康复训练技能对社区抑郁症患者社会功能的作用

Effects of rehabilitation training skills on social function of depressed patients in community

目的:通过社区推广抑郁症患者药物自我管理等康复训练技能,降低抑郁症的复发,促进抑郁症患者社会功能的恢复。方法:将122例符合入组标准的社区抑郁症患者,按照分层随机分组的方法,分为技能训练组(62例)和对照组(60例),技能训练组进行康复技能训练程式干预,对照组只做普通门诊服药指导和健康教育。在治疗前和治疗后第4周、16周,应用汉密尔顿抑郁量表(HAMD)、社会功能缺陷筛选量表(SDSS)评定疗效及社会功能。采用SPSS17.0统计软件进行分析。结果:116例患者完成研究(干预组60人,对照组56人)。第4周、16周后评定结果发现,干预组HAMD评分低于对照组(t=-4.00,-2.35;P<0.01);干预组SDSS评分低于对照组(t=-3.73,-4.14;P<0.01),差异均具有统计学意义。结论:康复训练技能有效改善抑郁症患者的社会功能及有效缓解抑郁症的症状。

Objective:To promote drug self-management and other rehabilitation training skills for depressed patients in the community,so as to reduce the recurrence of depression and promote the recovery of social function of depressed patients.Methods:A total of 122 patients with community depression who met the inclusion criteria were divided into skill training group(62 persons)and control group(60 persons)according to the stratified random grouping method.The Hamilton depression scale(HAMD)and social dysfunction screening scale(SDSS)were used to evaluate the efficacy before and after treatment at 4 and 16 weeks.SPSS 17.0 statistical software was used for analysis.Results:A total of 116 patients(60 in the intervention group and 56 in the control group)completed the study.After 4 and 16 weeks,HAMD scores of the intervention group were lower than those of the control group(t=-4.00,-2.35;P<0.01).SDSS score in the intervention group were lower than those in the control group(t=-3.73,-4.14;P<0.01),the differences were statistically significant.Conclusion:Rehabilitation training skills can effectively improve the social function and relieve the symptoms of depression.