家庭协同护理模式在首发抑郁症患者家庭适应性和症状管理中的应用
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摘要
目的探究家庭协同护理模式在首发抑郁症患者家庭适应性和症状管理中的应用。方法选取于2016年1月到2017年5月来我院就诊的首发抑郁症患者共120例,利用随机数表的方法将所有患者分为两组,分别为对照组和试验组,每组各60例。对照组采用常规护理模式,试验组采用家庭协同护理模式,比较两组患者治疗前后家庭亲密度和适应性量表(FACESⅡ-CV)及汉密尔顿抑郁量表(HAMD)评分情况。结果两组患者护理干预前实际适应性得分差异无统计学意义(p>0.05),护理干预后试验组得分显著高于对照组,差异具有统计学意义(p<0.05)。两组患者护理干预前HAMD得分差异无统计学意义(p>0.05),干预后HAMD-17得分均出现下降,差异具有统计学意义(p<0.05),试验组得分显著低于对照组,差异具有统计学意义(p<0.05)。结论家庭协同护理可以有效恢复首发抑郁症患者家庭功能性,缓解患者情绪低落、悲伤沮丧等临床症状,值得临床推广应用。
Objective To explore the application of family collaborative care model in the family adaptivity and symptom management of first-episode depression patients. Methods A total of 120 first-episode depression patients admitted to our hospital from January 2016 to May 2017 were enrolled and divided into control group(n=60) and experimental group(n=60). Routine care model was adopted to the control group, and family collaborative care model was adopted to the experimental group. The FACES II-CV and Hamilton Depression Scale(HAMD) were used to investigate the two groups and the scores were compared between the two groups before and after treatment. Results There was no significant difference in the adaptability scores between the two groups before the care intervention(p>0.05). After the care intervention, the adaptability score of the experimental group was significantly higher than that of the control group, and the difference was statistically significant(p<0.05). There was no significant difference in HAMD score between the two groups before care intervention(p>0.05). After care intervention, HAMD-17 scores decreased in both groups(p<0.05). The HAMD-17 score in the experimental group was significantly lower than that in the control group(p<0.05). Conclusion Family collaborative care model can effectively restore the family function and alleviate sadness and depression for patients with first-episode depression, and is worthy of clinical application.
Objective To explore the application of family collaborative care model in the family adaptivity and symptom management of first-episode depression patients. Methods A total of 120 first-episode depression patients admitted to our hospital from January 2016 to May 2017 were enrolled and divided into control group(n=60) and experimental group(n=60). Routine care model was adopted to the control group, and family collaborative care model was adopted to the experimental group. The FACES II-CV and Hamilton Depression Scale(HAMD) were used to investigate the two groups and the scores were compared between the two groups before and after treatment. Results There was no significant difference in the adaptability scores between the two groups before the care intervention(p>0.05). After the care intervention, the adaptability score of the experimental group was significantly higher than that of the control group, and the difference was statistically significant(p<0.05). There was no significant difference in HAMD score between the two groups before care intervention(p>0.05). After care intervention, HAMD-17 scores decreased in both groups(p<0.05). The HAMD-17 score in the experimental group was significantly lower than that in the control group(p<0.05). Conclusion Family collaborative care model can effectively restore the family function and alleviate sadness and depression for patients with first-episode depression, and is worthy of clinical application.
引文
1 汤碧艳,范芳秀.抑郁症患者的心理护理干预措施及其疗效观察[J].当代护士(专科版),2010(8):146-148
2 思耀芬,贺秋园,杨美玲.家庭协同护理模式对初产妇分娩结局和产后恢复的影响[J].护士进修杂志,2016,31(5):453-456
