摘要
目的:探讨信息-动机-行为技巧模型(Information-Motivation-BehavioralSkillsModel,IMB)引导分级阶梯式康复护理对抑郁症的恢复效果及生活质量的影响。方法:选取2016年12月至2019年1月在上海交通大学医学院附属精神卫生中心就诊的抑郁症患者100例进行研究。采用随机数表法,将100例患者分为观察组与对照组,每组各50例。对照组患者实施常规康复护理,观察组患者实施IMB引导分级阶梯式康复护理。记录两组患者不同时段生活质量评分、汉密顿抑郁量表(HamiltonDepressionScale,HAMD)抑郁评分变化,比较两组患者的康复效果、护理满意度及治疗依从性。结果:护理后,观察组总有效率(96.00%)明显高于对照组(76.00%),差异有统计学意义(P<0.05)。护理前,两组患者生活质量评分对比(P>0.05);护理后,两组患者的心理卫生、躯体功能、健康程度、活力、情绪角色评分均明显升高,且观察组的各项评分[(76.25±7.57)分、(73.48±6.23)分、(80.97±5.10)分、(78.31±6.37)分]均明显高于对照组[(65.38±7.52)分、(65.79±6.22)分、(74.55±5.09)分、(70.92±6.34)分],差异有统计学意义(P<0.05)。护理前,两组患者HAMD抑郁评分对比(P>0.05);护理后,观察组患者的抑郁评分[(11.81±1.96)分]明显低于对照组[(15.44±1.75)分],差异有统计学意义(P<0.05)。观察组患者的治疗依从性(98.00%)明显高于对照组(76.00%),差异有统计学意义(P<0.05)。观察组患者对服务理念、护理质量、护理技术、沟通方式的满意度评分[(76.23±7.54)分、(73.46±6.19)分,(8 0.9 5±5.0 6)分、(7 8.2 7±6.2 0)分]均明显高于对照组[(6 5.6 0±7.5 6)分、(6 5.7 7±6.1 8)分、(74.54±5.07)分、(70.89±6.30)分],差异有统计学意义(P<0.05)。结论:IMB引导分级阶梯式康复护理对抑郁症患者的临床效果显著,能有效改善患者的生活质量,缓解患者的抑郁症状,提高患者的治疗依从性,增加患者满意度,促进患者的康复进程,值得临床推广使用。
Objective:To explore the effect of Information-Motivation-Behavioral Skills Model(IMB)guided hierarchical rehabilitation nursing on the recovery effect and quality of life of depression.Methods:A total of 100 cases of patients with depression treated in our hospital from December 2016 to January 2019 were selected for the study.The patients were divided into an observation group and a control group by random number table method,50 cases in each group.The patients in the control group received routine rehabilitation nursing,while the patients in the observation group received graded rehabilitation nursing guided by IMB.The changes of quality of life score and Hamilton Depression Scale(HAMD)depression score were recorded in two groups at different time points,the rehabilitation effect,nursing satisfaction and treatment compliance of the two groups were compared.Results:After nursing,the total effective rate of the observation group(96.00%)was significantly higher than that of the control group(76.00%),the difference was statistically significant(P<0.05).Before nursing,the quality of life scores of the two groups were compared(P>0.05);after nursing,the mental health,physical function,health,vitality and emotional role scores of the two groups of patients were significantly increased,and the observation group[(76.25±7.57)points,(73.48±6.23)points,(80.97±5.10)points,(78.31±6.37)points]were significantly higher than the control group[(65.38±7.52)points,(65.79±6.22)points,(74.55±5.09)points,(70.92±6.34)points];the difference was statistically significant(P<0.05).Before nursing,HAMD depression scores of the two groups were compared(P>0.05);after nursing,the depression score of the observation group[(11.81±1.96)points]was significantly lower than that of the control group[(15.44±1.75)points];the difference was statistically significant(P<0.05).The treatment compliance of the observation group(98.00%)was significantly higher than that of the control group(76.00%);the difference was statistically significant(P<0.05).The satisfaction scores of service concept,nursing quality,nursing technology and communication style of patients in the observation group[(76.23±7.54)points,(73.46±6.19)points,(80.95±5.06)points,(78.27±6.20)points]were significantly higher than those in the control group[(65.60±7.56)points,(65.77±6.18)points,(74.54±5.07)points,(70.89±6.30)points];the difference was statistically significant(P<0.05).Conclusion:The clinical effect of IMB guided grading rehabilitation is significant in patients with depression,and it can effectively improve the quality of life of patients,relieve the patients’depressive symptoms,improve patients’treatment compliance,increase patient satisfaction and promote the patients’recovery process,which is worthy of clinical promotion.
作者
宋佳青
林雪峰
SONG Jiaqing;LIN Xuefeng(Seventh Department of Clinic D2,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 201108,China)
出处
《临床与病理杂志》
2021年第1期120-126,共7页
Journal of Clinical and Pathological Research
关键词
抑郁症
康复护理
生活质量
满意度
疗效
depression
rehabilitation nursing
quality of life
satisfaction
curative effect
作者简介
通信作者:林雪峰,Email:xuefeng95.7@163.com。
