摘要
目的：探讨药物自我管理技能对农村社区抑郁症患者的作用。方法：随机选取在农村社区居住的抑郁症患者206例,随机分为干预组和对照组,对干预组进行药物自我管理技能训练,经12个月的观察,每3个月用自制一般情况调查表、服药依从性调查表、17项汉密顿抑郁量表（HAMD17）对两组进行测评,共203例患者完成研究。结果：两组患者的服药依从性经重复测量方差分析显示,在时间因素以及时间因素和分组的交互作用有统计学意义（F=8.708,9.191;P〈0.001）;组间差异有统计学意义（F=28.055,P〈0.001）。不同时点比较（F=1.231,25.134,29.737,35.784,32.959;P〈0.01）,除基线外,其余均有统计学意义;HAMD17评分经重复测量方差分析显示,在时间因素以及时间因素和分组的交互作用有统计学意义（F=35.777,11.624;P〈0.001）;组间差异有统计学意义（F=4.402,P=0.037）;不同时点比较（F=10.751,21.791;P〈0.01）;复发率干预组明显低于对照组,差异有统计学意义（χ~2=4.166,P〈0.05）。结论：药物自我管理技能对农村社区抑郁症患者具有提高服药依从性,促进病情稳定,减少复发的作用。
Objective：To explore the effect of drug self-management skills on depression in rural community.Methods：A total of 206 cases of depression patients living in rural communities were randomly selected and randomly divided into intervention group and control group.The intervention group was trained in drug self-management skills.During 12 months＇ observation,self-made table,medication compliance questionnaire,17-iterms Hamilton Depression Rating Scale（ HAMD 17）were used to evaluate the two groups every 3 months;A total of 203 patients completed the study. Results：Patient compliance was measured by repeated measures analysis of variance between the two groups,showing significant differences in time and the interaction of time and group（ F = 8.708,9.191,28.055;P〈0.001）.There were significant differences among different time points（ F = 25.134,29.737,35.784,32.959;P〈0.001）;HAMD 17 scores had effects on the time and the interaction of time factors and grouping（ F = 4. 402,P〈0.05）;There were significant differences among different time points（ F = 10.751,21.791;P〈0.01）;Recurrence rate was significantly lower in the intervention group than the control group（ χ~2= 4.166,P〈0.05）.Conclusion：The self-management skills of drugs have the effect of improving medication compliance and promoting stable disease in patients with depression in rural community.
作者
张国林
刘轲
刘国友
宋君伟
孙乃娟
张文佳
ZHANG Guolin;LIU Ke;LIU Guoyou(Pinggu County Psychiatric Hospital,Beijing 101201,China)
出处
《中国健康心理学杂志》
2018年第12期1764-1766,共3页
China Journal of Health Psychology
基金
北京市科委-首都临床特色应用研究与成果推广项目(编号:Z161100000516216)
关键词
抑郁症
技能训练
症状
社区
Depression
Skills training
Symptoms
Community
