综合护理对抑郁症伴焦虑患者情绪恢复的影响

Comprehensive care for depression in patients with anxiety emotional recovery

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(4)
作者
作者单位

汉中市中心医院神经内科 ;

摘要
摘要:目的:研究探讨综合护理对抑郁症伴焦虑患者情绪恢复的影响。方法:收集2012年3月至2014年3月于我科住院治疗的符合入组标准抑郁症伴焦虑患者共80例,随机分为观察组与对照组,每组各40例,对照组在常规药物治疗的基础上,采用常规护理,观察组在常规药物治疗的基础上采用综合护理干预,包括采用个别心理护理、集体心理护理、认知干预、行为干预、快乐因子疗法等,6周后对比两组患者治疗前后的汉密尔顿抑郁量表评分(HAMD)、焦虑量表评分(HAMA)、临床总评定量表之疾病严重程度评分(CGI-SI)。结果:干预后观察组HAMD评分为2.2±1.2,对照组HAMD评分为9.1±3.4,观察组显著低于对照组,差异有统计学意义(P<0.01)。干预后观察组HAMA评分为2.8±1.4,对照组HAMA评分为6.9±2.1,观察组显著低于对照组,差异有统计学意义(P<0.01)。干预后观察组CGI-SI评分为1.0±0.8,对照组CGI-SI评分为2.6±1.7,观察组显著低于对照组,差异有统计学意义(P<0.01)。结论:在常规治疗和护理的基础上,采用综合护理方法干预,能显著改善抑郁症患者的抑郁及焦虑情绪,提高患者生活质量,有利于患者回归家庭和社会,值得临床推广运用。
Abstract
Abstract: Objective: To investigate the integrated care for depression in patients with anxiety and emotional recovery. Methods: March 2012 to March 2014 in our hospital treatment met the inclusion criteria depression with anxiety total of 80 patients were randomly divided into observation group and control group with 40 patients in the control group with conventional Drug treatment and routine care, the observation group in the control group based on the use of individual psychological care, collective psychological care, cognitive intervention, behavioral intervention, comprehensive nursing interventions such happiness factor therapy, compared two groups of patients before and after 6 weeks Hamilton depression Rating scale (HAMD), anxiety Rating scale (HAMA), total clinical rating scale of disease severity score (CGI-SI). Results: After the intervention in the observation group HAMD score was 2.2 ± 1.2, control group HAMD score was 9.1 ± 3.4, compare with the control group ,the observation group was significantly lower , there was a significant statistically difference between them (P <0.01). After the intervention group was observed HAMA score was 2.8 ± 1.4, control group HAMA score was 6.9 ± 2.1, compared with the control group ,the observation group was significantly lower , there was a significant statistically difference between them (P <0.01). After the intervention group was observed CGI-SI score was 1.0 ± 0.8, control group CGI-SI score was 2.6 ± 1.7, compared with the control group ,the observation group was significantly lower , there was a significant statistically difference between them (P <0.01). Conclusion: On the basis of conventional treatment and care, using an integrated nursing intervention can significantly improve depression in patients with depression and anxiety, improve quality of life, help patients return to the family and society, is worthy of clinical use.
关键词
关键词:综合护理;抑郁症;焦虑情绪
KeyWord
Keywords: integrated care; depression; anxiety
基金项目
页码 682-684
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杨艳*. 综合护理对抑郁症伴焦虑患者情绪恢复的影响 [J]. 国际精神病学杂志. 2016; 43; (4). 682 - 684.

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