摘要
目的 探讨系统护理干预在精神科开放病区抑郁症患者中的应用效果.方法 采用便利抽样法抽取2016年1～7月在该院开放病区住院治疗的抑郁症患者100例,按照随机数字表法分为观察组和对照组各50例.两组的治疗方法相同.对照组给予精神科一般常规护理,观察组在此基础上进行系统护理干预,两组的疗程均为6周.在治疗前和治疗后第2、4、6周末采用汉密尔顿抑郁量表（HAMD）评定疗效,治疗6周后,用HAMD减分率评定总体疗效,对比两组患者的疗效.结果 治疗第4、6周末,两组患者的HAMD比较,差异有统计学意义（P＜0.05）.治疗第6周末,观察组的总有效率为91.7％,对照组的总有效率为76.6％,两组比较,差异有统计学意义（P＜0.05）.结论 系统护理干预对抑郁症患者有较好地疗效,提高了患者的自我效能,以缓解其情感症状,降低其心理社会性不良后果,提高患者的生活质量.
Objective To explore the application effect of systematic nursing intervention on depression pa-tients in the open ward of psychiatry department. Methods Simple sampling method was used to choose 100 depres-sion patients received for treatment in the open ward of psychiatry department in this hospital from January to July, 2016 . The patients were divided into observation group and control group by random number table （ 50 cases each ） . Ordinary usual nursing of psychiatry department was given to control group, and systematic nursing intervention was giv-en to observation group on this basis. The course of treatment was 6 weeks for both groups. HAMD was used to evaluate the curative effect 2, 4 and 6 weeks before and after treatment. After treatment for 6 weeks, HAMD reducing score rate was used to evaluate the overall curative effect and compare the curative effect of patients in both groups. Results HAMD of patients in both groups was compared on the weekend of week 4 and week 6 of treatment （ P〈0. 05 ） . On the weekend of week 6 of treatment, the total effective rate of observation group was 91. 7% and the total effective rate of control group was 76. 6%. With regard to the comparison of two groups, the difference had statistical significance （ P〈0. 05 ） . Conclusion Systematic nursing intervention has good curative effect on depression patients and improves self-efficacy of patients so as to relieve their emotional symptom, reduce psychological social negative effect and improve pa-tients＆#39; living quality.
出处
《国际护理学杂志》
2017年第19期2614-2618,共5页
international journal of nursing
关键词
系统护理干预
抑郁症
自我效能
生活质量
Systematic nursing intervention
Depression
Self-efficacy
Quality of life
