亲密加强疗法在抑郁症患者康复护理中的应用研究

Application research of intimacy enhancement therapy in the rehabilition of depression patients

目的探讨亲密加强疗法在抑郁症患者康复护理中的应用效果,为开展抑郁症护理提供参考。方法采用随机对照研究,便利抽样法选取2022年9月至2023年9月南方医科大学南方医院收治的84例抑郁症患者及其配偶,采用随机数字表法将其分为试验组和对照组各42例。对照组实施常规护理,试验组在此基础上实施亲密加强疗法。干预前及干预8周后,采用汉密尔顿抑郁量表(HAMD-17)、汉密尔顿焦虑量表(HAMA-17)、90项症状自评量表(SCL-90)进行评价。结果最终81例患者完成研究,其中试验组39例,男13例,女26例,年龄(36.18±10.93)岁,对照组42例,男17例,女25例,年龄(38.76±10.90)岁。干预前2组患者HAMD-17、HAMA-17、SCL-90得分差异均无统计学意义(均P>0.05)。干预8周后,试验组HAMD-17、HAMA-17得分分别为(21.00±4.49)、(25.38±5.16)分,低于对照组的(23.76±6.24)、(28.48±5.88)分,试验组躯体化、人际关系敏感、强迫、焦虑、抑郁、其他因子得分及SCL-90总分分别为(1.25±0.19)、(0.69±0.35)、(1.40±0.23)、(1.17±0.29)、(1.18±0.14)、(1.22±0.18)、(119.69±9.09)分,低于对照组的(1.82±0.26)、(1.53±0.36)、(1.69±0.39)、(1.88±0.38)、(1.73±0.35)、(1.31±0.17)、(146.19±8.97)分,差异均有统计学意义(t值为2.05~13.20,均P<0.05)。结论亲密加强疗法可有效减轻抑郁症患者躯体化症状,改善患者预后。

Objective To explore application research of intimacy enhancement therapy in the rehabilition of depression patients,and to provide reference for carrying out depression nursing care.Methods This study was a randomized controlled trial.From September 2022 to September 2023,a total of 84 depression patients and spouse were selected by convenience sampling method and assigned to the experimental group and control group with 42 cases in each group using the random number table method from Nanfang Hospital,Southern Medical University.The control group applied with routine nursing,and the experimental group implemented intimacy enhancement therapy.Before and 8 weeks after intervention,Hamilton Depression Scale(HAMD-17),Hamilton Anxiety Scale(HAMA-17)and Symptom checklist-90(SCL-90)were used for assessment.Results Finally,81 patients completed the study,including 39 in the experimental group,13 males and 26 females,aged(36.18±10.93)years old,and 42 in the control group,17 males and 25 females,aged(38.76±10.90)years old.Before intervention,there was no significant difference in HAMD-17,HAMA-17 and SCL-90(all P>0.05).After 8 weeks of intervention,the scores of HAMD-17,HAMA-17 scores in the experimental group were(21.00±4.49),(25.38±5.16)points,which were lower than(23.76±6.24),(28.48±5.88)points in the control group;the scores of somatization,interpersonal sensitivity,compulsion,anxiety,depression,others,total SCL-90 in the experimental group were(1.25±0.19),(0.69±0.35),(1.40±0.23),(1.17±0.29),(1.18±0.14),(1.22±0.18),(119.69±9.09)points,which were also lower than(1.82±0.26),(1.53±0.36),(1.69±0.39),(1.88±0.38),(1.73±0.35),(1.31±0.17),(146.19±8.97)points of the control group,the differences were statistically significant(t values were 2.05-13.20,all P<0.05).Conclusions Intimacy enhancement therapy can effectively alleviate somatic symptoms and improve prognosis of patients with depression.