首页|积极心理支持护理联合音乐疗法对抑郁症患者自我效能感和依从性的影响

积极心理支持护理联合音乐疗法对抑郁症患者自我效能感和依从性的影响

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目的 探讨积极心理支持护理联合音乐疗法对抑郁症患者自我效能感和依从性的影响.方法 研究对象来源于2021年1月~2023年2月我院接受住院治疗的140名抑郁症患者.将入组患者随机分为常规护理治疗的对照组70例与积极心理支持护理联合音乐疗法治疗的干预组70例.所有患者均同时接受以文拉法辛为主的系统抗抑郁药物治疗,治疗时间为8周.在干预治疗开始前1周及干预治疗结束后4周对患者各项指标进行评定.结果 两组患者干预后GSES评分、PSS评分、PHQ-9评分与干预前评分比较有明显差异(P<0.05),干预组GSES评分、MARS评分、PSS评分、PHQ-9评分与对照组相比差异显著(t=13.315/10.546/17.316/8.532,P<0.05).女性患者干预前后GSES评分差值和MARS评分差值均显著高于男性(t=3.301/3.590,P<0.05);大学专科及以下学历患者干预前后GSES评分差值显著高于大学本科及以上(t=2.708,P<0.05).结论 积极心理支持护理联合音乐疗法能够提升患者自我效能感和依从性,减轻患者的压力和抑郁症状,为抑郁症患者的临床治疗和护理提供参考.
Effect of active psychological support nursing combined with music therapy on regulation of self-efficacy and compliance in patients with depression
Objective Explore the effect of positive psychological support nursing combined with music therapy on self-efficacy and compliance of patients with depression.Methods The subjects were 140 patients with depres-sion from January 2021 to February 2023 in our hospital.The patients were divided into control group(70 patients)with routine nursing and intervention group(70 patients)with positive psychological support nursing combined with music therapy.All patients were treated with venlafaxine based systemic antidepressants for 8 weeks.The indexes of patients were evaluated 1 week before the intervention and 4 weeks after the intervention.Results The scores of GSES,PSS and PHQ-9 in the two groups were significantly different from those before intervention(P<0.05),while the scores of GSES,MARS,PSS and PHQ-9 in the intervention group were significantly different from those in the control group(t=13.315/10.546/17.316/8.532,P<0.05).The difference of GSES score and MARS score of female patients before and after intervention was significantly higher than that of male patients(t=3.301/3.590,P<0.05).Before and after intervention,the difference of GSES score of patients with college education or below was significantly higher than that of patients with college education or above(t=2.708,P<0.05).Conclusion Positive psychological support nursing combined with music therapy can improve patients'self-efficacy and compliance,reduce patients'stress and depressive symptoms,and provide reference for clinical treatment and nursing of patients with depression.

DepressionPositive psychological supportMusic therapySelf-efficacyCompliance

杨小李、高敏、李婷婷

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阜阳市第三人民医院(阜阳,236015)

抑郁症 积极心理支持 音乐疗法 自我效能感 依从性

合肥市2021年应用医学研究项目

Hwk2021yb010

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(1)
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