心理干预对老年抑郁症患者治疗依从性及社会功能的影响

The effect of psychological intervention on therapeutic compliance and social function of elderly patients with depression

目的探讨心理干预对老年抑郁症患者治疗依从性及社会功能的影响。方法选取在我院接受抗抑郁治疗的老年抑郁症患者88例,随机分为对照组(n=44)和观察组(n=44),给予对照组常规的护理干预措施,观察组在常规的基础上实施心理干预措施。对两组患者干预前和干预6个月后汉密顿抑郁量表(HAMD)及抑郁自评量表(SDS)、社会功能缺陷筛选量表(SDSS)的评分和治疗依从性进行比较。结果干预前,两组患者的HAMD、SDS及SDSS评分均无显著性差异(P>0.05),干预后6个月后,两组患者上述量表的评分有了明显降低,且观察组的量表评分低于对照组,上述差异均有统计学意义(P<0.05);干预措施后评估对照组的治疗依从率为77.27%,而观察组的治疗依从率则为95.45%,明显高于对照组(P<0.05)。结论在常规护理干预措施的基础上增加心理干预,可以更有效的提高患者的依从性和社会功能,值得临床上推广应用。

Objective To explore the effect of psychological intervention on therapeutic compliance and social function of elderly patients with depression. Methods A total of 88 cases elderly patients treated in our hospital were selected and then randomly divided into theobservation group（n=44）and the control group（n=44）,the control group were given the routine nursing intervention,and the observation group were given the psychological intervention measures on the basis of the conventional nursing. Then comparing the scores of HAMD,SDS,SDSS and the therapeutic compliance of the two groups before and 6 months after intervention. Results There was no significant differences of HAMD,SDS and SDSS scores between the two groups before intervention（P0.05）.After intervention,the scores of HAMD,SDS and SDSS in the two groups were both lower than those before intervention. Meanwhile after nursing intervention,the scores of HAMD,SDS and SDSS in the observation group were lower than those in the control group,all the differences above were statistically significant（P0.05）. And the therapeutic compliance of the observation group（95.45%）were higher than that in the control group（77.27%）,the difference above was statistically significant（P0.05）. Conclusion Psychological intervention on the basis of the conventional nursing can be better toimprove the patients＇ therapeutic compliance and social functions,it＇s worthy of clinical application.