中西医结合特色护理方案对老年人抑郁症状及生活质量的效果研究

目的:探讨中西医结合护理方案对老年人抑郁症状及生存质量状态的干预效果。方法:采用随机对照,将符合纳入标准的120例患者按随机数字表分为干预组和对照组,脱落2例。对照组采用常规护理方法和认知疗法,干预组在对照组护理方法基础上采用艾灸、太极拳、五行音乐和认知疗法中西医结合护理特色方案。分别于干预前后用老年抑郁量表和生活质量评价量表测评患者抑郁症状和生活质量。结果:干预12 w后,干预组与对照组的GDS评分、老年人抑郁症状的缓解率,生活质量状态中在生理职能、社会功能、精力和精神健康比较有显著差异(P0.05),且干预组效果优于对照组。结论:中西医结合护理方案可有效改善老年人抑郁症状,提高其生存质量,效果优于单纯认知疗法,值得推广使用。

Study on Effects of Integrated Traditional Chinese Medicine and Western Nursing Intervention to Improve Depressive Symptoms and Quality of Life of the Elderly

Objective:To explore the effect of integrated Traditional Chinese Medicine (TCM) & Western nursing intervention on depressive symptoms and quality of life of the elderly.Methods:Randomized controlled trial was adopted,and 120 patients who met inclusion criteria were randomly divided into the control group and the experimental group.The control group received routine nursing methods and cognitive therapy.The experimental group received routine nursing methods as well as integrated TCM & Western nursing intervention,such as moxibustion,shadowboxing,five-element-music and cognitive therapy.The depressive symptoms and quality of life were evaluated by the geriatric depression scale and quality of life evaluation.Results:There were significant differences between two groups in score of GDS and remission rate of depression after the intervention (P ＜ 0.05).After 12 weeks' intervention,there was a significant difference among physiological function,social function,energy and mental health in quality of life (P ＜ 0.05),and the intervention group was better than the control group.Conclusion:Integrated TCM & Western nursing intervention can effectively improve depressive symptoms and quality of life of the elderly,which is worth popularizing.