延续性动机性访谈对老年抑郁症患者出院后生活质量的影响

Effect of quality of life in old patients with Depression accepted with continue to motivated interview after discharge

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

广西脑科医院 ;
广西脑科医院 ;

摘要
【摘要】目的:探讨延续性动机性访谈对老年抑郁症患者出院后用药依从性和生活质量的影响。方法:选取2014年1月~2016年10月我院收治的80例老年抑郁症患者作为研究对象,并随机分为对照组和研究组各40例。对照组患者给予常规的出院护理干预,而研究组患者则在对照组的基础上实施以动机性访谈为基础的护理干预。比较两组患者干预前后的用药依从性,并于干预前后对患者进行汉密尔顿抑郁量表(HAMD)、匹兹堡失眠质量指数(PSQI)以及生活质量评分。结果:研究组患者干预后依从性佳的比率为85.00%,显著高于对照组的45.00%,两组间差异有统计学意义(P<0.05);研究组患者干预后的HAMD评分和PSQI评分分别为(10.21±3.08)分和(5.68±1.43)分,均显著低于对照组的(15.37±2.86)分和(8.59±2.37)分,两组间差异有统计学意义(P<0.05);研究组患者干预后的生理功能、生理职能、躯体疼痛、总体健康、社会功能、活力、情感职能和精神健康共8个维度的评分均高于对照组的,两组间差异有统计学意义(P<0.05)。结论:延续性动机性访可有效提高出院后老年抑郁症患者的用药依从性,改善患者的临床症状,提高患者的生活生活质量,值得应用于临床。
Abstract
[Abstract]Objective:To discuss the effect of quality of life in old patients with Depressive accepted with continue to motivated interview after discharge.Methods:80 old patients with depression were randomly selected and divided into 40 paitents of them accepted with conventional nursing after discharge were taken as control group,while the other 40 patients of them acecepted with continue to motivated interview after discharge were taken as research group.Compared the medication compliance with two group before and after interventions.scores of hamilton depression scale(HAMD),pittsburgh sleep quality index(PSQI) and quality of life were graded before and after interventions.Results:The rate of good medication compliance was 85.00% in research group after interventions,which was higher than that in control group,differences between two group were statistically significant(P<0.05).The scores of HAMD and PSQI were (10.21±3.08) and (5.68±1.43) in research group after interventions,which were lower than that in control group,differences between two group were statistically significant(P<0.05).The hysiological function, physiological function, body pain, general health, social function, dynamic, emotional functions and mental health eight dimensions of life quality scores of research group after interventions were also higher than that in control group, differences were statistically significant(P<0.05).Conclusions:Old patients with depression in acception with continue to motivated interview after discharge can enhance the medication compliance,improve the clinical symtoms and quality of life,which is worthy of clinical use.
关键词
【关键词】动机性访谈;抑郁症;用药依从性;生活质量
KeyWord
[Keywords]Continue to motivated interview;Depression;Medication compliance;Quality of life
基金项目
页码 128-131
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兰春玲*,陈献宵, 黄彩宜,韦丹. 延续性动机性访谈对老年抑郁症患者出院后生活质量的影响 [J]. 国际精神病学杂志. 2017; 44; (1). 128 - 131.

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