实施医院-社区-家庭三位一体化干预措施对抑郁症患者用药依从性及生活质量的效果研究

The Effect of Implementing the Three Integrated Intervention Measures of Hospital-community-family on Medication Compliance and Quality of Life of Patients with Depression

目的探究抑郁症采取医院-社区-家庭三位一体化干预的价值。方法采用随机数字表法将方便选取的该院2019年1月—2020年1月收治的132例抑郁症患者分为对照组66例与研究组66例,对照组给予常规干预,研究组在上述基础上实施医院-社区-家庭三位一体化干预措施,两组均干预12周。对比两组干预前后疾病应对方式(SCSQ评分)、抑郁病情(HAMD-17评分)、生活质量(WHOQOL-BREF评分)改善情况、用药依从性。结果两组SCSQ各维度分值干预后优于干预前,且研究组优于对照组(P<0.05);研究组用药依从性90.91%高于对照组77.27%,差异有统计学意义(χ^(2)=4.587,P<0.05);两组HAMD-17分值干预后低于干预前,且研究组更低,差异有统计学意义(P<0.05);两组WHOQOL-BREF各维度分值干预后高于干预前,且研究组更高,差异有统计学意义(P<0.05)。结论医院-社区-家庭三位一体化干预有利于改变抑郁症患者疾病应对方式,提高用药依从性,有利于促进病情缓解,改善生活质量。

Objective To explore the value of hospital-community-family intervention for depression.Methods 132 patients with depression treated in the hospital from January 2019 to January 2020 were conveniently selected and randomly divided into 66 cases in the control group and 66 cases in the study group.The control group was given routine intervention.The study group implemented three integrated hospital-community-family interventions on the basis of the above.All groups intervened for 12 weeks.The improvement of disease coping style(SCSQ score),depression(HAMD-17 score),quality of life(WHOQOL-BREF score),and medication compliance were compared between the two groups before and after intervention.Results The scores of each dimension of SCSQ in the two groups were better after intervention,and the test group was better than the control group(P<0.05);the medication compliance of the study group was 90.91%higher than that of the control group 77.27%,the difference was statistically significant(χ^(2)=4.587,P<0.05);The HAMD-17 scores of the two groups after intervention were lower than before the intervention,and the study group was lower,the difference was statistically significant(P<0.05);the two groups of WHOQOL-BREF scores in each dimension after intervention were higher than before the intervention,and the study group was higher,the difference was statistically significant(P<0.05).Conclusion The integrated intervention of hospital-community-family is beneficial to change the coping style of patients with depression,improve medication compliance,promote the remission of the disease,and improve the quality of life.