健康教育干预对综合医院抑郁症治疗依从性影响.docVIP

健康教育干预对综合医院抑郁症治疗依从性影响 　　【摘 要】 目的：通过对患者抑郁症知识及药物副作用的认知教育干预，系统随诊，提高患者治疗依从性。方法：以60例综合医院神经内科门诊及住院患者为研究对象，全部符合DSM-Ⅳ重症抑郁单次发作诊断标准。入组患者填写一般情况问卷，按照随机对照原则，分成干预组及对照组，对照组一般常规治疗，干预组定期电话随访，两名神经内科医师进行抑郁症教育一次，发放抑郁症教育小册子，制作随诊卡。随访6个月，以脱落率代表治疗依从性，干预组与对照组进行比较。结果：（1）随访6个月共脱落32人，干预组脱落11人（36．7%），对照组脱落21人（70．0%）。干预组与对照组脱落率分别为1个月（13．2%，36．7%）、3个月（20%，50%）、6个月（36．7%，70%），以上组间差异具有统计学意义（P 　　【关键词】 抑郁症；随机对照；综合医院；健康教育；神经内科；认知；干预 　　中图分类号：R749．41 文献标识码：A 文章编号：1000-6729(2007)09-00630-05 　　Effect of Health Education on Compliance of Patients with Depression in a General Hospital 　　ZHANG Hui－Min，HUANG Zhen－Jie,XU Jing,et al 　　First Affiliated Hospital of Dalian Medical University, Dalian116011 　　【Abstract】 Objective: Increase the treatment compliance through educating depressive patients about knowledge of the illness, side－effects of antidepressants and fixed follow－up survey． Methods:The patients with depression (60 cases) were collected from out－ patient clinic and inpatient of Department of Neurology in general hospital． The patients diagnoses were consistent with relevant criteria in DSM-Ⅳ． Patients fill in the self－administered questionnaire． According to the rule of randomized control, those patients were divided into tow groups: the intervention group and the control group． Patients in the control received ordinary treatment, and those in the intervention experienced fixed follow－up survey through telephone, were given the knowledge handbooks, received the education about depression． Both groups were followed up for 6 months． Dropout rate represents the incompliance．Results:1．Within 6 months, 32 patients were badly compliant, including 11cases in the intervention group (36．7%), 21 in the control (70%)． The two groups had significant differences in the rate of dropout in the 1st（13．2%，36．7%）3rd (20%，50%)and 6th month（36．7%，70%）, 2． Within 1st month, the dropout of the intervention because of no consent degree（3．3%，10．0%）, side effect（3．3%，16．7%）, and no effect about treatment（3．3%，6．7%） w