家庭赋权模式干预对老年抑郁障碍患者负性情绪及出院准备度的影响  

Intervention effects of family empowerment model on negative emotions and readiness for hospital discharge in elderly depressive disorder patients

作　　者：洪青 汪咏梅 闫军伟[1] 张娟[1] 葛秀娟 张许来 王莹[1] HONG Qing;WANG Yong-mei;YAN Jun-wei;ZHANG Juan;GE Xiu-juan;ZHANG Xu-lai;WANG Ying(Department of Geriatric Psychiatry,Affiliated Psychological Hospital of Anhui Medical University/Anhui Mental Health Center/Hefei Fourth People′s Hospital,Hefei 230022,China)

机构地区：[1]安徽医科大学附属心理医院/安徽省精神卫生中心/合肥市第四人民医院老年心理科,合肥市230022

出　　处：《广西医学》2021年第15期1832-1835,共4页Guangxi Medical Journal

基　　金：安徽省重点研究与开发计划(201904a07020009)。

摘　　要：目的探讨家庭赋权模式对老年抑郁障碍患者负性情绪及出院准备度的干预效果。方法将62例老年抑郁障碍患者随机分为干预组和对照组,每组31例,对照组患者给予常规护理,干预组在常规护理的基础上实施家庭赋权模式干预。分别于干预前、干预后使用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、出院准备度量表(RHDS)评估患者的抑郁、焦虑情况及出院准备度。结果干预后,两组患者HAMD、HAMA评分均低于干预前,并且干预组评分低于对照组;两组患者RHDS总分及其各维度评分均高于干预前,并且干预组患者评分均高于对照组(均P<0.05)。结论家庭赋权模式干预能有效改善老年抑郁障碍患者的抑郁、焦虑情绪,提升患者的出院准备度。Objective To investigate the intervention effect of family empowerment model(FEM)on the negative emotions and readiness for hospital discharge in elderly depressive disorder patients.Methods Sixty-two elderly depressive disorder patients were randomly divided into intervention group and control group,with 31 patients each group.Patients in the control group were given conventional nursing care,whereas the intervention group received FEM intervention based on conventional nursing care.Before and after intervention,the Hamilton Rating Scale for Depression(HAMD),the Hamilton Rating Scale for Anxiety(HAMA),and the Readiness for Hospital Discharge Scale(RHDS)were separately utilized to assess the condition of depression and anxiety as well as readiness for hospital discharge in the patients.Results After intervention,HAMD scores and HAMD scores in both groups were lower than those before intervention,and the intervention group yielded lower scores than the control group;the total score and the scores of various dimensions on RHDS in both groups were higher than those before intervention,and the intervention group obtained higher scores than the control group(all P<0.05).Conclusion FEM intervention can effectively improve both depressive and anxious symptoms in elderly depressive disorder patients,and can also improve their readiness for hospital discharge.

关 键 词：老年抑郁障碍 家庭赋权模式 抑郁 焦虑 出院准备度 

分 类 号：R749.42[医药卫生—神经病学与精神病学]