家属参与健康教育模式对抑郁症患者康复的影响

Effect of family participation and health education mode on rehabilitation of depressive patients

目的探讨家属参与健康教育模式对抑郁症患者康复的影响。方法将100例抑郁症患者采用随机数字表法随机分为研究组与对照组各50例，两组健康教育内容相同，研究组在此基础上，实施家属参与并将健康教育时间延伸至出院后半年的健康教育模式。观察两组患者服药依从性、疾病复发情况以及生活质量的变化。结果患者服药依从性：研究组出院后第26周按时按量主动服药42例，不规则服药1例，被动服药6例，自行停药1例，对照组分别为12，15，17，6例；复发再住院情况：研究组1例，对照组9例；两组患者服药依从性、疾病复发情况比较，差异均有统计学意义（P〈0．05）。生存质量问卷（QOL-P）总分：研究组为（59．12±6．54）分，对照组为（82．04±18．76）分，两组比较差异有统计学意义（t=8．159，P〈0．01）。结论家属参与健康教育能显著提高抑郁症患者的服药依从性，降低复发率，改善患者生活质量。

Objective To discuss the effect of family participation and health education mode on rehabilitation of depressive patients. Methods One-hundred patients with depression were randomly divided into the experimental and the control group. Both groups received the same health education contents, and the experimental group received family participation and extended health education to six months after discharge in addition. Medication compliance, disease recurrence and changes in quality of life were observed and compared between two groups~ Results On the 26th week after discharge, the number of patients taking medicine actively and correctly, taking medicine irregularly, taking medicine passively and taking no medicine was respectively 42, 1, 6 and 1 in the experimental group, and 12, 15, 17 and 6 in the control group. There was one patient in the experimental group and 9 in the control group who had recurrence of depression and been hospitalized. The differences were statistically significant （ P 〈 0. 05 ）. The total score of QOL-P was （59, 12 ± 6.54） in the experimental group and （82.04± 18.76） in the control group, and the difference was statistically significant （t = 8. 159 ,P 〈0. 01 ）. Conclusions Family participation and health education can significantly increase the medication compliance of depressive patients, reduce their relapse rate and improve their quality of life.