家庭心理护理对抑郁症患者应对方式和防御方式的影响

目的探讨针对家庭结构的心理护理对抑郁症患者应对方式和防御方式的影响。方法选择124例住院治疗的抑郁症患者,按入院时间顺序入组,分为研究组和对照组各62例。研究组采用针对家庭结构的心理护理,对照组采用抑郁症常规护理。两组分别在第0、12、24周对患者进行汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA),简易应对方式问卷(SCSQ)、防御方式问卷(DSQ)评定。结果在入组第12、24周,研究组的HAMD、HAMA评分、SCSQ积极应对分、消极应对和不成熟型因子分评分与入组时比较差异均有统计学意义(P<0.01),和对照组比较差异均有统计学意义(P<0.05);HAMD减分数与消极应对和不成熟型因子分呈正相关(P<0.05),与积极应对呈负相关(P<0.05);HAMA与消极应对呈正相关关系。结论针对家庭结构的心理护理可以改善抑郁症患者应对方式、防御方式,促进患者抑郁症状的好转。

Influence of psychological care in family structure on coping style and defense style of patients with depression

Objective To explore the influence of psychological care in family structure on coping style and defense style of patients with depression. Methods One hundred and twenty-four hospitalized patients with depression were divided into the study group and the control group by the admission time. The study group was treated by the psychological care in family structure, and the control group received routine care of depression. The Hamilton Depression Rating Scale （HAMD）, Hamilton Anxiety Scale （HAMA）, Simplified Coping Style Questionnaire （SCSQ） and the Defense Style Questionnaire （DSQ） were assessed in the 0 th , 12 th and 24 th week. Results In the 12 th and 24 th week, the differences of HAMD, HAMA, actively coping, negative coping of SCSQ and immature factor scores were statistically significant between before and after nursing and between the study group and the control group （P0.01）. There was positive correlation between HAMD reduction scores and negative coping of SCSQ and immature factor scores （P0.05）. There was negative correlation between HAMD reduction scores and actively coping （P0.05）. There was positive correlation between HAMA reduction scores and negative coping （P0.05）. Conclusion Psychological care in family structure can relieve depression and anxiety, and improve coping style and defense style in patients with depression.