“互联网+”延续性康复训练综合干预模式的构建及在抑郁症患者中的实证研究  

Construction of a comprehensive intervention model of"Internet+"continuous rehabilitationtraining and empirical research on patients with depression

作　　者：张艳萍[1] 任京科 严芳[1] 赵晶媛[1] 李亚婷 顾小静[1] 王传升[1] ZHANG Yanping;REN Jingke;YAN Fang;ZHAO Jingyuan;LI Yating;GU Xiaojing;WANG Chuansheng(The Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,China)

机构地区：[1]新乡医学院第二附属医院(河南省精神病医院),453002

出　　处：《中国健康心理学杂志》2024年第6期818-824,共7页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划软科学项目(编号:RKX202202038);河南省医学科技攻关计划软科学项目(编号:RKX202302024)。

摘　　要：目的:探讨“互联网+”延续性康复训练综合干预模式的构建对抑郁症患者干预效果。方法:采用随机对照试验研究,以2022年6月至2023年6月选取符合诊断抑郁症患者110例,随机分为试验组和等待对照组,等待对照组采用药物治疗、每月复查和电话随访,试验组在等待对照组的基础上采用“互联网+”药物自我管理训练、舞动训练和社交技能训练。采用汉密顿抑郁量表(HAMD)、抑郁自评量表(SDS)、社交技能评定目录(SSC)社会适应功能评估量表(SAFE)比较干预前及干预2、4、6月后两组患者抑郁程度、社交能力和社会适应的差异。采用重复测量方差分析对不同时间点两组患者进行干预效果比较。结果:干预前两组HAMD、SDS、SSC、SAFE评分比较,差异无统计学意义(P>0.05);干预后组间与时间对HAMD、SDS、SSC、SAFE评分有交互作用(F=4.400,13.085,23.841,41.777;P<0.001),组间对HAMD、SDS、SSC、SAFE评分主效应显著(F=4040.373,3522.972,16452.039,151.544;P<0.001),时间对HAMD、SDS、SSC、SAFE评分主效应显著(F=69.345,100.620,69.874,221.385;P<0.001)。简单效应分析显示,试验组、等待对照组组内前后HAMD、SDS、SSC、SAFE评分比较,差异有统计学意义(t=-4.142,-6.313,-7.811,-18.903;P<0.008)。结论:“互联网+”延续性康复训练综合干预模式能减轻抑郁症患者抑郁程度,增强患者的社交能力,提高患者的社会适应水平。Objective:To explore the intervention effect of the"Internet+"continuous rehabilitation training comprehensive intervention model on patients with depression.Methods:A randomized controlled trial study was conducted.From June 2022 to June 2023,110 patients who met the diagnosis of depression were selected and randomly divided into an experimental group and a waiting control group.The waiting control group received drugtreatment,monthly review and telephone follow-up.The experimental group adopted"Internet+"drug self-management training,dance training and social skills training on the basis of waiting for the control group.The Hamilton Depression Rating Scale(HAMD),Self-Rating Depression Scale(SDS),Social Skills Catalog(SSC)and Social Adaptive Function Assessment Scale(SAFE)were used to compare the two groups before the intervention and after 2,4 and 6 months of intervention.Differences in patients'depression levels,sociability,and social adjustment.Repeated measures analysis of variance was used to compare the intervention effects between the two groups of patients at different time points.Results:Before the intervention,there was no statistically significant difference in the HAMD,SDS,SSC and SAFE scores between the two groups(P>0.05);there was an interaction between the groups and time on the HAMD,SDS,SSC and SAFE scores after the intervention(F=4.400,13.085,23.841,41.777;P<0.001).The main effect of group on HAMD,SDS,SSC and SAFE scores was significant(F=4040.373,3522.972,16452.039,151.544;P<0.001),and the main effect of time on HAMD,SDS,SSC and SAFE scores was significant(F=69.345,100.620,69.874,221.385;P<0.001).Simple effect analysis showed that there was a statistically significant difference in the HAMD,SDS,SSC,and SAFE scores between the experimental group and the waiting control group before and after treatment(t=-4.142,-6.313,-7.811,-18.903;P<0.008).Conclusion:The"Internet+"comprehensive intervention model of continuous rehabilitation training can reduce the degree of depression in patients with depressi

关 键 词：互联网 延续性康复 康复训练 抑郁症 重复测量方差分析 

分 类 号：R749.05[医药卫生—神经病学与精神病学] R395.5[医药卫生—临床医学]