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目的探讨对老年抑郁症患者进行社区综合护理干预的效果评价。方法将2013年6月30日~12月31日在浙江省立同德医院覆盖的社区内的门诊随访的老年抑郁症患者96例随机分为干预组和对照组,每组48例,两组均行常规康复治疗、定期家访或电话随访治疗,干预组在此基础上给予综合护理干预,内容包括健康教育、健康生活方式指导等,并在治疗前及第2、4、8周末进行抑郁自评量表和社会功能缺陷量表评定。结果在第4周和第8周结束时,综合护理干预组的抑郁自评量表评分及SDSS评分显著低于对照组(P<0.05)。调查中发现干预组的依从性显著好于对照组(P<0.05)。结论在系统药物治疗的基础上对社区内的老年抑郁症患者进行综合护理干预,可以有效缓解患者的抑郁症状,并可以显著改善患者的社会功能。
Objective To investigate the effect of community integrated nursing intervention on senile depression. Methods Ninety-six elderly patients with depression undergoing outpatient visits in the community covered by Tongde Hospital of Zhejiang Province from June 30, 2013 to December 31, 2013 were randomly divided into intervention group and control group, with 48 cases in each group. Two groups All patients underwent routine rehabilitation, regular home visits or telephone follow-up. The intervention group gave comprehensive nursing intervention on this basis, including health education, guidance of healthy lifestyles and so on. Before and 2, 4 and 8 weeks after treatment, depression Rating Scale and Social Function Defect Rating Scale. Results At the end of the fourth week and the end of the eighth week, the depression self-rating scale and the SDSS score in the comprehensive nursing intervention group were significantly lower than those in the control group (P <0.05). In the survey, the compliance of the intervention group was significantly better than that of the control group (P <0.05). Conclusion Comprehensive nursing intervention on elderly patients with depression based on systemic drug therapy can effectively alleviate the symptoms of depression in patients and can significantly improve the social function of patients.