早期心理干预对抑郁症康复的影响

Effect of Early Psychological Intervention on Depression Recovery

目的探讨心理干预对抑郁症疗效的影响。方法将68例抑郁症患者随机分为观察组和对照组各34例,对照组进行常规治疗与护理,观察组在此基础上进行心理干预。进行为期8周的疗效观察。采用汉密顿抑郁量表(HAMD)和汉密顿焦虑量表(HAMA)临床疗效及住院护理观察量表(NOSIE)进行评定。结果观察组显效26例(76.47%),显著高于对照组14例(41.18%)(χ2=8.74,P<0.01),HAMD、HAMA量表显示观察组与对照组在干预后的4、6、8周末比较,差异有统计学意义(P<0.01)。NOSIE评定8周末时社会功能康复情况观察组也优于对照组(P<0.05)。结论心理干预能明显提高抑郁症的疗效,有利于社会功能的康复。

[Objective]To study the effect of psychological intervention on depression.[Methods]68 patients with depression were randomly divided into the observation group（34 cases） and the control group（34 cases）.The control group was given conventional treatment and nursing,and the observation group was received additional psychological intervention on this basis.The effects were observed for 8 weeks.Hamilton depression scale（HAMD）,Hamilton anxiety scale（HAMA） and Nurses＇ observation scale for inpatient evaluation（NOSIE） were adopted to evaluated.[Results]The improvement rate of the observation group was 76.47%（26 cases）,which was higher than that of the control group（41.18%,14 cases） significantly（χ2=8.74,P0.01）.HAMD and HAMA results showed that there were significant differences between the observation group and the control group at the end of 4th,6th and 8th week after intervention（P0.01）.NOSIE showed that the rehabilitation of social function in the observation group was significantly better than that in the control group at the end of 8th week after intervention（P0.05）.[Conclusion]The psychological intervention can significantly enhance the efficacy of depression,and it is beneficial to rehabilitation of social function.