认知性心理干预联合家庭康复护理对抑郁症患者抑郁程度及社会功能的影响

Effects of Cognitive Psychological Intervention Combined with Family Rehabilitation Nursing on Depression Degree and Social Function in Patients with Depression

目的探讨认知性心理干预联合家庭康复护理对抑郁症患者抑郁程度及社会功能的影响.方法选择临沂市精神卫生中心2021年8月—2023年3月收治的76例抑郁症患者为研究对象,按随机数字表法分为对照组及观察组,每组38例.对照组采用常规护理,观察组采用认知性心理干预联合家庭康复护理,均持续3个月.对比两组患者的抑郁程度、社会功能、应对方式及服药依从性.结果干预后,观察组的汉密尔顿抑郁量表评分低于对照组,差异有统计学意义(P﹤0.05).干预后,观察组的医院精神患者社会功能评定量表、社会支持评定量表评分均高于对照组,组间差异有统计学意义(P﹤0.05).干预后,观察组的应对方式问卷评分高于对照组,差异有统计学意义(P﹤0.05).观察组的依从率为89.47%,高于对照组的65.79%,差异有统计学意义(P﹤0.05).结论认知性心理干预联合家庭康复护理能改善抑郁症患者的抑郁程度及社会功能,临床应用价值高.

Objective To explore the effects of cognitive psychological intervention combined with family rehabilitation nursing on depression degree and social function in patients with depression.Methods 76 patients with depression admitted to Linyi Mental Health Center from August 2021 to March 2023 were divided into a control group and an observation group according to random number table method,with 38 cases in each group.The control group received routine nursing,and the observation group received cognitive psychological intervention combined with family rehabilitation nursing.Both groups continued the intervention for 3 months.The depression degree,social function,coping style and medication compliance were compared between the two groups.Results After intervention,the Hamilton Depression Scale score of the observation group was lower than that of the control group,and the difference was statistically significant(P﹤0.05).After intervention,the scores of scale of Social Function of Psychosis Inpatients and Social Support Rating Scale in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P﹤0.05).After intervention,the Copying Style Questionnaire score of the observation group was higher than that of the control group,and the difference was statistically significant(P﹤0.05).The compliance rate in the observation group was 89.47%,higher than 65.79%in the control group,and the difference was statistically significant(P﹤0.05).Conclusion Cognitive psychological intervention combined with family rehabilitation nursing can improve the depression degree and social function of patients with depression,and has high clinical application value.