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健康教育与心理干预在女性更年期抑郁患者临床治疗中的应用价值 被引量:11

Application value of health education and psychological intervention in clinical treatment of female patients with menopausal depression
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摘要 目的研究健康教育与心理干预在女性更年期抑郁患者治疗中的应用价值。方法选取2012年7月1日-2014年12月31日来延安大学附属医院进行治疗的女性更年期抑郁患者156例,采用Zung抑郁自评量表(SDS),将156例患者随机分为健康教育组52例,健康教育+心理干预组52例,对照组52例。在日常治疗的同时合并为期4个月健康教育以及健康教育+心理干预,分别于治疗前、治疗后进行抑郁自评量表及代谢控制水平评价。结果 (1)健康教育组SDS评分平均为(44.3±3.4)分,日常治疗组的SDS评分评均为(52.1±4.4)分。两者相比,健康教育组较日常治疗组女性更年期患者抑郁指数均显著下降(P<0.05)。(2)健康教育加心理干预+日常治疗SDS评分平均为(40.1±3.2)分,较健康教育+日常治疗以及日常治疗相比,女性更年期患者抑郁患者的抑郁指数更为显著下降,差异有统计学意义(P<0.05)。结论健康教育与心理干预较日常治疗能显著改善女性更年期抑郁患者的抑郁指数,提高患者的生活质量。因此,在女性更年期抑郁患者治疗中应重视健康教育与心理干预。 Objective To research the application value of health education and psychological intervention in treatment of female patients with menopausal depression.Methods A total of 156 female patients with menopausal depression treated in the hospital from July 1st,2012 to December 31 st,2014 were selected and divided into health education group,health education+psychological intervention group,and control group according to Zung Self-Rating Depression Scale (SDS),52 female patients in each group,the female patients in the three groups were treated by health education,health education combined with psychological intervention,and conventional treatment for four months,respectively.SDS scores and metabolic control levels before and after treatment in the three groups were evaluated.Results The average SDS scores in health education group and control group were (44.3 &#177; 3.4) and (52.1 &#177; 4.4),respectively.Depression index in health education group was statistically significantly lower than that in control group (P〈0.05).The average SDS score in health education+psychological intervention group was (40.1-&#177;3.2).Depression index in health education+psychological intervention group was statistically significantly lower than those in the other two groups (P〈0.05).Conclusion Compared with conventional treatment,health education and psychological intervention can significantly improve depression index and life quality of female patients with menopausal depression.Therefore,health education and psychological intervention should be emphasized in treatment of female patients with menopausal depression.
作者 郭改艳 贾蕾 GUO Gai-Yan;JIA Lei(Affiliated Hospital of Yan'an University, Yan'an, Shaanxi 716000, China)
出处 《中国妇幼保健》 CAS 2017年第24期6085-6086,共2页 Maternal and Child Health Care of China
关键词 健康教育 心理干预 更年期女性 抑郁症 应用价值 Health education Psychological intervention Menopausal woman Depression Application value
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