基于信息-动机-行为技巧模型的躯体化症状管理模式在抑郁症患者中的应用  

Application of Somatic Symptom Management Based on Information-Motivation-Behavioral Skills(IMB)Model in Patients with Depression

作　　者：李萍[1] 万婷 曹新妹[2] 施丽燕 钱霞 LI Ping;WAN Ting;CAO Xinmei;SHI Liyan;QIAN Xia(Shanghai Putuo Mental Health Center,Shanghai 200065;Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030)

机构地区：[1]上海市普陀区精神卫生中心,上海200065 [2]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《上海护理》2020年第12期18-22,共5页Shanghai Nursing

基　　金：上海市卫生和计划生育委员会科研课题面上项目(201740130)

摘　　要：目的探讨基于信息-动机-行为技巧模型的躯体化症状管理模式在抑郁症患者中的应用效果。方法选择2019年1-12月在上海市普陀区精神卫生中心门诊就诊的抑郁症患者85例为研究对象,按照随机数字表法将其分为观察组(n=42)、对照组(n=43)。对照组接受抑郁症常规护理干预,观察组在此基础上给予基于信息-动机-行为技巧模型的躯体化症状管理模式干预,比较两组患者干预前后的躯体症状、抑郁、焦虑和社会功能改善情况。结果干预前,两组患者躯体症状、抑郁、焦虑、社会功能缺陷得分比较差异无统计学意义(P>0.05);干预3个月、6个月时,观察组患者躯体化症状、抑郁、焦虑、社会功能缺陷得分均低于对照组(均P<0.05),但观察组干预3个月、6个月的躯体症状、抑郁、焦虑、社会功能缺陷得分比较差异无统计学意义(均P>0.05)。结论基于信息-动机-行为技巧模型的躯体化症状管理模式能有效改善抑郁症患者的躯体化症状,减轻其抑郁、焦虑情绪,提高其社会功能,并能维持较长的时间,值得临床推广。Objective To explore the effect of somatic symptom management based on IMB model in patients with depression.Methods A total of 85 patients with depression who visited the Outpatient Department of Shanghai Putuo Mental Health Center from January to December 2019 were selected and divided into the observation group(n=42)and the control group(n=43)by using a random number table.The patients in the control group received routine nursing intervention for depression,while the patients in the observation group,on this basis,received somatic symptom management based on IMB model.The improvement of somatic symptoms,depression,anxiety and social function before and after the intervention was compared between the two groups.Results Before the intervention,there was no significant difference in the scores of somatic symptoms,depression,anxiety and social disability between the two groups(P>0.05);after 3 and 6 months of intervention,the scores of somatic symptoms,depression,anxiety and social disability in the observation group were lower than those in the control group(P<0.05 for all);but there was no significant difference in the scores of somatic symptoms,depression,anxiety and social disability in the observation group after 3 months and 6 months of intervention(P>0.05 for all).Conclusion The somatic symptom management based on IMB model is worthy of clinical promotion as it can effectively improve the somatic symptoms of patients with depression,reduce their depression and anxiety and improve their social function for a long time.

关 键 词：抑郁症 信息-动机-行为技巧模型 躯体化症状 自我管理 社会功能 焦虑 

分 类 号：R473.74[医药卫生—护理学]