心理护理联合轻音乐干预模式对老年抑郁症患者的应用价值研究  

Study on the application value of psychological care combined with light music intervention model for elderly patients with depression

作　　者：苏晓妮 李芳芳 蔡钰红 谢小滨 SU Xiaoni;LI Fangfang;CAI Yuhong;XIE Xiaobin(Department of Nursing,Anxi Third Hospital,Quanzhou,Fujian,362400,China;Department of Traditional Chinese Medicine,Zhongshan Hospital,Xiamen University,Xiamen,Fujian,361000,China)

机构地区：[1]安溪县第三医院护理部,福建泉州362400 [2]厦门大学附属中山医院中医科,福建厦门361000

出　　处：《当代医学》2024年第23期179-182,共4页Contemporary Medicine

摘　　要：目的探讨心理护理联合轻音乐干预模式对老年抑郁症患者的应用价值。方法选取2021年12月至2022年11月安溪县第三医院收治的84例老年重度抑郁症患者作为研究对象,随机分为对照组与观察组,每组42例。对照组采用常规护理,观察组在对照组基础上采用心理护理联合轻音乐干预模式。比较两组焦虑抑郁情况[汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)]、生活自理能力[日常生活活动能力量表(activities of daily living,ADL)]、生命质量、服药依从性[服药依从性报告量表(medication adherence report scale for asthma,MARS)]和护理满意度。结果干预后,观察组HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05)。干预后,观察组ADL评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组角色功能、躯体功能、情绪功能和社会功能评分均高于对照组,差异有统计学意义(P<0.05)。干预后,观察组MARS评分高于对照组,差异有统计学意义(P<0.05)。观察组护理总满意率95.24%,高于对照组80.95%,差异有统计学意义(P<0.05)。结论心理护理联合轻音乐干预模式可减轻患者焦虑和抑郁心态,提高其认知能力,增强生活自理和独自生活能力,提高生命质量,改善用药依从性,值得临床推广应用。Objective To explore the application value of psychological care combined with light music intervention mode for elderly patients with depression.Methods 84 cases of elderly patients with major depression who were admitted to Anxi Third Hospital from December 2021 to vember 2022 were selected as the study subjects,and they were randomly divided into the control group and the observation group,with 42 cases in each group.The control group used conventional care,and the observation group used psychological care combined with light music intervention mode based on the control group.The anxiety and depression(Hamilton anxiety scale[HAMA],Hamilton depression scale[HAMD]),self-care ability(activities of daily living[ADL]),quality of life,medication adherence(medication adherence report scale for asthma[MARS])and patient satisfaction were compared between the two groups.Results After intervention,the HAMA and HAMD scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the ADL scores in the observation group were higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the role function,somatic function,emotional function and social function scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the MARS score in the observation group were higher than that in the control group,and the difference was statistically significant(P<0.05).The overall satisfaction rate of 95.24%in the observation group was higher than 80.95%in the control group,and the difference was statistically significant(P<0.05).Conclusion Psychological nursing combined with light music intervention mode can reduce patients'anxiety and depression mentality,improve their cognitive ability,enhance self-care and ability to live alone,improve quality of life,and improve medication adherence,which is worthy of c

关 键 词：心理护理 焦虑抑郁 老年抑郁症 服药依从性 满意度 

分 类 号：R47[医药卫生—护理学]