抑郁障碍患者自助小组效果的定性研究

A qualitative research of effect of self-help group in patients with depression

目的:探索抑郁障碍患者自助小组的效果,为推进抑郁障碍患者自助、拓展康复措施提供参考。方法:选取1年内参加4次以上抑郁自助小组的患者21例,根据访谈提纲进行半结构式访谈,采用扎根理论的方法对访谈资料进行深度分析。采用自编小组效果调查表调查患者参加小组后的感受、收获或发生的变化。结果:访谈分析发现,自助小组的效果包括症状改善、规范治疗及提高依从性、促进康复、提升自尊自信4方面。自编小组效果调查表结果显示,收获较大的前3个方面为获得经验、对治疗有信心、学习自我调节。结论:抑郁自助小组可帮助患者缓解抑郁症状,改善治疗依从性,从提高社交技能、接纳疾病等多方面促进康复,可有效提升患者的自尊感,值得推广。

Objective： To explore the effect of self-help group for depression,and to provide reference for promoting self-help and developing rehabilitation measures in patients with depression. Methods： Totally 21 patients with depression who had taken part in the self-help group for depression more than four times in one year were indepth interviewed,then the coded data and information from interviews were analyzed according to grounded theory. Self-made questionnaires of self-help group effect were applied to investigate the feeling or changes of the patients after participating in the group. Results： The effect of self-help group for depression included 4 aspects,which were symptom improvement, medical compliance improvement, promotion of rehabilitation, self-esteem and selfconfidence improvement. Self-made questionnaires of self-help group effect showed the first three options,which were gaining experience,having confidence in the treatment,learning self-regulation. Conclusion： Self-help group for depression could help patients relieve depressive symptoms,improve treatment compliance,promote rehabilitation in many ways such as improving social skills,helping to accept disease and so on. It could effectively improve self-esteem of patients,and it is worth promoting.