复发性抑郁障碍患者复发诱因的临床分析及护理干预

Clinical analysis and nursing intervention of recurrence inducement in patients with recurrent depressive disorder

目的:探讨复发性抑郁障碍患者复发的诱因.方法:搜集医院老年心理科诊断为抑郁障碍住院患者的病例122份,其中复发性抑郁障碍患者的病例55份.回顾性分析患者出院记录中的18项疑似诱发因素.结果:患者首次发病年龄≤40岁,首次住院天数≤2周,服药依从性差和亲属病伤、亡故是诱发抑郁复发的主要因素.家庭矛盾吵架、邻居突发火灾等突发事件的外界强烈精神刺激以及患者病前性格急躁内向、有家族史、个人不良嗜好等也与抑郁复发有关联,两组差异均有统计学意义(P<0.05).结论:诱发抑郁症复发的危险因素仍是生理、心理和社会的一个综合因素.

Objective:To explore the causes of recurrence in patients with recurrent depressive disorder.Method:122 cases of hospitalized patients with depressive disorder diagnosed in the Department of Geriatrics of the Hospital,including 55 cases of patients with recurrent depressive disorder.Retrospective analysis of 18 suspected inducing factors in discharge records of patients.Result:The first onset age of the patient is≤40 years old,the first hospitalization days are≤2 weeks,the poor medication compliance,illness,injury and death of relatives were the main factors inducing the recurrence of depression.The strong external mental stimulation of family conflicts,quarrels,neighbor fires and other emergencies,as well as the patient's impatient and introverted personality,family history and personal bad habits before the disease are also related to the recurrence of depression.The difference between the two groups was statistically significant(P<0.05).Conclusion:The risk factors of relapse of depression are still a comprehensive factor of physiology,psychology and society.