P<0.05).The total scores and scoring foReach dimension on HAMD-24 were subsequently fallen in both groups upon admission,by the end of the 3 rd and 6 th week of therapy(P<0.05),and the decrease was more evident in observational group at week 3 and 6(P<0.05).Conclusion:Bundles of care may effectively contribute to improvement of the depressed mood and negative cognition in female patients with depressive disorder.

关 键 词：集束化护理 女性抑郁症 抑郁情绪 负性认知 

分 类 号：R473.74[医药卫生—护理学]