心理干预对抑郁症康复的对照研究

Controlled Study of Psychological Interventions for Recovery from Depres⁃sion

目的 分析心理干预对抑郁症康复的应用效果。方法 方便选取2019年9月-2021年9月聊城市第四人民医院收治的65例抑郁症患者为研究对象,随机分为两组,对照组32例,干预组33例。对照组采用常规精神科护理,干预组在对照组基础上给予早期心理干预。对比两组的护理效果。结果 干预前两组的HAMD评分对比,差异无统计学意义(P>0.05);干预2、4、6、8周后,干预组的HAMD评分均明显低于对照组,差异有统计学意义(P<0.05)。干预前两组的HAMA评分对比,差异无统计学意义(P>0.05);干预2、4、6、8周后,干预组的HAMA评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组的社会功能、社会兴趣、个人卫生、抑郁NOSIE评分对比,差异无统计学意义(P>0.05);干预后,两组的社会功能、社会兴趣、个人卫生评分均高于干预前,抑郁评分低于干预前;且干预组的社会功能、社会兴趣等评分均明显高于对照组,抑郁评分明显低于对照组,差异有统计学意义(P<0.05)。干预组的护理满意度为96.97%明显高于对照组的68.75%,差异有统计学意义(χ^(2)=7.305,P<0.05)。结论 在抑郁症患者的治疗中应用心理干预,对患者的康复具有积极作用,显著提升疗效。

Objective To analyze the application effect of psychological intervention on the recovery of depression.Methods Sixty-five cases of depression patients admitted to the Liaocheng Fourth People's Hospital from September 2019 to September 2021 were conveniently selected as the study subjects.They were randomly divided into two groups,32 cases in the control group and 33 cases in the intervention group.The control group was given routine psychiatric care,and the intervention group was given early psychological intervention on the basis of the control group.The nursing effects of the two groups were compared.Results There was no statistically significant difference between the HAMD scores of the two groups before the intervention(P>0.05);after 2 weeks,4 weeks,6 weeks and 8 weeks of intervention,the HAMD scores of the intervention group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the comparison of HAMA scores between the two groups before the intervention(P>0.05);after 2 weeks,4 weeks,6 weeks and 8 weeks of intervention,the HAMA scores of the intervention group were lower than those of the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference in the NOSIE scores of social function,social interest,personal hygiene,and depression between the two groups(P>0.05);after the intervention,the scores of social function,social interest and personal hygiene in the two groups were higher than those before the intervention,and the depression scores were lower than those before the intervention;and the scores of social function and social interest in the intervention group were significantly higher than those in the control group,and the scores of depression was significantly lower than that in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction rate of 96.97%in the intervention group was significantly higher than 68.75%of the control group,the difference was statistically significant(χ^(2)=7.305,P<0.05).Conclusion The application of psychological interventions in the treatment of depressed patients has a positive effect on the recovery of patients and significantly enhances the efficacy.