情绪管理联合用药管理辅助氟西汀治疗抑郁症患儿的效果  

Role of Emotion Management and Drug Administration in Children with Depression

作　　者：徐婷 刘正[2] 方拴锋 叶蓓 XU Ting;LIU Zheng;FANG Shuanfeng;YE Bei(Department of Child Health Care,Henan Children's Hospital,Zhengzhou 450000,Henan,China;Department of Respiratory,the Second People's Hospital of Zhengzhou,Zhengzhou 450000,Henan,China)

机构地区：[1]河南省儿童医院儿童保健科,河南郑州450000 [2]郑州市第二人民医院呼吸内科,河南郑州450000

出　　处：《中国药物滥用防治杂志》2023年第3期393-396,400,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20200657)。

摘　　要：目的:探讨情绪管理联合用药管理辅助氟西汀治疗抑郁症患儿的效果。方法:按照入院先后顺序将2020年1月—2021年12月本院收治的抑郁症患儿56例分为对照组(28例)和研究组(28例)。全部患儿均采用氟西汀治疗,对照组正常治疗,研究组则采用情绪管理联合用药管理,比较两组患儿家属用药知识掌握情况、治疗效果、不良反应、药物依赖性评分、不良心理情绪评分。结果:干预8周后,研究组患儿家属疾病知识、遵医用药和药物不良反应评分均高于对照组(P<0.05);干预4周、6周、8周后,研究组HAMD-17评分、TESS评分低于对照组(P<0.05);研究组治疗总有效率显著较对照组高(P<0.05);干预4周、8周后,研究组BDEPQ评分显著较对照组低(P<0.05)。结论:抑郁症患儿用药中采用情绪管理和用药管理,能够有效增加家属用药知识掌握度,提升治疗效果,减轻不良反应,缓解患儿的不良心理情绪,降低药物依赖的发生概率。Objective:To explore the role of emotion management and drug administration in children with depression.Methods:According to the order of admission,56 children with depression admitted to our hospital from January 2020 to December 2021 were divided into control group(28 cases)and study group(28 cases).All children were treated with fluoxetine.The control group was normal treatment,while the study group was treated with emotional management and drug administration.The family members'knowledge of medication,treatment effect,adverse reactions,dependence score and adverse psychological mood score were compared between the two groups.Results:Affer 8 weeks of intervention,the family members'disease knowledge,medication compliance and adverse drug reaction scores in the study group were higher than those in the control group(P<0.05);after 4,6 and 8 weeks of intervention,HAMD-17 score and TESS score lower in the study group were than those in the control group(P<0.05);the total fective rate of the study group was higher than that ofthe control group(P<0.05);after 4 and 8 weeks of intervention,the BDEPQ score lower in the study group was than that of the control group(P<0.05).Conclusion:The use of emotional management and drug administration in the medication of children with depression can effectively increase their family members'knowledge of medication,improve the treatment effect,reduce adverse reactions,alleviate the children's bad psychological emotions,and reduce the incidence of drug dependence.

关 键 词：情绪管理 用药管理 氟西汀 抑郁症 儿童 

分 类 号：R749.4[医药卫生—神经病学与精神病学]