护理延伸服务模式对抑郁症患者应对方式及生存质量的影响

目的：评价应用护理延伸服务模式对抑郁症患者生存质量及应对方式的影响。方法将60例患者入院时按所居住的社区街道入组，北塘区为观察组，南长区为对照组，每组各30例，两组患者住院期间均给予健康教育、康复训练，出院时予以出院健康指导。观察组患者出院后转入社区康复一体化研究体系持续进行护理延伸服务，并建立服务延伸档案，两组患者均随访12个月，采用简易应对方式评定量表（SCSQ）及世界卫生组织生存质量测定量表简表（WHOQOL-BREF）对患者的应对方式及生存质量进行评定，并统计两组患者复发率。结果两组患者入组时SCSQ评分及生存质量得分比较，差异无统计学意义（P＞0．05）。随访12个月后，观察组患者SCSQ评分中积极应对因子得分（1．79±0．37）高于对照组（1．25±0．42）分，消极应对因子得分（1．38±0．35）低于对照组（1．69±0．38）分，两组比较差异有统计学意义（t值分别为3．53，3．16；P＜0．01）。观察组患者WHOQOL-BREF量表生理领域、心理领域、社会关系及环境领域维度得分分别为（67．58±5．76），（75．57±5．32），（57．48±6．06），（62．26±6．23）分，明显高于对照组（64．52±7．51），（68．61±6．43），（53．59±6．12），（59．35±7．27）分，两组比较差异有统计学意义（t值分别为2．88，3．67，2．78，2．36；P＜0．01）。出院12个月末观察组复发3例，复发率为10．7％；对照组复发13例，复发率为43．3％，观察组复发率明显低于对照组，两组比较差异有统计学意义（χ2＝7．714，P＜0．01）。结论护理延伸服务模式有利于改善患者应对方式，降低复发率，提高生存质量。

Effect of the extended nursing services model on coping style and life quality of patients with depression

Objective To explore the effect of the extended nursing services model on coping style and life quality of patients with depression .Methods Sixty patients were admitted by the community street living into the group, the patients in Beitang district were assigned to the observation group （n=30）, and the patients in Nanchang district were assigned to the control group （ n=30 ） .The patients received health education and rehabilitation during hospitalization , health guidance in the discharge , and were followed up for 12 months.The patients in the observation group were transferred to the research system on the integration of community -based rehabilitation , were given the extended nursing services , and were established the service extension file .The coping style and life quality of patients were assessed by the simplified coping style assessment scale （ SCSQ ） and WHO quality of life BREF （ WHOQOL-BREF ） , and the relapse rate was analyzed between two groups . Results No significant differences were found in the scores of SCSQ and the life quality before intervention （P〉0.05）.The scores of positive and negative response factors were respectively （ 1.79 ±0.37 ）, （1.38 ±0.35） in the observation group 12 months after follow-up, and were respectively （1.25 ±0.42）, （1.69 ±0.38） in the control group, and the differences were statistically significant （ t =3.53, 3.16, respectively;P 〈0.01）.The scores of physical, psychological, social relations and environmental fields in WHOQOL-BREF scale were respectively （67.58 ±5.76）, （75.57 ±5.32）, （57.48 ±6.06）, （62.26 ± 6.23） in the observation group12 months after follow-up, and were significantly higher than （64.52 ±7.51）, （68.61 ±6.43）, （53.59 ±6.12）, （59.35 ±7.27） in the control group, and the differences were statistically＆nbsp;significant （t=2.88, 3.67, 2.78, 2.36, respectively;P〈0.01）.The relapse rate was 10.7%（3 cases） in the observation group 12 months after follow-up, and was 43.3% （13 cases） in the control group, and the difference was statistically significant （χ2 =7.714, P〈0.01）.Conclusions The extended nursing services model is helpful to improve the patients ’ coping style , reduce the relapse rate and increase the quality of life .