护理干预对住院抑郁症患者生活质量的影响研究

目的 探讨护理干预对住院抑郁患者生活质量的影响.方法 将住院的抑郁患者80例,随机分为干预组与对照组各40例.干预组进行为期8周的支持性护理干预,干预结束后,采用抑郁自评量表(SDS)、简易应对方式问卷(SCSQ)和健康调查问卷(SF-36)调查两组病人8周时的抑郁状态、应对方式和生活质量.结果 干预组病人干预8周后SDS分数显著低于对照组(P＜0.05);干预组病人干预8周后SDS分数低于干预前(入院时),比较有统计学意义(P＜0.05).干预组的SCSQ在干预8周后积极应对得分高于对照组(P＜0.05),消极得分与对照组差异无统计学意义(P＞0.05).干预组在干预8周时PF、SF、BP、MH四个维度得分高于对照组,差异有统计学意义(P＜0.05).干预组干预8周后PF、RE、SF、BP、MH和GH六个维度得分高于干预前(入院时),差异有统计学意义(P＜0.05).结论 对抑郁症患者给予支持性护理干预能减轻病人的抑郁症状,提高其心理社会方面的生活质量,对病人进行支持性的护理干预具有重要意义.

The influence of nursing intervention on the quality of life of depressed inpatients

Objective To study the influence of nursing intervention on the quality of life of depressed inpatients. Methods A total of 80 depressed inpatients were divided into intervention group and control group, each of 40 cases. Intervention group was received nursing intervention, while control group was received conventional care only, all patients were treated with antidepressant. Both two groups patients were assessed with SDS, SCSQ and SF - 36 at baseline, 8 - week. Results After 8 week intervention, the SDS scores of intervention group were lower than those of control group and before intervention (P ＜0. 05) . In the way of coping of intervention group, the scores of positive style were higher than those of control group in 8 - week (P ＜ 0.05 ) . The SF - 36 of intervention group, the scores of PF, SF,BP, MH were higher than those of control group in 8 - week ( P ＜ 0.05); the scores of PF, RE, SF, BP, MH, GH were higher than before intervention in 8 - week ( P ＜ 0. 05 ) . Conclusions The depressed in patients have an obvious low level of QOL, but they are able to be improved significantly with nursing intervention while they are treated with antidepressant.