基于自我决定理论的“互联网+”自我管理干预模式对首发抑郁症出院患者的效果评价  

Evaluation of effect of“Internet+”self-management intervention mode based on self-determination theory on discharged patients with first-episode depression

作　　者：郝花 朱兵晓 王杰莹 HAO Hua;ZHU Bingxiao;WANG Jieying(Department of Psychiatry,Fifth People's Hospital of Luoyang,Luoyang 471000,Henan,China)

机构地区：[1]洛阳市第五人民医院精神七科,河南洛阳471000

出　　处：《中国校医》2023年第8期588-591,共4页Chinese Journal of School Doctor

摘　　要：目的构建以提升首发抑郁症出院患者自我管理能力为目的干预模式,并对该模式效果进行评价。方法选取2020年1月—2021年10月在洛阳市第五人民医院首次确诊接受住院治疗的96例抑郁症出院患者为对象,随机分为干预组与对照组,各48例。对照组实施常规治疗与护理,干预组在常规治疗护理基础上实施本研究构建的自我管理干预模式。比较2组不同干预方法在一般自我效能感量表(GSES)、汉密尔顿抑郁量表(HAMD)、抑郁患者复发率的评分。结果干预前,2组HAMD和GSES评分比较,差异无统计学意义(P>0.05);干预后干预组HAMD评分[(12.08±5.95)]分低于对照组[(19.46±7.09)分](t=5.056,P<0.001),干预组GSES评分[(24.58±8.21)分]高于对照组[(11.56±5.55)分],差异均有统计学意义(t=-11.479,P<0.001)。干预组在干预半年后复发率为16.7%,低于对照组的54.2%,差异有统计学意义(χ^(2)=14.755,P<0.001)。结论基于自我决定理论构建的首发抑郁症出院患者的自我管理干预模式应用效果明显,可有效增强首发抑郁症患者康复期的自我效能感,患者的复发率明显下降。Objective To construct an intervention model aimed at improving the self-management ability of discharged patients with first-episode depression,and to evaluate the effect of this model.Methods A total of 96 discharged patients with depression who were first diagnosed and hospitalized in the Fifth People's Hospital of Luoyang City from January 2020 to October 2021 were selected as subjects and were divided into an intervention group and a control group with 48patients in each group according to the random number table method.The control group received routine treatment and nursing,and the intervention group received a self-management intervention mode constructed in this study on the basis of routine treatment and nursing.The two groups of different intervention methods were compared in the general self-efficacy scale(GSES),Hamilton depression scale(HAMD),and depression recurrence rate scores.Results Before the intervention,there was no significant difference between the two groups in terms of average HAHD and GSES scores(P>0.05).After the intervention,the average HAMD score(12.08±5.95)in the intervention group was lower than that in the control group(19.46±7.09)(t=5.056,P<0.001),and the average GSES score(24.58±8.21)in the observation group was higher than that in the control group(11.56±5.55),and the differences were statistically significant(t=-11.479,P<0.001).After six months of the intervention,the recurrence rate in the observation group was 16.7%,which was lower than that of the control group(54.2%),and the difference was statistically significant(χ^(2)=14.755,P<0.001).Conclusion Based on the self-determination theory,the self-management intervention mode of discharged patients with first-onset depression has an obvious application effect,which can effectively enhance the self-efficacy of patients with first-episode depression during the recovery period,and the recurrence rate of patients is significantly reduced.

关 键 词：自我决定理论 抑郁症 自我管理 康复 一般自我效能感量表 汉密顿抑郁量表 复发率 

分 类 号：R395.6[哲学宗教—心理学]