综合性护理干预对抑郁症患者HAMD-17评分及生存质量的影响

Comprehensive nursing intervention on depression HAMD-17 score and quality of life

目的：探讨综合性护理干预对抑郁症患者HAMD-17评分及生存质量的影响。方法收集2011年12月-2013年12月在我院住院接受治疗的抑郁症患者60例，全部患者随机分为干预组和对照组，每组30例。对照组实施随机对症护理，干预组着重实施以心理护理干预为主的综合性护理干预措施，比较两组患者HAMD-17评分及生存质量各项评分的变化情况。结果与治疗前比较，干预组和对照组患者治疗第1个月、第3个月、第6个月、第12个月HAM阅评分均明显降低（P〈0.05），且治疗第6个月、第12个月，干预组患者的HAM阅评分明显低于对照组，差异具有统计学意义（P〈0.05）。干预组与对照组治疗后的宰匀韵-匝韵蕴生活质量各项评分较治疗前明显改善，且干预组较对照组改善更显著，差异具有统计学意义（P〈0.05）。结论对抑郁症患者实施综合性护理干预，可以降低HAMD-17评分，提高患者的生存质量。

Objective To investigate the effects of comprehensive nursing intervention on depression HAMD-17 score and quality of life. Methods From December 2011 to December 2013 in our hospital, 60 cases of depression were randomly assigned to the intervention group and the control group, each of 30 patients,the control group received ran-dom symptomatic care, the intervention group focused implementation of comprehensive psychological care nursing in-terventions,HAMD-17 score and the score of quality of life changes were compared between two groups. Results After treatment for 1 month, 3 months, 6 months, 12 months, HAMD scores of the intervention group and control group patients were significantly lower compared with before treatment （P〈0.05）, and the treatment in the six months, the 12 months, the intervention group patients HAMD scores were significantly lower than the control group, the difference was statistically significant （ P〈0 . 05 ） . Patients in the intervention group and the control group , quality of life of patients WHO-QOL after the intervention was significantly improved than before the intervention, and the intervention group improved more significantly than the control group, the difference was statistically significant （P〈0.05）. Conclusion The implementation of integrated care interventions for patients with depression, can reduce the HAMD-17 score, im-prove the quality of life of patients.