摘要
目的探讨干预对老年血管性痴呆(VaD)并抑郁障碍患者家庭亲密度与适应性的影响。方法收集2007年1月至2013年12月我院门诊和住院的老年VaD并抑郁障碍患者170例,针对其老年血管性痴呆并抑郁障碍给予干预(分级治疗和护理),采用家庭亲密度和适应性量表中文版(FACESⅡ-CV)调查其干预前后的亲密度(实际亲密度、理想亲密度及不满意程度)与适应性(实际适应性、理想适应性及不满意程度),同时采用汉密尔顿抑郁量表(HAMD)调查干预前后的抑郁情况。结果全组干预后的实际亲密度、理想亲密度及不满意程度评分均低于干预前,而实际适应性、理想适应性及不满意程度的评分亦低于干预前(P<0.05);与干预前相比,重度抑郁率减少,轻度抑郁率增多,且HAMD评分降低,以上差异均有统计学意义(P<0.05)。结论针对老年血管性痴呆并抑郁障碍患者给予对应干预措施,可提高其家庭亲密度与适应性并降低抑郁情况,可在临床治疗和护理中进行推广。
Objective To explore the influence of intervention targeting vascular dementia（VaD）and depressive disorders in elderly on family cohesion and adaptability.Methods 170 elderly patients with VaD and depressive disorders admitted to the clinic or inpatient department from January 2007 to December 2013 were enrolled in this study.The intervention of grading treatment and care was undertaken for their VaD and depressive disorders.The family cohesion and adaptability scale Chinese version（FACES Ⅱ-CV）was employed to investigate intimacy（actual intimacy,intimacy and the ideal level of dissatisfaction）and adaptive（actual adaptability,ideal adaptability and dissatisfaction）.Meanwhile,the Hamilton Depression Scale（HAMD） was used to evaluate the depression before and after intervention.Results The scores of family cohesion and adaptability were lower after intervention versus before intervention with significant differences（P〈0.05）.Compared with depression before intervention,the rate of severe depression decreased and rate of mild depression increased with the reduction of HAMD score after intervention.Conclusion Patients with VaD and depressive disorders could not be understood by most families.However,satisfactory effects were obtained after the health education and grading treatment according to different family type.
出处
《中国医药指南》
2015年第5期39-41,共3页
Guide of China Medicine
关键词
老年血管性痴呆
抑郁障碍
家庭亲密度和适应性
疗效
Vascular dementia
Depressive disorders
Family cohesion and adaptability
Clinical effect
