探讨个性化护理干预措施对急性期重度抑郁症患者的效果

To Explore the Effect of Personalized Nursing Intervention on Patients with Acute Major Depression

目的 分析重度抑郁症患者急性期开展个性化护理干预的效果。方法 抽取90例重度抑郁症患者作为研究对象,患者于2019年12月至2020年12月入我院接受救治。采用随机单盲法对患者进行分组,每组45例。对照组给予常规护理,如关注患者舒适度,提醒其严格遵医用药等。观察组患者联合个性化护理干预,营造出良好的护理环境,强化安全管理,禁止病房内部出现不安全物品,降低自杀发生率,尽可能地减少不良因素给患者带来的干扰和刺激,营造出良好的护患关系,积极与患者交流沟通,给予其支持和关怀,促使患者不良心理状态改善,鼓励患者发泄负性情绪,树立起良好的自信心,及时回答患者及其家属提出的问题和困惑,密切观察患者的行为、动作以及言语等,鼓励患者展开放松训练,可根据患者个人爱好,为其播放一些舒缓的音乐,充分调动起患者的主观能动性,给予患者社会支持和关怀等,分析效果。结果 护理前,两组患者的指标评分没有统计学意义(P>0.05),护理后,观察组汉密尔顿抑郁量表分数较对照组低,生活质量评分、护理满意度较对照组高,差异显著(P<0.05)。结论 个性化护理干预对重度抑郁症急性期患者的影响确切,对患者的疾病情况和生活质量改善明显,提升护理工作的水平。

Objective To analyze the effect of presonalized nursing intervention in patients with severe depression in acute phase. Methods Ninety patients with major depressive disorder as the research object, from December 2019 to December 2020. The patients were randomly divided into 45groups by single blind method. The control group given conventional nursing, giving patients focus on patient comfort, remind the strictly according to medical drugs. The observation group of patients with combined personalized nursing intervention, create good care environment, strengthen the safety management, prohibit ward of the unsafe goods within, reduce the incidence of suicide, as much as possible to reduce the adverse factors to the disturbance of patients and stimulation, build a good relationship between nurses and patients, active communication with the patient, give them support and care, improve patients with poor psychological state, encourage patients to vent negative emotions, establish good self-esteem and timely answer the problems of patients and their families and confusion, closely observe the patient’s behavior, actions and words, etc., encourage patients in relaxation training, according to patients’ personal hobby, to play some soothing music, patients’ subjective initiative into play adequately,give patients care and social support, etc., analysis of the effect. Results Before nursing, there was no significant difference in the index scores between the two groups(P>0.05). After nursing, the scores of Hamilton Depression Scale in the observation group were lower than those in the control group, and the scores of quality of life and nursing satisfaction were higher than those in the control group, and the differences were significant(P<0.05). Conclusions Presonalized nursing intervention has a definite effect on patients with severe depression in acute phase. It can improve patients’ disease condition and quality of life obviously.