药物治疗联合绘画治疗对抑郁症患者康复效果的影响

Effect of drug therapy combined with painting therapy on rehabilitation efficacy of depression patients

目的:探讨绘画疗法联合药物治疗对抑郁症患者康复效果的影响。方法:采用随机数字表法将160例抑郁症分为研究组与对照组,各80例。给予两组患者盐酸舍曲林(50~100 mg/d)抗抑郁治疗;在此基础上研究组患者接受绘画治疗;疗程均为8周。分别于干预前后采用汉密尔顿焦虑量表-14项(HAMA)、汉密尔顿抑郁量表-24项(HAMD-24)评估入组者病情,以减分率判断疗效;采用护士用住院病人观察量表(NOSIE)评估患者的精神与社会功能。结果:两组各脱落2例,数据不纳入分析。干预后两组HAMA、HAMD评分明显低于干预前,且研究组明显低于对照组(P均<0.01);干预后两组NOSIE各因子评分与干预前比较差异有统计学意义,且研究组的各因子评分明显优于对照组(P均<0.01);研究组总有效率(89.74%)明显高于对照组(76.92%)(P<0.05)。结论:绘画疗法联合药物治疗有助于缓解抑郁症患者焦虑抑郁症状,促进精神和社会功能的恢复。

Objective:To investigate the effect of painting therapy combined with drug therapy on the rehabilitation efficacy of depression patients.Method:160 cases of depression patients were randomly divided into research group and control group,with 80 cases in each group.The antidepressant treatment with sertraline hydrochloride(50~100 mg/d)was preformed on the two groups.In addition to this,the patients in the research group received painting therapy.The course of treatment was 8 weeks.Hamilton anxiety rating scale-14(HAMA)and Hamilton rating scale for depression-24(HAMD-24)were used to evaluate the condition of the patients before and after the intervention,and the curative effect was judged by the reductive ratio.The Nurses'Observation Scale for Inpatient Evaluation(NOSIE)was used to evaluate the mental and social functions of the patients.Results:Two cases were missed in follow-up in each group,and their data were not included in the analysis.After the intervention,the HAMA and HAMD scores of the two groups were significantly lower than before the intervention,and the scores of the research group were significantly lower than the control group(all P<0.01);the NOSIE factor scores of the two groups before the intervention were significantly different from those after the intervention,and the factor scores of the research group were significantly higher than those of the control group(all P<0.01).The total effective rate of the research group(89.74%)was significantly higher than that of the control group(76.92%)(P<0.05).Conclusion:Painting therapy combined with drug therapy can help alleviate the symptoms of anxiety and depression in depression patients,promote the recovery of their mental and social functions.