支持性心理治疗对老年抑郁症患者疗效及生活质量的影响

目的：探讨支持性心理治疗对老年抑郁症患者疗效及生活质量的影响。方法选择门诊老年抑郁症患者106例，采用随机数字表法分为干预组和对照组，每组各53例，两组均采用抗抑郁常规药物治疗，对照组接受常规护理指导，干预组接受支持性心理治疗，治疗时间为8周。治疗前后采用17项汉密尔顿抑郁量表（HAMD）、健康评定量表（SF-36）评定两组疗效及健康相关生活质量。结果干预8周后，干预组患者HAMD总分为（5．3＆#177;2．2）分，对照组为（8．2＆#177;2．8）分，两组比较差异有统计学意义（t＝5．7243，P＜0．01）。干预组治愈率为54．9％，对照组为31．9％，两组比较差异有统计学意义（χ2＝5．2484，P＜0．05）。治疗8周后，干预组SF-36量表各维度得分均高于对照组，其中干预组患者躯体疼痛得分为（13．7＆#177;3．3）分，总体健康得分为（8．5＆#177;1．2）分，社会功能得分为（8．6＆#177;3．3）分，精神健康得分为（5．6＆#177;2．0）分，对照组分别为（6．3＆#177;2．4），（4．3＆#177;0．9），（3．7＆#177;1．0），（3．3＆#177;0．8）分，两组比较差异均有统计学意义（t值分别为12．6035，19．4704，9．7711，7．3578；P＜0．05）。结论支持性心理治疗有利于提高老年抑郁患者的疗效及生活质量。

Effect of supportive psychotherapy on efficacy and quality of life in elderly patients with depression

Objective To study the effect of supportive psychotherapy on efficacy and quality of life in elderly patients with depression .Methods A total of 106 cases of elderly patients with depression were selected and randomly divided into the intervention group and the control group , each with 53 cases.Both groups received conventional antidepressant , and the control group received traditional nursing guidance while the intervention group received supportive psychotherapy for 8 weeks.HAMD and SF-36 were used to evaluate efficacy and quality of life in both groups after treatment .Results After 8 weeks of intervention , the total score of HAMD was（5.3 ＆#177;2.2）in the intervention group and （8.2 ＆#177;2.8）in the control group, and the difference was statistically significant （t=5.724 3,P＆lt;0.01）.The cure rate was 54.9%in the intervention group and 31.9%in the control group, with statistically significant difference （χ2 =5.248 4,P＆lt;0.05）.Scores of all dimensions in SF-36 were also higher in the intervention group than in the control group , in which the score of body pain , general health, social function and mental health was respectively （13.7 ＆#177;3.3）, （8.5 ＆#177;1.2）, （8.6 ＆#177;3.3）, （5.6 ＆#177;2.0）in the intervention group and （6.3 ＆#177;2.4）,（4.3 ＆#177;0.9）,（3.7 ＆#177;1.0）,（3.3 ＆#177;0.8）in the control group, and the differences were statistically significant （t=12.603 5,19.470 4,9.771 1,7.357 8, respectively;P＆lt;0.05）.Conclusions The supportive psychotherapy is helpful to improve the efficacy and quality of life of elderly patients with depression .