首页|感恩拓延-建构理论干预在抑郁症患者延续性护理中的价值

感恩拓延-建构理论干预在抑郁症患者延续性护理中的价值

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目的 探讨感恩拓延-建构理论干预在抑郁症患者延续性护理中的价值.方法 选取 2021年 5月至 2022年5月浙江省绍兴市第七人民医院收治的抑郁症患者600例,按照随机数字表法将其分为对照组和研究组,各300例.对照组采用常规延续性护理,研究组采用感恩拓延-建构理论指导的延续性护理.比较两组干预前后抑郁改善情况[抑郁症状群量表(PHQ-9)、汉密尔顿抑郁量表(HAMD)]、功能失调情况[功能失调态度量表(DAS)]、幸福感[总体幸福感量表(GWB)]、医学应对方式[医学应对方式问卷(MCMQ)]、生活质量(世界卫生组织生活质量-100量表).结果 干预后,两组PHQ-9、HAMD评分均低于干预前,且研究组低于对照组(P<0.05);干预后,两组DAS评分低于干预前、GWB评分高于干预前,且研究组DAS评分低于对照组、GWB评分高于对照组(P<0.05);干预后,两组屈服应对、回避应对得分低于干预前,面对应对得分高于干预前;且研究组屈服应对、回避应对得分低于对照组,面对应对得分高于对照组(P<0.05);干预后,两组心理、独立性、社会关系及总分高于干预前,且研究组高于对照组(P<0.05).结论 在抑郁症患者中应用感恩拓延-建构理论指导的延续性护理能够改善抑郁症状及生活质量,优化患者医学应对方式,干预效果显著,值得临床推广应用.
Value of gratitude extension-construction theory intervention in the con-tinuous care of patients with depression
Objective To explore the value of gratitude extension-construction theory intervention in the continuous care of patients with depression.Methods A total of 600 patients with depression admitted to the Shaoxing Seventh People's Hospital,Zhejiang Province from May 2021 to May 2022 were selected,according to the random number table method,they were divided into control group and study group,with 300 cases in each group.The control group adopted the conventional continuous nursing,and the study group adopted the continuous nursing guided by the gratitude extension-construction theory.Depression improvement(patient health questionnaires-9[PHQ-9],Hamilton depression scale[HAMD]),dysfunction(dysfunctional attitude scale[DAS]),well-being(general well-being schedule[GWB]),medical coping style(medical coping modes questionnaire[MCMQ]),and living quality(World Health Organization quality of life-100 scale)were compared between the two groups before and after intervention.Results After intervention,the PHQ-9 scores and HAMD scores of both groups were lower than those before intervention,and the scores of the study group were lower than those of the control group(P<0.05).After intervention,the DAS scores of the two groups were lower than those before intervention,GWB score was higher than that before intervention,and the DAS score of the study group was lower than that of the control group and GWB score was higher than that of the control group(P<0.05).After intervention,the scores of yielding coping and avoidance coping were lower than those before intervention,and the scores of facing coping were higher than those before intervention,and the scores of yielding coping and avoidance coping in the study group were lower than those in the control group,and the scores of facing coping were higher than those in the control group(P<0.05).After intervention,the psychology,independence,social relation,and total score of the two groups were higher than those before intervention,and the study group was higher than those of the control group(P<0.05).Conclusion The continuous nursing under the guidance of gratitude extension and construction theory can improve the depressive symptoms and quality of life,optimize the medical coping style of patients,and the intervention effect is significant,which is worthy of clinical application.

DepressionContinuous careGratitude extension-construction theoryQuality of life

王俞帆、徐涌、陈叶

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浙江省绍兴市第七人民医院焦虑障碍科,浙江绍兴 312000

浙江省绍兴市第七人民医院老年精神科,浙江绍兴 312000

抑郁症 延续性护理 感恩拓延-建构理论 生活质量

浙江省卫生健康科技计划

2022ZH076

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(9)
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