以问题为导向的护理模式对抑郁症患者服药信念及病耻感的影响

The influence of problem-oriented nursing model on medication belief and stigma of patients with depression

目的:从抑郁症患者抑郁情绪、服药信念、病耻感变化等方面探讨以问题为导向的护理模式的应用效果。方法:以2019年10月-2021年8月收治的82例抑郁症患者为研究对象,根据随机数字表法分为两组。对照组41例患者实施常规护理,观察组41例患者在对照组基础上实施以问题为导向的护理模式。两组均于护理前、护理1个月、护理3个月采用汉密尔顿抑郁量表17项(HAMD-17)、特异性服药信念量表(BMQ-Specific)、贬低-歧视感知量表(PDD)、生活满意度评定量表(LSR)评估患者抑郁情绪、服药信念、病耻感、生活满意度。结果:护理1个月、3个月,观察组患者HAMD-17、BMQ-Specific服药顾虑、PDD评分低于同期对照组,BMQ-Specific服药必要性、LSR评分高于同期对照组(P值均<0.05)。结论:以问题为导向的护理模式应用于抑郁症患者,可有效改善患者服药信念,减轻病耻感,缓解抑郁情绪,提升生活满意度。

Objective:To explore the application effect of problem-oriented nursing mode in patients with depression from the aspects of depression mood,medication belief and stigma.Methods:A total of 82 patients with depression were selected as the research subjects and divided into two groups according to random number table method.The control group(41 cases)received routine nursing,and the observation group(41 cases)received problem-oriented nursing based on the control group.Depression,medication belief,stigma and life satisfaction were assessed by Hamilton Depression Scale(HAMD-17),BMQ-Specific Medication Belief Scale(BMQ-Specific),Perceived Demeaning Discrimination Scale(PDD)and life satisfaction Rating Scale(LSR)before nursing,1 month and 3 months nursing.Results:The hamD-17,BMQ-specific concern and PDD score of the observation group were lower than those of the control group at 1 and 3 months of nursing,while the BMQ-specific necessity and LSR score were higher than those of the control group at the same period(P<0.05).Conclusion:The problem-oriented nursing model applied to patients with depression can effectively improve their belief in taking medication,alleviate their sense of shame,relieve their depression,and i mprove their life satisfaction.