老年病诱发抑郁症患者的心理疏导与精神护理效果分析

Analysis of the Effect of Psychological Counseling and Mental Nursing for Patients with Depression Induced by Senile Disease

目的研讨对老年病诱发抑郁症患者实施心理疏导以及精神护理的临床价值。方法选择2017年6月至2019年6月在本医院接受治疗的100例老年病诱发抑郁症患者作为观察对象,并将患者按照1∶1比例随机归为A组与B组。A组采用精神护理,即在患者精神状况良好时,由经验丰富的医护人员为患者提供专业的知识指导与教育,为患者科普所患老年病以及抑郁症的相关知识,包括疾病诱因、临床表现、诊疗方法与注意事项等,积极纠正患者错误的疾病认知,使其能够更好地配合临床工作。B组在精神护理的基础上配合心理疏导,包括个体化疏导、集体性疏导、音乐疗法。以老年抑郁量表(GDS)为参照,评估两组患者不同干预阶段的抑郁症状程度。以生活质量综合评估量表(GQOL-74)为参照,评估两组患者干预后的生活质量改善情况。结果两组干预前GDS总得分差异较小,P>0.05,无统计学意义;但干预后4、8周末,B组GDS总得分较A组降低幅度均更显著,P<0.05,有统计学意义。B组干预后的物质生活得分与A组相比差异较小,P>0.05,无统计学意义;但其余GQOL-74量表因子(躯体健康、心理健康等)得分较A组加分均更显著,P<0.05,有统计学意义。结论对老年病诱发抑郁症患者实施心理疏导以及精神护理,可明显缓解患者的抑郁情绪,促进其生活质量的提升,值得推荐。

Objective To study the clinical value of psychological counseling and mental nursing for patients with depression induced by senile disease.Methods One hundred patients with geriatric-induced depression who were treated in our hospital from June 2017 to June 2019 were selected as observation objects,and the patients were randomly assigned to group A and group B according to a ratio of 1∶1.Group A adopts psychiatric care,that is,when the patient is in good mental condition,experienced medical staff will provide professional knowledge guidance and education to the patient,and provide the patient with the relevant knowledge of senile disease and depression,including disease triggers and clinical manifestations,diagnosis and treatment methods and precautions,etc.,and actively correct patients'erroneous disease cognition so that they can better cooperate with clinical work.Group B cooperates with psychological counseling on the basis of spiritual care,including individualized counseling,collective counseling,and music therapy.Using the Geriatric Depression Scale(GDS)as a reference,the degree of depressive symptoms of the two groups of patients at different intervention stages was evaluated.Using the Comprehensive Quality of Life Assessment Scale(GQOL-74)as a reference,the improvement of the quality of life of the two groups of patients after intervention was evaluated.Results The difference in the total GDS scores between the two groups before the intervention was small,P>0.05,which was not statistically significant;but at the 4th and 8th weekends after the intervention,the total GDS score of group B decreased more significantly than that of group A,P<0.05,which was statistically significant.significance.The material life scores of group B after intervention are smaller than those of group A,P>0.05,which is not statistically significant;but the scores of other GQOL-74 scale factors(physical health,mental health,etc.)are higher than those of group A,P<0.05,statistically significant.Conclusion Psychological counseling and mental care for patients with depression induced by senile diseases can significantly alleviate the depression of patients and promote the improvement of their quality of life.It is worth recommending.