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叙事疗法护理在抑郁症患者中的应用效果

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目的:观察叙事疗法护理在抑郁症患者中的应用效果.方法:选取 2020 年 1 月至 2020 年 12 月该院收治的 82 例抑郁症患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各41例.对照组采用常规护理,观察组在对照组基础上采用叙事疗法护理.比较两组护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、希望[Herth希望量表(HHI)]和社会功能[社会功能缺陷筛选量表(SDSS)]评分.结果:护理后,两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组对现实和未来的积极态度、采用积极的行动、与他人保持密切的关系等HHI评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组SDSS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上采用叙事疗法护理可提高抑郁症患者希望评分,降低负性情绪和社会功能评分,其效果优于单纯常规护理.
Application effects of narrative therapy nursing in patients with depression
Objective:To observe application effects of narrative therapy nursing in patients with depression.Methods:A prospective study was conducted on 82 patients with depression admitted to the hospital from January 2020 to December 2020.According to the random number table method,they were divided into observation group and control group,41 cases in each group.The control group was given routine nursing,while the observation group was given the narrative therapy nursing on the basis of that of the control group.The scores of negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],the hope[Herth hope index(HHI)]and the social function[social disability screening scale(SDSS)]were compared between the two groups before and after the nursing.Results:After the nursing,the scores of HAMA and HAMD in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The HHI scores of the two groups such as positive attitude towards reality and future,positive action,and close relationship with others were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the SDSS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the narrative therapy nursing can improve the hope scores of the patients with depression and reduce the scores of negative emotion and social function.Moreover,it is superior to single routine nursing.

DepressionNarrative therapy nursingNegative emotionsHope levelSocial function

张蕾

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淄博市第五人民医院精神科,山东 淄博 255100

抑郁症 叙事疗法护理 负性情绪 希望水平 社会功能

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(13)