基于希望理论的康复护理对抑郁症患者负性情绪及康复状况的影响

Effect of Rehabilitation Nursing Based on Hope Theory on Negative Emotion and Rehabilitation Status of Patients with Depression

目的探讨基于希望理论的康复护理在抑郁症患者中的应用效果.方法选择2019年6月—2020年9月该院收治的78例抑郁症患者为研究对象,按随机数字表法将患者分为两组,每组39例.对照组采用常规康复护理,观察组在对照组基础上采用基于希望理论的康复护理,两组均持续护理8周.对比两组的负性情绪、康复状况、希望水平及生活质量.结果观察组护理后的焦虑自评量表、抑郁自评量表评分分别为(46.42±3.22)分、(48.43±3.11)分,均低于对照组,组间差异有统计学意义(P<0.05).观察组护理后的Frenchay活动量表评分为(39.92±4.11)分,高于对照组,差异有统计学意义(P<0.05).观察组护理后的Herth希望量表中现实与未来的积极态度、采取积极行动、与他人维持亲密关系评分分别为(13.24±2.28)分、(14.06±2.35)分、(14.41±2.71)分,均高于对照组,组间差异有统计学意义(P<0.05).观察组护理后的生理功能、生理职能、躯体疼痛、总体健康评分分别为(71.79±8.06)分、(70.73±6.44)分、(75.77±7.79)分、(73.73±6.93)分,均高于对照组,组间差异有统计学意义(P<0.05).结论基于希望理论的康复护理能够提升抑郁症患者的希望水平,减轻其负性情绪,促进疾病康复,提高生活质量.

Objective To explore the application effect of rehabilitation nursing based on the theory of hope in patients with depression.Methods The 78 patients with depression admitted to the hospital from June 2019 to September 2020 were selected as the research objects,and the patients were divided into two groups according to the random number table method,with 39 cases in each group.The control group used conventional rehabilitation nursing,and the observation group used rehabilitation nursing based on the theory of hope on the basis of the control group.Both groups continued nursing for 8 weeks.The negative emotions,recovery status,hope level and quality of life of the two groups were compared.Results The scores of the self-rating anxiety scale and self-rating depression scale of the observation group after nursing were(46.42±3.22)points and(48.43±3.11)points,respectively,which were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The Frenchay activities index score after nursing in the observation group was(39.92±4.11)points,which was higher than that of the control group,and the difference was statistically significant(P<0.05).The Herth hope inder scores of realistic and future positive attitude,taking positive action,and maintaining intimate relationships with others in the observation group after care were(13.24±2.28)points,(14.06±2.35)points,and(14.41±2.71)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The physiological function,physical function,so matic pain,and overall health scores of the observation group after care were(71.79±8.06)points,(70.73±6.44)points,(75.77±7.79)points,and(73.73±6.93)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Rehabilitation care based on the hope theory can raise the level of hope for patients with depression,reduce their negative emotions,promote recovery from illness,and improve the quality of life.