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目的:探讨标准化自我管理干预模式对抑郁症患者的疗效、服药依从性、生活质量的影响。方法:选择广州市精神病医院2012年1月~2012年3月住院的抑郁症患者200例进行研究,按随机数字表法分为研究组和对照组,各组为100例,对照组按照常规对患者进行药物治疗,观察组采用标准化自我管理干预模式进行干预,采HAMD、HAMA和CGI-SI评量表评估两组患者干预前和干预后的疗效。结果:与对照组对比,观察组干预后1个月、干预后6个月、干预后1年HAMA评分明显更低;与干预前对比,两组干预后1个月、干预后6个月、干预后1年HAMA评分明显降低,P<0.05。与对照组对比,观察组干预后1个月、干预后6个月、干预后1年HAMD评分明显更低;与干预前对比,两组干预后1个月、干预后6个月、干预后1年HAMD评分明显降低,P<0.05。与对照组对比,观察组干预后1个月、干预后6个月、干预后1年CGI-SI评分明显更低;与干预前对比,两组干预后1个月、干预后6个月、干预后1年CGI-SI评分明显降低,P<0.05。结论:抑郁症标准化自我管理干预模式临床效果显著,能够有效地改善患者的不良心理状态,值得临床广泛应用以及推广。
Objective: To explore the effect of standardized self-management intervention on the efficacy, medication compliance and quality of life of patients with depression. Methods: 200 patients with depression who were hospitalized in Guangzhou Psychiatric Hospital from January 2012 to March 2012 were selected and divided into study group and control group according to random number table. Each group had 100 cases. In the control group, The patients were treated with drugs. The observation group were intervened by standardized self-management intervention. HAMD, HAMA and CGI-SI were used to evaluate the effect of pre-intervention and post-intervention. Results: Compared with the control group, the HAMA scores of the observation group at 1 month after intervention, 6 months after intervention and 1 year after intervention were significantly lower; compared with those before the intervention, 1 month after the intervention, 6 months after the intervention, One year after intervention, the HAMA score decreased significantly (P <0.05). Compared with the control group, the observation group 1 month after intervention, 6 months after intervention, 1 year after intervention HAMD score was significantly lower; compared with pre-intervention, one month after intervention, two months after intervention, six months after intervention 1 year HAMD score was significantly lower, P <0.05. Compared with the control group, the CGI-SI score of the observation group was significantly lower at 1 month after intervention, 6 months after intervention and 1 year after intervention. Compared with the pre-intervention, the scores of CGI-SI in 1 month after intervention, 6 months after intervention, One year after intervention, the CGI-SI score was significantly lower (P <0.05). Conclusion: The standardized self-management intervention model of depression has significant clinical effect, which can effectively improve the patients’ bad psychological state, which is worthy of widespread clinical application and promotion.