基于信息-动机-行为技巧模式的抑郁症患者疲乏症状干预  

The effect of information-motivation-behavioral skills model based interventions on fatigue of patients with depression

作　　者：李洋 贾守梅 施忠英[2] 陈丽 赵缨[1] Li Yang;Jia Shoumei;Shi Zhongying;Chen Li;Zhao Ying(Nursing School of Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学护理学院,上海200032 [2]上海市精神卫生中心

出　　处：《护理学杂志》2021年第10期1-6,共6页Journal of Nursing Science

基　　金：复旦大学-复星护理科研基金项目(FNF201819);复旦大学一流护理学科建设项目(FNSYL202008)。

摘　　要：目的改善抑郁症患者疲乏症状。方法选取94例住院抑郁症患者为研究对象,按住院时间分为对照组和干预组各47例。对照组接受精神科常规治疗护理,干预组在此基础上接受以信息-动机-行为技巧模式指导的干预,共8次。干预前后采用多维度疲劳量表、蒙哥马利-艾森贝格抑郁量表、匹茨堡睡眠指数量表对两组患者疲乏、抑郁程度、睡眠质量进行评价。结果94例患者均完成研究。两组干预后疲乏、抑郁程度、睡眠质量评分比较,差异有统计学意义(均P<0.01)。结论以信息-动机-行为技巧模式为基础的干预可显著降低抑郁症患者疲乏程度,改善患者抑郁症状和睡眠质量。Objective To alleviate fatigue in patients with depression.Methods A total of 94 inpatients with depression were chronologically divided into a control group and an intervention group,with 47 cases in each group.The control group were given routine psychiatric treatment and nursing care,while the intervention group additionally received interventions on fatigue based on the information-motivation-behavioral skills model for 8 times.Before and after the intervention,the Multidimensional Fatigue Inventory(MFI-20),Montgomery and Asberg Depression Rating Scale(MADRS)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate fatigue severity,depression severity and sleep quality of the two groups.Results All participants completed the study.The MFI-20,MADRS and PSQI scores after the intervention had significant differences between the two groups(P<0.01 for all).Conclusion The information-motivation-behavioral skills model based interventions can significantly alleviate fatigue and depression severity in patients with depression,and enhance sleep quality.

关 键 词：抑郁症 疲乏 信息-动机-行为技巧模式 症状管理 分级运动 睡眠质量 

分 类 号：R473.74[医药卫生—护理学]