心理干预对老年抑郁症患者治疗依从性及社会功能的影响

来源 :国际精神病学杂志 | 被引量 : 0次 | 上传用户:guo4502332
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目的探讨心理干预对老年抑郁症患者治疗依从性及社会功能的影响。方法选取在我院接受抗抑郁治疗的老年抑郁症患者88例,随机分为对照组(n=44)和观察组(n=44),给予对照组常规的护理干预措施,观察组在常规的基础上实施心理干预措施。对两组患者干预前和干预6个月后汉密顿抑郁量表(HAMD)及抑郁自评量表(SDS)、社会功能缺陷筛选量表(SDSS)的评分和治疗依从性进行比较。结果干预前,两组患者的HAMD、SDS及SDSS评分均无显著性差异(P>0.05),干预后6个月后,两组患者上述量表的评分有了明显降低,且观察组的量表评分低于对照组,上述差异均有统计学意义(P<0.05);干预措施后评估对照组的治疗依从率为77.27%,而观察组的治疗依从率则为95.45%,明显高于对照组(P<0.05)。结论在常规护理干预措施的基础上增加心理干预,可以更有效的提高患者的依从性和社会功能,值得临床上推广应用。 Objective To explore the effect of psychological intervention on treatment compliance and social function in elderly patients with depression. Methods Eighty-eight elderly patients with depression who were treated with antidepressant in our hospital were randomly divided into control group (n = 44) and observation group (n = 44), and the control group received routine nursing interventions. Based on the implementation of psychological interventions. HAMD, SDS, SDSS score and treatment compliance were compared before and after intervention for both groups. Results Before intervention, there was no significant difference in HAMD, SDS and SDSS scores between the two groups (P> 0.05). After six months, the scores of the above two scales were significantly decreased, and the scores of the observation group The difference was statistically significant (P <0.05). After the intervention, the treatment compliance rate of the control group was 77.27%, while that of the observation group was 95.45%, which was significantly higher than that of the control group Group (P <0.05). Conclusion Adding psychological intervention based on routine nursing interventions can improve the compliance and social function of patients more effectively and is worth popularizing and applying in clinic.
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