摘要
目的：研究 Friedman 家庭评估模式在抑郁症患者家庭护理中的应用。方法将80例抑郁症患者按就诊序号单数入干预组,双数入对照组,两组各40例。对照组患者给予常规药物治疗及预约门诊。干预组在此基础上采用 Friedman 家庭评估模式为指导的家庭护理干预,干预前后两组患者应用汉密顿抑郁量表17项评定患者的抑郁程度,采用生活质量综合评定问卷（GQOLI-74）评定抑郁症患者的生活质量。结果干预16周后,干预组患者汉密顿抑郁量表17项评分为（6.82±2.49）分,低于对照组（8.26±2.01）分,两组比较差异有统计学意义（t =2.82,P＜0.01）；干预组 GQOLI-74总分为（230.00±20.65）分,3个维度分躯体功能（65.73±8.26）分、心理功能（59.87±8.92）分、社会功能（56.13±10.26）分,均明显高于对照组的（213.94±19.28）,（60.06±9.19）,（53.63±8.44）,（49.76±9.72）分,两组比较差异有统计学意义（ t 值分别为-3.65,-2.91,-3.22,-2.86；P＜0.01）。结论应用Friedman 家庭评估模式进行家庭护理在减轻患者的抑郁程度,促进病情的康复,提高患者的生活质量方面效果更加显著,是一种更加有效的康复方法。
Objective To evaluate the application of Friedman family assessment model in home care patients with depression. Methods A total of 80 patients with depression were treated by their visit serial number, and the Single numbers were arranged into the intervention group, the even numbers were arranged into the control group, each of 40 cases. In the control group, patients were used conventional drug therapy and made an appointment in the outpatient. On this basis, patients in the intervention group were utilized the Friedman family assessment model as a guide for home care intervention. Before and after the intervention, patients were applied the Hamilton depression scale 17 （ HAMD 17） to evaluate the extent of the patients′depression. We used generic quality of life Inventory-74 （ GQOLI-74） assessed the depressed patients′ life quality. Results After 16 weeks the results showed the HAMD17 score of the intervention group point was （6. 82 ± 2. 49） lower than that of the control group （8. 26 ± 2. 01） （t = 2. 82,P 〈 0. 01）. The total score of GQOLI-74 in the intervention group was （230. 00 ± 20. 65）, and its three dimensional points were as follows：physical function （65. 73 ± 8. 26）, psychological functioning （59. 87 ± 8. 92）, social functioning （56. 13 ± 10. 26）, which were significantly higher than that of the control group （213. 94 ± 19. 28） points, （60. 06 ± 9. 19） points, （53. 63 ± 8. 44） points, （49. 76 ± 9. 72 ）, with the statistical difference （t = - 3. 65, - 2. 91,- 3. 22, - 2. 86, respectively;P 〈 0. 01）. Conclusions Friedman family assessment model is a more effective rehabilitation methods, especially on reducing the extent of home care patients with depression, promoting the rehabilitation of the disease and improving the quality of life of patients.
出处
《中华现代护理杂志》
2015年第8期903-906,共4页
Chinese Journal of Modern Nursing
