积极心理学理论指导下的康复策略对老年抑郁症患者自我概念和生活质量的影响

Effect of Rehabilitation Strategies Based on Positive Psychology on Self-concept and Quality of Life in Depressive Patients

目的探讨提升抑郁症患者自我概念认知和生活质量的积极策略。方法选取2018年7月~2019年7月西安交通大学第一附属医院精神心理卫生科收治的抑郁症患者78例,随机将其分为观察组和对照组,各39例。对照组实施常规治疗和护理,观察组在对照组基础上给予基于积极心理学理论的积极策略干预。采用田纳西自我概念量表(TSCS)和生活质量简明量表(SF-36)评估两组患者干预前后自我概念和生活质量。结果两组干预后TSCS量表10个得分因子均有改善,且观察组患者干预后的自我概念结果好于对照组(P<0.05),两组SF-36量表评分与干预前相比均有显著提高(P<0.05),且观察组高于对照组(P<0.05)。结论对抑郁症患者实施基于积极心理学理论的干预措施,可促使患者有积极的自我概念,明显提升生活质量。

Objective To explore the positive strategies for improving the self-concept cognition and quality of life in patients with depression.Methods 78 patients with depression admitted to the Department of Psychological and Mental Health of the First Affiliated Hospital of Xi’an Jiaotong University were enrolled from July 2018 to July 2019.The patients were randomly divided into the observation group and the control group,39 cases in each group.The control group were given the conventional treatment and nursing,and the observation group were additionally given the positive strategy intervention based on positive psychology.The tennessee self-concept scale(TSCS)and the 36-item short-form health survey(SF-36)were used to evaluate the self-concept and quality of life in patients before and after intervention.Results After intervention,TSCS scores were improved in the two groups,and the scores in the observation group were higher than those in the control group(P<0.05).Compared with those before intervention,SF-36 scores were significantly improved in the two groups(P<0.05),and the scores were higher in the observation group than those in the control group(P<0.05).Conclusion The implementation of positive psychological interventions for patients with depression may encourage patients to have a positive self-concept and significantly improve their quality of life.