正念疗法干预对抑郁症患者康复护理效果的影响

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　　[摘要]目的 探討正念疗法干预对抑郁症患者康复护理效果的影响。方法 选取2018年1～12月我院收治的60例抑郁症患者作为研究对象，按照随机数字表法分为观察组（30例）和对照组（30例）。对照组采用抑郁症常规护理，观察组在常规护理的基础上联合正念疗法干预。干预前、干预4周后，用抑郁自评量表（SDS）、汉密尔顿抑郁量表（HAMD），日常生活能力评定量表（ADL）评定比较两组临床效果和康复效果，比较抑郁状态，日常生活能力。观察并比较干预4周后两组护理满意度。结果 干预前，两组的SDS、HAMD及ADL评分比较，差异无统计学意义（P>0.05）;干预4周后，观察组的SDS、HAMD和ADL评分低于对照组，差异均有统计学意义（P<0.05），观察组护理总满意度高于对照组，差异有统计学意义（P<0.05）。结论 通过正念疗法干预，抑郁症患者的抑郁状态明显改善，日常生活能力和康复效果显著提高，患者护理满意度好，值得推广应用。
　　[关键词]正念疗法;抑郁症;康复护理
　　[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-4721（2019）11（a）-0193-03
　　Effect of mindfulness therapy intervention on rehabilitation nursing of depression patients
　　LI Yu-mei1   CEN Hong-zhou2   QIU Si-wu2
　　1. Department of Nursing， Maoming Third People′s Hospital，  Guangdong Province，  Maoming   525200， China; 2. Department of Early Intervention and Pediatrics， Guangdong Province， Maoming   525200， China
　　[Abstract] Objective To explore the effect of mindfulness therapy intervention on rehabilitation nursing effects of patients with depression. Methods A total of 60 patients with depression who selected in our hospital from January to December in 2018， and  divided into observation group （30 cases） and control group  （30 cases） according to random number table method. The control group was given routine nursing for depression， while the observation group was given mindfulness therapy on the basis of routine nursing. The self-rating depression scale （SDS）， Hamilton depression scale （HAMD） and ability of daily living scale （ADL） were used to evaluate the clinical efficacy and rehabilitation effect of two groups before and 4 weeks after the intervention，and the depression status and daily living ability were counted. To observe and compare the difference of nursing satisfaction rate between the two groups after 4 weeks of intervention.  Results Before intervention， there was no significant difference in SDS， HAMD and ADL scores between the two groups （P>0.05）. After 4 weeks of intervention， the scores of SDS， HAMD and ADL in the observation group were lower than those in the control group （P<0.05）  and the total satisfaction of nursing in the observation group was higher than that in the control group （P<0.05）. Conclusion Through mindfulness therapy intervention， depression state of depressive patients has been improved significantly， daily living ability and rehabilitation effect have been improved significantly， and patients′satisfaction of nursing has been improved， which is worthy of popularization and application.
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