2018基于“五音疗法”的综合护理对抑郁症患者治疗依从性影响

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　　[摘要] 目的 观察基于“五音疗法”的综合护理对抑郁症患者服药治疗依从性的影响。 方法 选取符合ICD-10诊断标准的患者94例，随机分为治疗组48和对照组46例。治疗组给予基于“五音疗法”的综合护理干预，对照组只给予一般综合护理，两组分别于基线、第24周、第48周进行随访并记录每位患者的汉密尔顿抑郁量表（HAMD）、焦虑自评量表（SAS）、生存质量测定量表（BREF）、自杀态度问卷（QSA）、治疗副反应量表（TESS）评分，复发率。结果 护理48周后治疗组HAMD评分、SAS评分、BREF评分均低于对照组（P0.05）；治疗组复发率低于对照组，差异有统计学意义（P /6/view-10763013.htm
　　[关键词] 五音疗法；精神病；依从性；综合护理
　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2017）31-0143-04
　　[Abstract] Objective To observe the effect of comprehensive nursing based on " five - tone therapy" on the compliance of medication in patients with depression. Methods 94 patients in line with ICD-10 diagnostic criteria were randomly divided into treatment group （n=48） and control group （n=46）. The treatment group received comprehensive nursing care based on "five-tone therapy". The control group received only general care. The two groups were followed up at baseline， week 24 and week 48， and the Hamilton Depression Scale （HAMD）， Anxiety Self-Rating Scale （SAS）， Survival Quality Measurement Scale （BREF）， Suicide Attitude Questionnaire （QSA）， Treatment Side Reaction Scale （TESS） and recurrence rate were recorded. Results The HAMD score， SAS score and BREF score of the treatment group were lower than those of the control group after 48 weeks of care（P0.05）.The recurrence rate of the treatment group were lower than those of the control group， and the difference was significant（P医学理疗在临床开展运用疗效显著，倍受患者青睐。
　　1 资料与方法
　　1.1一般资料
　　收集我院门诊及病房2012年1月～2015年12月抑郁症患者94例，年龄18～70岁，平均（41.5±2.1）岁；男38例，女56例；文化程度不一；病程均超过半个月以上；已婚55例，未婚39例。将94例入组患者按先后就诊随机分为观察组48例和对照组46例。观察组中男18例，女30例；平均年龄（40.5±8.5）岁；已婚26例，未婚22例；文化程度高中及以上20例，初中及以下28例；平均病程（2.4±0.8）年。对照组中男20例，女26例；平均年龄（41.5±7.0）岁；已婚29例，未婚27例；文化程度高中及以上22例，初中及以下24例；平均病程（2.2±0.7）年。患者均签署知情同意书。