抑郁症患者联合心理护理方法探讨

Clinical study with psychological care on episode depressive patients

目的观察对抑郁症患者实施联合心理护理方法的效果。方法入选抑郁症患者92例,随机分为常规护理组和实验组,实验组在抗抑郁药物治疗的基础上,实施认知-行为疗法、健康教育、音乐疗法等联合心理护理方法。两组分别于第1天和第28天采用世界卫生组织生活质量量表(WHOQOL-100)及社会功能缺陷筛选量表(SDSS)分评估。结果基础资料方面两组患者WHOQOL-100评分差异无统计学意义(P>0.05),28天终点时,观察组WHOQOL-100生活质量总评评分均高于对照组(P<0.05),SDSS评分低于对照组(P<0.01)。结论对抑郁症患者实施认知-行为疗法、健康教育、音乐疗法三种方法相结合心理护理,使患者悲观情绪得到缓解,联合心理护理方法有效。

Objective To investigate the effect of personal psychologicalcare on the depressive patients. Methods 92 de- pressive patients who have received drugs were divided into two groups randomly. The treatmentgroup accepted the proce- dure of psychological care while they were receiving the antidepressant treatment. Two groups were measured by WHO Quality of Life Scale （ WHOQOL - 100 ） and Social Disability Screening Schedule （ SDSS ） on the first and 28st days and compared the point ofanxiety. Results About basic data, there was nosignificant diifference in WHOQOL - 100. But in last, P 〉 0.05. The SDSS score in treatmentgroup was significantly lower than in compare group （ P 〈 0.01 ）. Conclusions The psychological cares can reduce patients＇ anxiety and depression, improve theirsomatic function, role function, and emo- tional function.