干预性心理护理对抑郁症患者治疗依从性和复发率影响.docVIP

干预性心理护理对抑郁症患者治疗依从性和复发率影响 　　[摘要]目的 探?干预性心理护理对抑郁症患者治疗依从性和复发率的影响。方法 选择2014年1～12月在我院住院治疗首次发病的抑郁症患者80例，使用简单随机化的方法分为观察组和对照组，每组40例。两组患者均给予常规抗抑郁治疗和护理，观察组在此基础上再给予干预性心理护理。干预3个月，比较两组患者的治疗依从性和2年后随访的汉密顿抑郁量表（HAMD）评分及复发率。结果 干预3个月后，与对照组比较，观察组患者治疗依从性良好，差异有统计学意义（P0.05），干预3个月后，观察组患者HAMD评分明显低于对照组，差异有统计学意义（P0.05），2年后随访，观察组患者疾病复发率明显低于对照组，差异有统计学意义（P0.05）。结论 对抑郁症患者施以心理认知治疗、精神分析疗法、健康活动支持和家庭社会精神支持等干预性心理护理，能提高了患者治疗依从性，降低患者的HAMD评分和疾病复发率。干预性心理护理对抑郁症患者的治疗和康复起到了积极的作用，值得临床推广应用。 　　[关键词]抑郁症；干预性心理护理；治疗依从性；HAMD评分；复发率 　　[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721（2018）3（b）-0179-03 　　Effect of interventional psychological nursing on treatment compliance and relapse rate in patients with depression 　　CONG Su-lan 　　Department of Psychology，Yingkou Psychiatric Hospital，Liaoning Province，Yingkou 115003，China 　　[Abstract]Objective To investigate the effect of interventional psychological care on the treatment compliance and relapse rate in patients with depression.Methods 80 patients with first-episode depression who were admitted to our hospital from January to December 2014 were randomly selected.They were evenly divided into observation group and control group.After admission，both groups were given conventional antidepressant treatment and nursing.In the observation group，besides the previous treatment，interventional psychological nursing was added.After 3-month intervention，the treatment compliance，the Hamilton depression scale （HAMD） score，and recurrence rate after 2-year follow up visits were compared between the two groups.Results After 3 months of intervention，the compliance of the observation group was better than that of the control group with a statistical difference（P0.05）.After 3-month intervention，the HAMD score of the observation group was significantly lower than that of the control group which differed significantly（P 　　[Key words]Depression；Interventional psychological care；Treatment compliance；HAMD score；Recurrence rate 　　随着社会和经济的发展，人们社会生活的压力也越来越大，抑郁症患病率也越来越高，抑郁症患者社会功能丧失增加了社会负担，据统