临床路径法对抑郁症患者健康教育效果评价.doc

临床路径法对抑郁症患者健康教育效果评价 　【摘要】 目的 探讨临床路径方法对提高抑郁症患者健康教育质量的临床效果。 方法 将142例抑郁症患者随机分为观察组和对照组各71例，对照组按护理常规进行护理和健康教育指导，观察组采用临床路径实施治疗和护理，观察住院全程效果。于入院时、出院时采用汉密顿抑郁量表、健康知识知晓测评表、依从性调查问卷、护理工作满意度调查问卷进行测评分析。 结果 出院时观察组汉密顿抑郁量表评分较对照组下降更显著（P＜0.01），健康知识的掌握、治疗依从性、对护理服务工作的满意度等方面均显著优于对照组（P均＜0.05或0.01），住院时间显著低于对照组（P＜0.01）。 结论 临床路径能显著提高健康教育效果和护理服务质量，使患者主动参与治疗，缩短住院时间，对降低抑郁症复发，降低医疗成本，巩固疗效有积极意义。 【关键词】 临床路径；抑郁症；健康教育 【Abstract】 Objective To explore the clinical effects of clinical pathway method on improve quality of healthy education for patients with depression. Methods 142 patients with depression were randomly divided into observation group(n=71) receiving treatment and nursing via clinical pathway and control group(n=71) doing routine nursing plus healthy education direction, and hospitalized whole range effects observed. Measurements and analyses were conducted with Hamilton Depression Scale(HAMD), the Questionnaire on Health Knowledge Understanding(QHKU), Questionnaire on Compliance(QC) and the Nurses Job Satisfaction Scale(NJSS) on admission and discharge. Results On discharge, compared with control group the HAMD score lowered more significantly(Plt;0.01), mastering healthy knowledge, treatment adherence, satisfaction on nursing service were better(all Plt;0.05 or 0.01) and length of stay significantly lower(Plt;0.01) in the observation group. Conclusion Clinical pathway can significantly improve the effects of health education and quality of nursing service, make patients to participate in treatment initiatively, shorten the length of stay and has positive significance on lowering depression relapse and medical cost and solidifying curative effect. 【Keywords】 Clinical pathway；depressive disorder；health education 据WHO2001年公布，抑郁障碍位居导致人类死亡和残疾的十大疾病之第四位，预计到2020年将跃居仅次于心脏病的第二大疾病。为了提高抑郁症患者健康教育的质量，保证患者及时获得有效的健康教育，本研究应用临床路径方法对住院抑郁症患者进行了健康教育探讨，并收到了良好效果，现报道如下。 1 对象与方法 1.1 对象 选取2006年4月～2007年4月在我院住院的142例抑郁症患者为研究对象，均符合《中国精神障碍分类与诊断标准》第3版（CCMD-3）抑郁症诊断标准。其中男54例，女88例；年龄16 a～61 a，平均(32.2±5.7) a；病程7 mo～24