3 王丽芹,李思慕,孙忠人,等.应用协同护理模式减轻糖尿病足病人照顾者照顾负担的效果观察[J].护理研究,2017,31(11):1354-1356
4 龚凤翔,段冰雪,李明珍,等.协同护理模式研究进展[J].护理研究,2016,30(5):519-521
5 雷延兰,罗玲,陈莉,等.协同护理模式对血液透析患者自我护理能力和透析治疗依从性的影响[J].中国血液净化,2016,15(1):58-62
6 黄永群,梁秀红,熊妮,等.协同护理对老年冠心病患者生活质量的影响[J].广西医科大学学报,2016,33(1):176-178
7 刘坤,于晏,王英杰,等.协同护理模式对溃疡性结肠炎患者生活质量和住院次数的影响[J].护理管理杂志,2016,16(1):50-52
8 肖百敏.协同护理对结直肠癌患者结肠造口后护理效果及自我护理能力的影响[J].实用临床医药杂志,2016,20(16):136-138
9 周鑫,胡正斌,叶啟发,等.协同护理模式在肾移植术后的应用[J].武汉大学学报(医学版),2016,37(4):662-665
10 罗莉,吕真冰,杨华,等.协同护理模式对低位直肠癌患者保肛术后肛门括约肌功能训练效果的影响[J].中华现代护理杂志,2016,22(17):2404-2407
11 秦勤,唐菊英,董丽丽.协同心理护理对非霍奇金淋巴瘤化疗患者生活质量和心理弹性的影响[J].中华现代护理杂志,2016,22(1):109-112
12 Van Eijndhoven P,Van Wingen G,Katzenbauer M,et al.Paralimbic cortical thickness in first-episode depression:Evidence for traitrelated differences in mood regulation[J].Am J Psychiatry,2013,170(12):1477-1486
13 Peng D,Liddle EB,Iwabuchi SJ,et al.Dissociated large-scale functional connectivity networks of the precuneus in medication-naive first-episode depression[J].Psychiatry Res,2015,232(3):250-256
14 Davey CG,Whittle S,Harrison BJ,et al.Functional brain-imaging correlates of negative affectivity and the onset of first-episode depression[J].Psychol Med,2015,45(5):1001-1009
15 Bukh JD,Andersen PK,Kessing LV.Personality and the Long-Term Outcome of First-Episode Depression:A Prospective 5-Year Follow-Up Study[J].J Clin Psychiatry,2016,77(6):e704-710
16 Hamaie Y,Ohmuro N,Katsura M,et al.Criticism and Depression among the Caregivers of At-Risk Mental State and First-Episode Psychosis Patients[J].PLo S One,2016,11(2):e0149875-0149875
17 Epperson CN,Sammel MD,Bale TL,et al.Adverse Childhood Experiences and Risk for First-Episode Major Depression During the Menopause Transition[J].J Clin Psychiatry,2017,78(3):e298-e307
2 思耀芬,贺秋园,杨美玲.家庭协同护理模式对初产妇分娩结局和产后恢复的影响[J].护士进修杂志,2016,31(5):453-456
3 王丽芹,李思慕,孙忠人,等.应用协同护理模式减轻糖尿病足病人照顾者照顾负担的效果观察[J].护理研究,2017,31(11):1354-1356
4 龚凤翔,段冰雪,李明珍,等.协同护理模式研究进展[J].护理研究,2016,30(5):519-521
5 雷延兰,罗玲,陈莉,等.协同护理模式对血液透析患者自我护理能力和透析治疗依从性的影响[J].中国血液净化,2016,15(1):58-62
6 黄永群,梁秀红,熊妮,等.协同护理对老年冠心病患者生活质量的影响[J].广西医科大学学报,2016,33(1):176-178
7 刘坤,于晏,王英杰,等.协同护理模式对溃疡性结肠炎患者生活质量和住院次数的影响[J].护理管理杂志,2016,16(1):50-52
8 肖百敏.协同护理对结直肠癌患者结肠造口后护理效果及自我护理能力的影响[J].实用临床医药杂志,2016,20(16):136-138
9 周鑫,胡正斌,叶啟发,等.协同护理模式在肾移植术后的应用[J].武汉大学学报(医学版),2016,37(4):662-665
10 罗莉,吕真冰,杨华,等.协同护理模式对低位直肠癌患者保肛术后肛门括约肌功能训练效果的影响[J].中华现代护理杂志,2016,22(17):2404-2407
11 秦勤,唐菊英,董丽丽.协同心理护理对非霍奇金淋巴瘤化疗患者生活质量和心理弹性的影响[J].中华现代护理杂志,2016,22(1):109-112
12 Van Eijndhoven P,Van Wingen G,Katzenbauer M,et al.Paralimbic cortical thickness in first-episode depression:Evidence for traitrelated differences in mood regulation[J].Am J Psychiatry,2013,170(12):1477-1486
13 Peng D,Liddle EB,Iwabuchi SJ,et al.Dissociated large-scale functional connectivity networks of the precuneus in medication-naive first-episode depression[J].Psychiatry Res,2015,232(3):250-256
14 Davey CG,Whittle S,Harrison BJ,et al.Functional brain-imaging correlates of negative affectivity and the onset of first-episode depression[J].Psychol Med,2015,45(5):1001-1009
15 Bukh JD,Andersen PK,Kessing LV.Personality and the Long-Term Outcome of First-Episode Depression:A Prospective 5-Year Follow-Up Study[J].J Clin Psychiatry,2016,77(6):e704-710
16 Hamaie Y,Ohmuro N,Katsura M,et al.Criticism and Depression among the Caregivers of At-Risk Mental State and First-Episode Psychosis Patients[J].PLo S One,2016,11(2):e0149875-0149875
17 Epperson CN,Sammel MD,Bale TL,et al.Adverse Childhood Experiences and Risk for First-Episode Major Depression During the Menopause Transition[J].J Clin Psychiatry,2017,78(3):e298-e307
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