针对性出院指导对抑郁症患者的近期疗效观察

Observation on Curative Effect of Discharge Instruction for Patients with Depression

[目的]探讨针对性出院指导对抑郁症患者及其家属的可行性与近期效果。[方法]2006年,在商丘市第二人民医院将170例首发抑郁症患者及其家属随机分为观察组(90例)和对照组(80例),观察组实施针对性出院指导,对照组给予常规出院指导。分别于患者出院前2周,出院后3个月、6个月进行对比观察。[结果]出院后3个月、6个月,观察组的依从性优于对照组(P<0.01);MRSS评分观察组显著低于对照组(P<0.01);出院后6个月时,复发率观察组为6.67%,对照组为27.50%(P<0.01)。[结论]对抑郁症患者及其家属进行针对性的出院指导可以提高患者的近期疗效。

[Objective]To explore the feasibility and curative effect of discharge instruction for patients with depression and their family members. [Methods] 170 patients with depression and their family members were randomly divided into 2 groups,observation group （90） and control group （80）. Special and general discharge instruction were given to the patients and their family members respectively. Observation was conducted for the 2 groups 2 weeks before discharge from the hospital and at 3,6 months after discharge from the hospital. [Results]The understanding on discharge instruction in observation group was better than that in control group at 3 and 6 months after discharge from the hospital （ P 〈0. 0 1 ） .The score of MRSS was lower in observation group than that in control group（ P〈0.01）, Recurrence rate was 6.67 % in observation group and 27.5 % in control group（ P 〈0. 01）. [Conelusion]Discharge instruction for patients with depression and their family members can improve curative effect.