团体自我管理训练对抑郁症患者自我效能、生活质量的影响

Effects of Group Self-management Training on Self-efficacy and Quality of Life in Patients with Depression

目的探究团体自我管理训练对抑郁症患者自我效能及生活质量的影响。方法选取2016年8月至2018年7月于我院接受治疗的96例抑郁症患者为受试对象,按照入院顺序随机分为研究组和对照组各48例。对照组予以抗抑郁常规治疗护理及健康教育,研究组在其基础上采取自我管理模式干预。比较两组患者治疗前、出院后6个月时生活质量[世界卫生组织生存质量测定简表(WHOQOL-BREF)]、不良情绪[贝克抑郁问卷(BDI)]及自我效能[一般自我效能感量表(NGSES)]评分结果差异。结果干预6个月后,研究组躯体健康、心理功能、社会关系、环境等WHOQOL-BREF评分较干预前均有显著提高(P均<0.05),对照组上述指标比较无统计学意义(P>0.05)。研究组BDI三项指标评分较干预前均有显著降低(P均<0.05),且两组组间比较存在统计学差异(P均<0.05)。研究组GSES得分明显高于对照组(P<0.05)。结论团体自我管理训练能有效地稳定抑郁症患者的不良情绪,改善其自我效能,提升其生活质量。

Objective To investigate the effects of group self-management training on self-efficacy and quality of life in patients with depression.Methods Ninety-six patients with depression who were treated in our hospital from August 2016 to July 2018 were selected for the study.They were randomly divided into study group and control group according to the order of admission,with 48 cases in each group.Control group was given anti-depression routine treatment and health education,and study group was given self-management model intervention on this basis.The scores of quality of life[World Health Organization Quality of Life Measurement Profile(WHOQOL-BREF)],adverse emotions[Beck Depression Inventory(BDI)]and self-efficacy[General Self-Efficacy Scale(NGSES)]were compared between the two groups before treatment and at 6 months after discharge.Results After 6 months of intervention,the scores of physical health,psychological function,social relationship and environment of WHOQOL-BREF in study group were significantly higher than those before intervention(all P<0.05),and there were no statistically significant differences in the above indicators in control group(P>0.05).The scores of the three indicators of BDI in study group were significantly lower than those before intervention(all P<0.05),and there were statistical differences between the two groups(all P<0.05).The GSES score in study group was significantly higher than that in control group(P<0.05).Conclusion Group self-management training can effectively stabilize the negative emotions,improve the self-efficacy and enhance the quality of life of patients with depression.