中西医结合护理对归侨老年抑郁症患者的效果

Effect of integrative medicine nursing on returned overseas Chinese elderly with depression

目的：探讨中西医结合护理干预对归侨老年抑郁症患者的效果。方法选择归侨老年抑郁症门诊患者71例，采用随机数字表法分为对照组（ n＝36）和干预组（ n＝35）。对照组采取一般常规护理方法，干预组采取中医辨证分型、情志调摄、饮食调理等中西医结合护理方法。采用老年抑郁量表（GDS）和社会支持评定量表（SSRS）比较两组干预效果。结果治疗6个月后，干预组患者GDS得分（12．71±7．31）分，对照组为（14．45±6．33）分，差异有统计学意义（t＝4．87，P＜0．01）；干预组48．6％患者评定为无抑郁，高于对照组19．5％，两组比较差异有统计学意义（χ^2＝6．89，P＜0．05）；干预组SSRS得分为（5．52±0．72）分高于对照组的（4．89±0．87）分，差异有统计学意义（ t＝5．02，P＜0．01）。结论运用中医辨证饮食调理与情志调摄等中西医结合方法护理归侨老年抑郁症较一般常规护理方法效果好，可在临床推广。

Objective To explore nursing intervention of integrative medicine on returned overseas Chinese elderly with depression .Methods A total of 71 elderly with depression were divided into control group （n=36） and intervention group （n =35） randomly.The control group received routine nursing while the intervention group underwent serval integrative medicine nursing intervention such as syndrome differentiation types, emotional adjustment, and dietetic regulation.We utilized the Geriatric Depression Scale （ GDS） and Social Support Rating Scale （ SSRS） and compared the result of nursing intervention .Results After 6 months, the scores of GDS in the intervention group was （12.71 ±7.31） while the control group was （14.45 ±6.33） with statistical significance （t=4.87,P〈0.01）.There was 48.6% of patients assessed as non-depression in the intervention group which was higher than the control group （19.5%） （χ^2 =6.89,P〈0.05）.The score of SSRS in the intervention group acquired 5.52 ±0.72 higher than the control group （4.89 ±0.87） （t=5.02, P〈0.01）.Conclusions It is that integrative medicine nursing such as syndrome differentiation dietetic regulation and emotional adjustment is better than the normal nursing method and is worthy of promotion in clinic.