心理护理干预对抑郁症患者临床疗效的影响.pdfVIP

· 16 · 护理实践与研究2011年第 8卷第 1期 (上半月版 · 护理实践 · 心理护理干预对抑郁症患者临床疗效的影响 许丽霞 王秀芬 孙惠萍 曹志坤 周 策 摘 要 目的：探讨心理护理干预对抑郁症患者临床疗效的影响。方法：对我院住院治疗 的76例抑郁症患者随机分成治疗组和对照组各38 例，两组同时服用相同的抗抑郁药舍 曲林25～75mg，每 日1次，并给予常规护理，治疗组增加心理护理干预措施，包括精神分析、认知疗法、音乐 疗法等，同时给患者讲解抑郁症的相关知识，做好健康教育，督促患者定期复查，做好随访工作。分别在治疗前后 2、4、8周末用汉密顿抑郁量表 (HAMD)评分和四级疗效评定、服药依从性比较。结果：心理干预前两组HAMD评分无统计学差异(P0．05)，护理干预 8周末HAMD评分治 疗组明显低于对照组，服药依从性明显高于对照组，具有显著性差异(P0．01)，两组疗效评定治疗组显效率明显高于对照组 (P0．05)。结 论：心理护理干预可提高临床疗效及服药依从性 ，降低复发率，提高生活质量。 关键词 心理护理；抑郁症；临床疗效 doi：10．3969／j．issn．1672—9676．2011．01．008 Theinfluenceofpsychologicalnursingintervention to effectofclinictherapyon depression． XULi—xia，WANGXiu～fen，SUNHui—ping，etai(HebeiProvincialPeople’sHospital，Shijiazhunag 050051) AbstraetObjective：Toexploretheinfluenceofpchcologicalnursinginterventiontoeffectofclinictherapyondepression．Methods：76easeswithdepression whoweretreatedinourhospital fromwererandomlydividedintotherapygroupandcontrolgroupwith38casedrespectively．Twogroupinpatientstalcedthe sanlcmidicineatthesametime(Sertralin25—75mg，POonceaday)nadroutinenursingeale．Intherapygroup，theinpatientswereincreasedpsycbeo— logicalnursinginterventionmeasures．Theinterventionmeasurs includedpsychologicalanalysis，cognitivetherapyandmusictherapyetc．Meanwhiledoctors instructedthestudyinpatientstherelativeknowladge．gaveheathyeducationandarrangedthepatientstocheckupregularly．Twogroupspatientswereeval— uatedbeforeinterventionnadafterinterventionbyHAMD andcomparedwiththecomplinace．Results：Therewasnosignificnatstatisticdifferencebetween twogroupsbeforeinterventionevaluatedbyHAMD (PO．05)．After8weeksintervention，thetherapygrouppatientshadahigherscoresbyHAMDand ahighercomplianceintakingmdeicinsthanthecontrolgrouppatients(P0．01)．Thereweresignificnatdifferencebewteentwogroupsintheraputiceffects (P0．05)．Conclusion：ThePsychologicalNursingInterventioncanimprovetheeffectofclinictherapy，