综合护理干预对抑郁症患者抑郁情绪和生活质量的影响

Influence of comprehensive nursing interventions on depressive emotion and QOL in patients with depression

目的探讨综合护理干预对抑郁症患者抑郁情绪和生活质量的影响。方法选取2012年1月—2012年12月收治的抑郁症患者30例为对照组,2013年1月—2014年6月收治的抑郁症患者35例为观察组,2组均给予抗抑郁药物治疗,对照组实施常规护理,观察组实施综合护理干预。比较2组护理前、出院半年后汉密尔顿抑郁量表评分、生活质量各项评分及出院半年后服药依从情况。结果 2组出院半年后,汉密尔顿抑郁量表评分较护理前下降,生活质量各项评分均较护理前升高,差异有统计学意义(P<0.01),组间比较,差异有统计学意义(P<0.01)。观察组服药依从率为91.43%,显著高于对照组的70.00%(P<0.05)。结论综合护理干预可有效改善抑郁症患者的抑郁情绪,提高生活质量和服药依从性,值得临床推广。

Objective To explore the influence of comprehensive nursing interventions on the depressive emotion and quality of life （QOL） in patients with depression. Methods A total of 30 patients with depression admitted from January, 2012 to December, 2012 were selected as con- trol group while another 35 patients with depression admitted from January, 2013 to June, 2014 served as observation group. Anti-depression drugs were given to both groups, on which basis con- trol group was treated with routine nursing while observation group with comprehensive nursing in- terventions. Hamilton depression scale （HAMD） and each QOL score before nursing and half year after discharge from hospital as well as the compliance of drug administration half year after dis- charge from hospital were compared between two groups. Results HAMD score decreased evident- ly while each QOL score increased significantly in both groups half year after discharge from hospital than nursing before （P 〈 0.01 ）, and there were also significant differences between two groups （P 〈 0.01 ）. The compliance of drug administration was 91.43 % in observation group, markedly higher than the 70.00 % in control group （P 〈 0.05）. Conclusion Comprehensive nursing inter- ventions can effectively improve the depressive emotion and promote the QOL and compliance of drug administration of patients with depression, deserving to be widely applied in clinic.