基于和谐护理理论的护理模式对抑郁症患者抑郁情绪和自我效能的影响

Effect of nursing mode based on harmonious nursing theory on depressive mood and self-efficacy of patients with depression

目的探究基于和谐护理理论的护理模式对抑郁症患者抑郁情绪和自我效能的影响。方法选择浙江省丽水市第二人民医院精神科2018年4月至2021年5月诊治的180例抑郁症患者为研究对象,将其随机分为试验组和对照组,每组90例患者。试验组患者采用基于和谐护理理论的护理模式,对照组患者采用传统常规抑郁症护理模式,连续干预20 d。实施干预前和干预20 d后,采用汉密尔顿抑郁量表(HAMD-17)评估两组患者的抑郁情绪,采用一般自我效能量表(GSES)评估两组患者的自我效能。分析比较两组患者实施干预前和干预20 d后的抑郁情绪、自我效能、用药依从性和护理满意度差异。结果实施干预前,两组患者的HAMD-17、GSES评分比较,其差异均无统计学意义(均P>0.05);实施干预20 d后,两组患者HAMD-17评分均有所降低,且试验组患者低于对照组患者,两组患者GSES评分均有所升高,且试验组患者GSES评分高于对照组患者,其差异均具有统计学意义(均P<0.05)。试验组患者服药总依从率显著高于对照组患者,其差异具有统计学意义(P<0.05)。试验组患者护理及时性、医护配合度评分均高于对照组患者,其差异均具有统计学意义(均P<0.05)。结论基于和谐护理理论的护理模式可以显著改善抑郁症患者的抑郁情绪和自我效能,在提高其服药依从性的同时也提高了护理满意度。

Objective To explore the influence of nursing mode based on harmonious nursing theory on depression emotion and self-efficacy of patients with depression.Methods A total of 180 patients with depression in Department of Psychiatry,Lishui Second People s Hospital in Zhejiang Province from April 2018 to May 2021 were selected as the study subjects and randomly divided into the experimental group and the control group,with 90 patients in each group.The patients in the experimental group used the nursing mode based on the harmonious nursing theory,while the patients in the control group used the traditional conventional nursing mode for depression,with continuous intervention for 20 days.Before and after intervention,Hamilton depression rating scale(HAMD-17)was used to assess the depression of the two groups of patients,and general self efficacy scale(GSES)was used to assess the self-efficacy of the two groups of patients.The differences of depression,self-efficacy,medication compliance and nursing satisfaction between the two groups before and after the intervention were analyzed and compared.Results Before the intervention,there was no significant difference in HAMD-17 and GSES scores between the two groups(all P>0.05);after the intervention,HAMD-17 scores of patients in both groups decreased,and GSES scores of patients in the experimental group were lower than those in the control group;GSES scores of patients in both groups increased,and GSES scores of patients in the experimental group were higher than those in the control group,and the differences were statistically significant(all P<0.05).The total compliance rate of patients in the experimental group was significantly higher than that of patients in the control group,with a statistically significant difference(P<0.05).The scores of timeliness of nursing and cooperation between doctors and nurses in the experimental group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusions The nursing mode based on the harmonious nursing theory can significantly improve the depression emotion and self-efficacy of patients with depression,and improve their compliance with medication as well as nursing satisfaction.