社区残疾人抑郁心理的干预研究

Study and intervention on psychological depression of community handicapped

目的:了解残疾人心理特征,探索社区相关机构人员为残疾人身心康复服务的方法。方法:从2007年6月～2009年1月在杨浦区定海社区管辖区域的1 314名残疾人中选择168例(抑郁自评量表SDS标准分50～69分),将其随机分成干预组与对照组。其中,干预组88人,男46例,女42例;平均65.6岁。对照组80人,男41例,女39例;平均67.2岁。两组平均年龄、性别差异无统计学意义。对残疾人开展心理干预,采用前后对照的方法进行统计学分析。结果:经过干预后,干预组有效率(抑郁自评量表SDS标准分<40分)为20.69%,对照组有效率为8.22%,两者比较差异有统计学意义(χ2=4.84,P<0.05)。结论:社区心理干预对残疾人的心理康复有一定的价值。

Objective： To know the psychological characteristic of handicapped in Dinghai Community,and study the methods on psychological rehabilitation of handicapped which is given by the community relevant personnel and organization.Methods： From June 2007 to January 2009,we selected 168 disabled persons from 1 314 disabled persons,who were living in the Dinghai Community of Yangpu District（The standard score of the depression SDS is 50-69）,they were divided into intervention group and control group randomly,in which the intervention group was 88 persons,the number of male was 46,the number of female was 42,the average age was 65.6 years old.The control group was 80 persons,the number of male was 41,the number of female was 39,the average age was 67.2 years old.The average age,genders between the two groups were no difference.Aiming at developing the psychological intervention of handicapped,we took the method of before-after trial to make the statistics analysis.Results： After intervention,the efficiency of the intervention group（The standard score of the Depression SDS40） was 20.69%,the efficiency of the control group was 8.22%,the difference between the two groups had the statistical significance（χ2=4.84,P0.05）.Conclusion： Community psychology intervention has certain value against the psychological rehabilitation of handicapped.