工作坊式训练对住院抑郁症患者康复效果的影响  

Effect of workshop training on the rehabilitation of inpatients with depression

作　　者：孔庆芳 施忠英[1] 苏亮[1] 聂磊嬿 韩正[1] 刘玥 Kong Qingfang;Shi Zhongying;Su Liang;Nie Leiyan;Han Zheng;Liu Yue(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《四川精神卫生》2020年第3期236-240,共5页Sichuan Mental Health

基　　金：上海市卫生和计划生育委员会(项目名称:基于微信平台的“自信心训练”对康复期抑郁症患者康复效果的影响,项目编号:20174Y0045);上海交通大学医学院护理高原学科建设百人计划项目(项目名称:自信心训练对康复期抑郁症患者康复效果的影响,项目编号:hlgy16048kygg);上海市精神卫生中心特色学科建设项目(项目名称:精神科护理,项目编号:2017-TSXK-04)。

摘　　要：目的探讨工作坊式训练对抑郁症患者自尊水平、应对方式、自我效能及抑郁症状的改善效果。方法选择在某三级精神专科医院住院的82例抑郁症患者为研究对象,均符合《国际疾病分类(第10版)》(ICD-10)抑郁发作诊断标准。采用随机数字表法分为研究组(n=40)和对照组(n=42)。两组患者均接受常规康复训练,研究组在此基础上接受8次工作坊训练。于干预前、干预后第3个月和第6个月采用自尊量表(SES)、简易应对方式问卷(SCSQ)、一般自我效能感量表(GSES)、贝克抑郁量表第2版中文版(BDI-Ⅱ-C)对两组患者进行评定。结果重复测量方差分析显示,干预因素与时间之间存在交互作用(P<0.05)。单独效应分析显示,干预前,研究组和对照组SES、GSES、BDI-Ⅱ-C、SCSQ各维度评分差异均无统计学意义(P均>0.05);干预3个月后,两组SES、GSES、SCSQ各维度评分差异均有统计学意义(P<0.05或0.01);干预6个月后,两组SES、GSES、BDI-Ⅱ-C、SCSQ各维度评分差异均有统计学意义(P<0.05或0.01)。结论工作坊训练可能有助于提高康复期抑郁症患者的自尊水平和自我效能感,改善应对方式,并有助于预防抑郁症的复发。Objective To explore the effect of workshop training on self-esteem,coping style,self-efficacy and depression status of patients with depression.Methods A total of 82 patients who met the diagnostic criteria of International Classification of Diseases,tenth edition(ICD-10)treated in a tertiary psychiatric hospital were enrolled,and divided into sudy group(n=40)and control group(n=42)by random number table method.The two groups recieved conventional rehabilitation,based on this,the study group received workshop training for eight times.All subjects were assessed by Self-esteem Scale(SES),Simple Coping Style Questionnaire(SCSQ),General Self-Efficacy Scale(GSES)and Chinese Version of the Beck Depression Inventory-Ⅱ(BDI-Ⅱ-C)before intervention,3 months and 6 months after intervention.Results Repeated measurement analysis of variance showed that there was an interaction between intervention factors and time factors(P<0.05).Separate effect analysis showed that SES,GSES,BDI-Ⅱ-C and SCSQ scores had no significant difference between groups before intervention(P>0.05).There was a significant difference between groups in scores of SES,GSES and SCSQ at 3 months after intervention(P<0.05 or 0.01).At 6 months after intervention,the scores of SES,GSES,BDI-Ⅱ-C and SCSQ in study group had significant difference with those of control group(P<0.05 or 0.01).Conclusion Workshop training may improve self-esteem,coping style and self-efficacy in depression patients during rehabilitation period,and may play a positive role in preventing the recurrence of the disease.

关 键 词：抑郁症 工作坊训练 康复 疗效 

分 类 号：R749.4[医药卫生—神经病学与精神病学]