摘要
目的探索支持性团体心理治疗干预社区卫生服务中心老年住院患者焦虑抑郁情绪效果,为社区卫生服务中心提升住院患者服务能力与治疗效果提供理论依据。方法 2018年1—2月期间在中心住院病房内以简单随机数字法抽取观察组30名患者,以邻近的其他两个社区卫生服务中心住院部内与观察组对象年龄性别相匹配的60名患者作为对照组,观察组在常规康复指导基础上采用支持性团体心理治疗进行干预,而对照组则仅予以常规康复指导。以焦虑自评量表、抑郁自评量表、汉密尔顿焦虑量表、汉密尔顿抑郁量表以及自拟生活质量问卷评估干预前后2组人群焦虑抑郁水平与住院生活质量。结果 2组人群干预前其在各量表中差异均无统计学意义。干预后2组在生活质量问卷的康复信念、主观感受部分以及SAS、SDS、HAMA总分、HAMA严重程度、HAMD总分中均出现积极改变,差异有统计学意义。2组在干预前后的自身对照比较中,观察组人群在康复信念、主观感受、SAS、SDS、HAMA总分、HAMA严重程度、HAMD总分上均出现积极改变,差异有统计学意义,对照组则仅在SAS、SDS量表中出现积极改变,差异有统计学意义。结论支持性团体心理治疗比常规康复指导更能有效改善老年住院患者的焦虑抑郁情绪,但对于中重度抑郁患者应考虑采用心理与药物相结合方式进行干预。本研究干预方法能够增强老年住院患者康复信念并提升患者住院的主观感受。
Objective By exploring the effect of supportive group psychotherapy on intervening anxiety and depression of elderly inpatients in community health service centers, we provide theoretical basis for community health service centers to enhance their service capacity and therapeutic effect on elderly inpatients. Methods From January 2018 to February 2018, 30 hospitalized patients were selected as the observation group by simple random number method in the inpatient wards of the community health service center, 60 hospitalized patients in the inpatient wards of the two nearby community health service centers, who were of the same gender as and of similar age with those in the observation group, were selected as control group. The observation group received supportive group psychotherapy on the basis of routine rehabilitation guidance, while the control group only received routine rehabilitation guidance. The subjective and objective anxiety and depression level as well as the quality of inpatient life of the 2 groups were evaluated by Self-Rating Anxiety Scale, Self-Rating Depression Scale, Hamilton Anxiety Scale, Hamilton’s Depression Scale, and self-designed questionnaire on quality of life. Results There was no significant statistical difference between the 2 groups in all scales before supportive group psychotherapy intervention. There were significant statistical differences in the rehabilitation belief, subjective feeling and SAS, SDS, HAMA total score, HAMA severity and HAMD total score after intervention between the 2 groups, while the observation group changed positively. By comparing the 2 groups before and after intervention, we can find that in the observation group, there were significant statistical differences and positive change in rehabilitation beliefs, subjective feelings, SAS, SDS, HAMA total score, HAMA severity, and HAMD total score. While in the control group, there were significant statistical difference only in the SAS and SDS scales. Conclusion Supportive group psychotherapy is more effect
作者
赵辉
ZHAO Hui(Pudong New Area Hudortg Community Health Service Centre,Shanghai 200129,China.)
出处
《中华全科医学》
2019年第4期614-618,共5页
Chinese Journal of General Practice
基金
上海市浦东新区卫生系统学科带头人培养计划项目(PWRd2016-16)
关键词
支持性团体心理治疗
社区卫生服务中心
老年
住院
焦虑
抑郁
Supportive group psychotherapy
Community Health Service Center
Senior citizen
Hospitalization
Anxie-ty
Depression
