摘要
目的:观察基于希望理论的康复护理在抑郁症患者中的应用效果。方法:选取2021年2月至2022年5月该院收治的156例抑郁症患者进行前瞻性研究,根据随机数字表法将其分为研究组(n=78)和对照组(n=78)。对照组给予常规护理,研究组在对照组基础上给予基于希望理论的康复护理,比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、心理弹性[心理弹性量表(CD-RISC)]、自我效能[自我效能感量表(GSES)]、应对方式[简易应对方式问卷(SCSQ)]和生活质量[诺丁汉健康调查表(NHP)]评分。结果:护理后,两组SAS、SDS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组CDRISC、GSES评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组积极应对评分均高于护理前,且研究组高于对照组,两组消极应对评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组睡眠、躯体活动、社会隔离、精力等NHP评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上给予基于希望理论的康复护理可提高抑郁症患者心理弹性和自我效能评分,改善应对方式评分,降低负性情绪和生活质量评分,其效果优于单纯常规护理。
Objective:To observe application effects of rehabilitation nursing based on hope theory in patients with depression.Methods:A prospective study was conducted on 156 patients with depression admitted to the hospital from February 2021 to May 2022.According to the random number table method,they were divided into study group(n=78) and control group(n=78).The control group was given routine nursing,while the study group was given the rehabilitation nursing based on hope theory on the basis of that of the control group.The scores of negative emotions [self-rating anxiety scale(SAS),self-rating depression scale(SDS)],psychological resilience [Connor-Davidson resilience scale(CDRISC)],self-efficacy [general self-efficacy scale(GSES)],coping style [simple coping style questionnaire(SCSQ)] and quality of life [Nottingham health profile(NHP)] were compared between the two groups before and after the nursing.Results:After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The CD-RISC and GSES scores of the two groups were higher than those before the nursing,those of the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The positive coping scores of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;the negative coping scores of the two groups were lower than those before the nursing,and that in the study group was lower than that in the control group;and the difference was statistically significant(P<0.05).Further,the NHP scores of sleep,physical activity,social isolation and vitality in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the rehabilitation nursing based on hope theory can improve the psychological resilience and selfefficacy scores of the patients with depression,improve the coping style scores,and reduce the negative emotion scores and the quality of life scores.Moreover,it is superior to single routine nursing.
作者
何璐
HE Lu(Second Department of Psychosomatic Medicine of the Second Affiliated Hospital of Xinxiang Medical College,Xinxiang 453002 Henan,China)
出处
《中国民康医学》
2024年第13期186-189,共4页
Medical Journal of Chinese People’s Health
关键词
抑郁症
希望理论
护理
负性情绪
应对方式
自我效能
心理弹性
Depression
Hope theory
Nursing
Negative emotion
Coping style
Self-efficacy
Psychological resilience
