心理护理配合康复训练对首发抑郁症患者康复的影响.pdfVIP

心理护理配合康复训练对首发抑郁症患者康复的影响

目的探讨心理护理及康复训练对首发抑郁症患者的影响。方法将住院首发抑

郁症患者80例随机分为对照组40例和研究组40例，分别用常规药物治疗和护

理，且对研究组配合心理护理及康复训练。并分别于治疗前及住院4周后用汉密

尔顿抑郁量表(HAMD-24)及生活质量综合评定问卷(GQOLI-74)进行评定。结果

入组后两组患者汉密尔顿抑郁量表和生活质量综合评定问卷评分比较差异均无

统计学意义(P0.05)，心理护理及康复训练4周后研究组患者生活质量综合评定

问卷的躯体、心理及社会功能维度评分与对照组比较改善明显，差异有统计学意

义(P＜0.05)。结论心理护理合并康复训练不仅能提高患者疗效，而且能明显改善

患者生活质量。

[Abstract]ObjectiveDiscussionontheeffectsofpsychologicalnursingcareand

rehabilitationtrainingonpatientswithfirst-episodedepression.Methods80patients

withfirst-episodedepressionweredividedintotwogroupsrandomly:thetreatment

group(40patients)andthecontrolgroup(40patients).Eachofthetwogroupstook

conventionaldrugtreatmentandcare,thetreatmentgroupcombinedwith

psychologicalnursingcareandrehabilitationtraining.UsingtheHamiltonDepression

RatingScale(HAMD-24)andthecomprehensiveevaluationofqualityoflife

questionnaire(GQOLI-74)assessmentbeforetreatmentandhospitalizationafter4

weeks.ResultsTothepatientsoftwogroups,thescoresdifferencesofHamilton

depressionscaleandthecomprehensiveevaluationofqualityoflifequestionnaire

werenotstatisticallysignificant(P0.05),butforthepatientsofthestudygroupwith

psychologicalcareandrehabilitationtrainingafter4weeks,thescoresofthe

comprehensiveevaluationofqualityoflifequestionnairewithphysical,psychological

andsocialfunctionofdimensioncomparedwithcontrolgroupsimproved

significantly,differencesarestatisticallysignificant(P＜0.05).ConclusionEffectof

psychologicalnursingcombinedwithrehabilitationtrainingwillnotonlyimprove

patients,butalsocansignificantlyimprovequalityoflifeofpatients.

[Keywords]First-episodedepression;Psychologicalnursing;Rehabilitation

training

抑郁症是一种心境或情绪低落、兴趣缺失以及乐趣丧失的综合征［1］，常表

现少语、少动、无愉快感，焦虑、自责自罪，甚至有自杀自伤行为。近年来，因

学习、生活、就业等压力的增大，