认知性心理干预结合家庭康复护理模式对抑郁症患者抑郁程度、社会功能及希望水平的影响  

The impact of cognitive psychological intervention combined with family rehabilitation nursing model on depression severity,social function,and hope level of patients with depression

作　　者：姚慧 曹小敏 王琪 YAO Hui;CAO Xiaomin;WANG Qi(Department of Psychiatry,Rugao Mental Disease Prevention and Treatment Hospital,Nantong 226500,China)

机构地区：[1]如皋市精神病防治医院精神科,江苏南通226500

出　　处：《心理月刊》2024年第23期157-159,共3页

摘　　要：目的 探讨对抑郁症患者采取认知性心理干预结合家庭康复护理模式对患者抑郁、社会功能、希望水平的影响。方法 选取2023年1月~2024年1月收治的抑郁症患者70例,按照随机数字表法原则,分成观察组(35例)、对照组(35例)。对照组采取家庭康复护理模式干预3个月,观察组采取认知性心理干预结合家庭康复护理模式干预3个月。对比两组患者干预前后的抑郁程度[汉密尔顿抑郁量表(HAMD)]、社会功能[社会功能缺陷筛查量表(SDSS)]、希望水平[希望水平量表(HHI)],问卷调查患者满意度情况。结果 干预3个月,两组患者在HAMD、SDSS得分均低于治疗前,且观察组在HAMD(10.15±1.75)、SDSS(8.12±1.02)上均低于对照组(P<0.001)。干预3个月,两组患者在HHI各维度得分均高于治疗前,且观察组在量表中对现实和未来的积极态度(12.45±1.31)、采用积极行动(12.12±1.25)、与他人保持亲密关系(12.06±1.31)均高于对照组(P<0.001)。观察组患者的护理总满意率97.14%高于对照组80.00%(x^(2)=5.080,P<0.05)。结论 采取认知性心理干预结合家庭康复护理模式,可以显著减轻抑郁症患者抑郁程度,改善设计功能,提高患者希望水平与护理满意度。Objective To explore the effects of cognitive psychological intervention combined with family rehabilitation nursing mode on depression,social function and hope level of patients with depression.Methods A total of 70 patients with depression admitted from January 2023 to January 2024 were divided into observation group(35 cases)and control group(35 cases)according to the principle of random number table.The control group was treated with family rehabilitation nursing mode for 3 months,and the observation group was treated with cognitive psychological intervention combined with family rehabilitation nursing mode for 3 months.The degree of depression[Hamilton depression scale(HAMD)],social function[social dysfunction screening scale(SDSS),hope level(HHI)]before and after the intervention of the two groups of patients were compared,and the satisfaction of the patients was investigated by questionnaire.Results After 3 months of intervention,the scores of HAMD and SDSS scales in both groups were lower than before treatment,and the scores of HAMD(10.15±1.75)and SDSS(8.12±1.02)in the observation group were lower than those in the control group(P<0.001).After 3 months of intervention,the scores of HHI scales in both groups were higher than before treatment.Moreover,the positive attitude towards reality and future in the observation group(12.45±1.31),the adoption of positive actions(12.12±1.25),and the maintenance of close relationships with others(12.06±1.31)were higher than those in the control group(P<0.001).The total satisfaction rate of nursing in observation group was 97.14%higher than that in control group 80.00%(x^(2)=5.080,P<0.05).Conclusion The combination of cognitive psychological intervention and family rehabilitation nursing mode can significantly reduce the degree of depression in patients with depression,improve the design function,and enhance the level of hope and nursing satisfaction of patients.

关 键 词：抑郁症 认知心理干预 家庭康复护理 社会功能 希望水平 

分 类 号：R47[医药卫生—护理学]