摘要
目的探讨心理护理改善老年抑郁症患者生活质量的效果。方法将140例老年抑郁症患者随机分为研究组和对照组,研究组患者接受有针对性的心理护理干预,对照组患者仅接受一般常规护理,共干预8周。入组患者在基线及干预后第2、4、6、8周末以汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)、生活质量综合评定问卷(Generic Quality of Life Inventory,GQOLI)以评定疗效。结果与基线相比,研究组患者的HAMD评分在第2周末即有显著性降低,差异有显著性意义(P<0.05)。在干预后的第2、4、6、8周末,研究组患者的HAMD评分均低于对照组,且差异均有显著性(P<0.05)。与基线相比,研究组和对照组患者的GQOLI总分在第8周末均有显著性降低,差异有显著性意义(P<0.05)。在干预后的第8周末,研究组患者的GQOLI总分及各因子分均低于对照组,且差异均有显著性(P<0.05)。结论心理护理能明显改善老年抑郁症患者的抑郁症状及生活质量。
Objective To explore the efficacy of psychological nursing on improving depressive symptoms and quality of life in patients with late-life depression. Methods A total of 140 patients with late-life depression were randomized into study group （70 cases） treated with psychological nursing plus usual nursing and control group （70 cases） treated with usual nursing for 8 weeks. They were assessed with Hamilton Depression Scale （HAMD） and Generic Quality of Life Inventory （GQOLI） at baseline and the 2nd, 4th, 6th and 8th weekend of intervention. Results Compared with the baseline, score of HAMD in study group decreased significantly at the 2nd weekend （P 〈 0.05）. Scores of HAMD in study group were significandy lower than those in control group at the 2nd, 4th, 6th and 8th weekend of intervention （P 〈 0.05 ）. Total scores of GQOLI in study group and control group at the 8th weekend were both significantly lower than those at baseline （P 〈 0.05 ）. Total score and factor scores of GQOLI in study group were significantly lower than those in control group at the 8th weekend of the intervention （ P 〈 0.05 ）. Conclusion Psychological nursing can improve depressive symptoms and quality of life in patients with late-life depression.
出处
《精神医学杂志》
2012年第5期343-345,共3页
Journal of Psychiatry
关键词
老年
抑郁症
心理护理
生活质量
Late-life Depression Psychological nursing Quality of life
