关爱随访在出院抑郁症患者中的应用效果

The Effect of Caring Follow-up in Patients with Depression Disorder

目的：探讨关爱随访在出院抑郁症患者中的应用效果。方法：选取我院2015年8月-2016年8月收治的抑郁症112例为研究对象。采用随机数字表法分为观察组和对照组各56例。患者出院后,对照组进行常规门诊随访,观察组进行关爱随访。随访前和随访后6个月,采用服药依从性问卷评价患者服药依从性,采用汉密顿抑郁量表（HAMD）评价患者抑郁状况,采用生活质量测定量表简表（WHOQOL-BREF）评价患者生活质量。结果：随访前,患者服药依从性、HAMD评分、WHOQOL-BREF量表在心理领域、生理领域、社会关系领域、环境领域等维度和总体得分,两组比较差异无统计学意义（P〉0.05）;随访6个月后,观察组患者服药依从性显著优于对照组,差异有统计学意义（Z=3.807,P〈0.01）,观察组HAMD评分显著低于对照组,差异有统计学意义（t=-11.583,P〈0.01）,观察组患者WHOQOL-BREF量表各维度评分及总得分均显著高于对照组（t=8.755,6.753,9.417,6.055,8.598;P〈0.01）。结论：关爱随访有助于提高出院抑郁症患者服药依从性,控制病情。

Objective：To study the effect of caring follow-up in patients with depression disorder.Methods：A total of 112 cases of depression disorder from August 2015 to August 2016 were selected as the research object.Patients were divided into observation group and control group using random number table method,each group 56 cases.After the patients were discharged,the control group was followed up for routine follow-up and patients in observation group were followed-up by caring follow-up.At the end of follow-up and 6 months after follow-up,the medication compliance was evaluated by the medication compliance questionnaire.The patient＇s depression was evaluated by the Hamilton Depression Scale（HAMD）.The patients were also assessed by WHOQOL-BREF Quality of Life.Results：Before follow-up,there was no statistical significant difference in the medication compliance,HAMD scale,psychological field,physical field,social relation field,environmental field and overall score of WHOQOLBREF scale between the two groups（P〉0.05）.After 6 months follow-up,the medication compliance in the observation group was significantly better than that of the control group（Z=3.807,P〈0.01）.The HAMD score in observation group was significantly lower than those of the control group（t=-11.583,P〈0.01）.The psychological field,physiology field,social relation field,environmental field and overall score of WHOQOL-BREF scale in the observation group were significantly higher than those of the control group（t=8.755,6.753,9.417,6.055,8.598;P〈0.01）.Conclusion：Caring follow-up can help improve the compliance of patients with depression disorder and control the condition and improve the quality of life of patients with depression.