时效激励护理结合认知干预对抑郁症患者的心理弹性水平、社会支持及生活质量的影响
| 作者: |
1李金红,
2尹利
1 首都医科大学附属北京安定医院抑郁症治疗中心，北京 100088 2 首都医科大学附属北京安定医院护理部，北京 100088 |
| 通讯: |
尹利
Email: youdoyes@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2020.06.026 |
摘要
目的：探讨时效激励护理结合认知干预对抑郁症患者心理弹性水平、社会支持及生活质量的影响，为临床诊疗提供参考依据。方法：选取2017年6月至2019年1月接受治疗的86例抑郁症患者进行研究。采用随机数表分组法将其分为观察组和对照组，每组43例。对照组行常规护理，观察组行时效激励护理结合认知干预。比较护理前、护理后2周患者心理弹性水平、社会支持、简易生活质量量表(Simple Quality of Life Scale-36，SF-36)及汉密尔顿抑郁量表(Hamilton Depression Scale，HAMD)评分变化。结果：护理后，观察组的坚韧性、力量、客观性以及总分等评分均高于对照组，差异有统计学意义(P<0.05)。护理后，两组主观支持、对支持的利用度及支持总分均明显升高(P<0.05)，且观察组以上评分均明显高于对照组，差异有统计学意义(P<0.05)。护理后，两组生理职能、生理功能、躯体疼痛、总体健康、社会功能、情感职能、精神健康以及活力等评分均升高，且观察组明显高于对照组，差异有统计学意义(P<0.05)。护理后，观察组HAMD评分明显低于对照组，差异有统计学意义(P<0.05)。结论：时效激励护理结合认知干预可有效改善抑郁症患者心理弹性水平，降低患者抑郁程度，提高其社会支持力量，有助于提高患者生活质量，值得临床推广使用。
关键词：
抑郁症；时效激励；认知干预；心理弹性；社会支持；生活质量
Effect of time-limited incentive nursing combined with cognitive intervention on resilience level, social support and quality of life in patients with depression
CorrespondingAuthor: YIN Li Email: youdoyes@126.com
DOI: 10.3978/j.issn.2095-6959.2020.06.026
Abstract
Objective: To explore the effects of time-limited incentive nursing combined with cognitive intervention on resilience, social support and quality of life of depressive patients, and to provide reference for clinical diagnosis and treatment. Methods: Eighty-six cases patients with depression who received treatment from June 2017 to January 2019 were selected for the study. Simple random grouping method was used and divided into an observation group and a control group, 43 cases in each group. The control group was given routine nursing, while the observation group was given time-limited incentive nursing combined with cognitive intervention. Changes in resilience, social support, Simple Quality of Life Scale-36 (SF-36) and Hamilton Depression Scale (HAMD) scores were compared before and after 2 weeks. Results: After nursing, the scores of toughness, strength, objectivity and total score of the observation group were higher than those of the control group, and the difference was statistically significant (P<0.05). After nursing, the subjective support, the utilization of support and the total score of support in the two groups were significantly increased (P<0.05), and the above scores in the observation group were significantly higher than those in the control group, the difference was statistically significant (P<0.05). After nursing, the scores of physiological function, physiological function, body pain, general health, social function, emotional function, mental health and vitality of the two groups were all increased, and the observation group was significantly higher than the control group, the difference was statistically significant (P<0.05). After the nursing, the HAMD score of the observation group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: Time-based incentive care combined with cognitive intervention can effectively improve the level of psychological resilience of patients with depression, reduce the degree of depression, improve their social support, and help improve the quality of life of patients, which is worthy of clinical promotion.
Keywords：
depression; time-limited incentive; cognitive intervention; psychological resilience level; social support; quality of life