延续性护理干预对抑郁症患者用药依从性、情绪及生活质量的影响

Influence of continuous nursing on medication compliance,emotions and quality of life in patients with depression

目的探讨延续性护理在抑郁症患者中的应用效果。方法选取2017年12月~2019年7月在广东省广州市民政局精神病院就诊的60例抑郁症患者,按随机数字表法分为对照组和观察组,各30例。对照组给予常规出院护理,观察组采用延续性护理。对比两组用药依从性、情绪及生活质量。结果观察组干预6个月服药依从率96.67%,高于对照组的73.33%,差异有统计学意义(P<0.05);两组干预前情绪评分比较,差异无统计学意义(P>0.05);干预6个月后两组情绪评分低于干预前,差异有统计学意义(P<0.05);观察组干预6个月后焦虑自评量表(SAS)评分为(44.54±4.20)分、抑郁自评量表(SDS)评分为(45.22±4.48)分,低于对照组的(47.68±4.52)、(48.51±4.23)分,差异有统计学意义(P<0.05);两组干预前生活质量比较,差异无统计学意义(P>0.05);干预6个月后两组的生活质量评分高于干预前,差异有统计学意义(P<0.05);观察组干预6个月后的情感功能[(75.83±7.22)分]、心理状态[(75.31±7.27)分]、身体功能[(74.83±6.46)分]、社会功能[(76.84±7.32)分]高于对照组的(70.42±7.43)、(69.97±7.89)、(69.81±7.39)、(71.23±7.55)分,差异均有统计学意义(P<0.05)。结论延续性护理可有效提升抑郁症患者用药依从性,改善负面情绪及生活质量,值得推广应用。

Objective To explore the application effect of continuous nursing in patients with depression.Methods A total of 60 patients with depression who were treated in Mental Hospital of Guangzhou Civil Affairs Bureau from December 2017 to July 2019 were selected.They were divided into control group and observation group according to the random number table method,30 cases in each group.Patients in the control group were given routine post-discharge nursing,and in the observation group,patients received continuous nursing.The medication compliance,emotions and quality of life between the two groups were compared.Results The medication compliance rate of the observation group for six months was 96.67%,higher than that of the control group accounting for 73.33%,and the difference was statistically significant(P<0.05).There were no statistically significant differences in the scores of emotions between the two groups before intervention(P>0.05).The scores of emotions between the two groups after six months of nursing were lower than those before nursing,and the differences were statistically significant(P<0.05).The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group after six months of nursing were(44.54±4.20)points and(45.22±4.48)points,lower than those of the control group,which were(47.68±4.52)points and(48.51±4.23)points,respectively,the differences were statistically significant(P<0.05).There was no statistically significant difference in quality of life between the two groups before intervention(P>0.05).The quality of life scores of the two groups after six months of nursing were both higher than those before nursing,and the differences were statistically significant(P<0.05).In the observation group,scores of emotional function,mental state,physical function and social function after six months of nursing were(75.83±7.22)points,(75.31±7.27)points,(74.83±6.46)points and(76.84±7.32)points,higher than those of the control group([70.42±7.43],[69.97±7.89],[69.81±7.39]and[71.23±7.55]points),the differences were statistically significant(P<0.05).Conclusion Continuous nursing can effectively improve the medication compliance of patients with depression,relieve their negative emotions and improve their quality of life.It is worthy of promotion and application.