摘要
目的探究情景式交往训练对抑郁症患者抑郁程度、自杀行为的影响。方法选取2016年10月-2018年10月于本院接受治疗的100例抑郁症患者为受试对象,按随机数字表法随机分为干预组与对照组各50例。对照组予以常规精神科护理;干预组在其基础上进行50 d的情景式交往训练。比较2组患者干预前及干预50 d后抑郁程度[抑郁自评量表评分(SDS)]的变化、自杀行为[抑郁症状清单(DSC)中自杀项评分]的变化以及生活质量[综合评定问卷(GQOLI-74)]的变化。结果与接受情景式交往培训前比较,培训50 d后干预组患者的SDS评分(53.19±5.67)分明显低于培训前(75.69±4.89)分(t=53.224,P<0.05);培训5 d后对照组患者的SDS评分(53.19±5.67)分明显低于培训前(74.98±5.01)分(t=53.224,P<0.05),2组组间比较差异具有统计学意义(t=7.100,P<0.05)。与培训前比较,培训50 d后干预组患者DSC中自杀项行为评分(9.1±0.1)分明显低于培训前(6.8±1.1)分(t=-47.878,P<0.05);培训50 d后干预组患者DSC中自杀项行为评分(8.1±0.3)分明显低于培训前(6.9±0.9)分(t=-24.980,P<0.05),2组组间比较差异具有统计学意义(t=22.361,P<0.05);同时干预组患者GQOLI-74各维度(躯体功能、心理功能、社会功能、物质生活及总得分)得分分别为(69.4±11.3)分、(71.1±8.9)分、(68.3±10.4)分、(68.5±9.7)分、(69.3±10.1)分均高于同期对照组的(60.5±10.2)分、(62.4±9.1)分、(61.2±8.7)分、(64.2±4.9)分、(60.4±8.7)分差有统计学意义(t值分别=4.134、4.833、3.703、2.798、4.721,P值均<0.05)。结论情景式交往训练能降低抑郁症患者抑郁程度,降低自杀行为的发生率,提高抑郁症患者生活满意度。
Objective To explore the effects of situational communication training on the depression degree and suicidal behaviors in patients with depression.Methods One hundred patients with depression treated in a hospital from October 2016 to October 2018 were enrolled in the study,and they were randomly divided into an intervention group and a control group according to the random number table method,with 50 cases in each group.The control group was given the routine psychiatric nursing,and the intervention group was given 50 days of situational communication training on the routine psychiatric nursing basis.The depression degree[self-rating depression scale(SDS)],suicidal behaviors[suicide score of death symptom checklist(DSC)],and quality of life[general quality of life inventory(GQOLI-74)]were compared between the two groups before intervention and after 50 days of intervention.Results The SDS score in the intervention group after 50 days of training was significantly lower than that before the training[(53.19±5.67)points vs.(75.69±4.89)points](t=53.224,P<0.05).After 50 days of training,the SDS score in the control group was significantly lower than that before the training[(53.19±5.67)points vs.(74.98±5.01)points](t=53.224,P<0.05).The difference between the two groups was statistically significant(t=7.100,P<0.05).The suicide behavior score of DSC scale in the intervention group after 50 days of training was significantly higher than that before the training[(9.1±0.1)points vs.(6.8±1.1)points](t=-47.878,P<0.05).After 50 days of training,the suicidal behavior score of DSC scale in the intervention group was significantly higher than that before the training[(8.1±0.3)points vs(6.9±0.9)points](t=-24.980.P<0.05).The difference between the two groups was statistically significant(t=22.361,P<0.05).The scores of dimensions(somatic function,psychological function,social function,material life,and total score)of GQOLI-74 scale in the intervention group were(69.4±11.3)points,(71.1±8.9)points,(68.3±10.4)points,(68.5�
作者
黄春艳
杜桂容
陈玲
HUANG Chun-yan;DU Gui-rong;CHEN Ling(Rehabilitation Center,Maoming Third People's Hospital,Maoming 525200,Guangdong,China)
出处
《中国校医》
2020年第5期347-349,388,共4页
Chinese Journal of School Doctor
关键词
情景式交往
抑郁症
抑郁程度
自杀行为
situational communication
depression
depression degree
suicidal behavior
