抑郁症康复技能训练程式对预防抑郁症复发和自杀的作用

摘要

目的 探讨抑郁症康复技能训练程式对预防抑郁症复发和自杀的作用.方法 将80例抑郁症患者随机分为康复技能训练组(干预组,40例)和健康教育组(对照组,40例).对干预组和对照组分别应用抑郁症康复技能训练程式和健康教育方法进行干预4周,分别于基线、3个月、6个月、9个月和12个月随访两组抑郁症复发、住院、自杀求助和自杀死亡情况,并采用世界卫生组织生存质量测定量表简表评估生存质量.结果 干预后12个月,干预组复发率(10.0％vs.42.5％)和住院率(5.0％vs.20.0％)均低于对照组,差异均有统计学意义(P＜0.05).干预组自杀求助率高于对照组(25.5％ vs.7.5％),差异有统计学意义(P＜0.05);两组自杀死亡率(0％vs.2.5％)差异无统计学意义(P＞0.05).干预组生存质量总分在各随访时点均高于对照组,差异均有统计学意义(P＜0.05).结论 抑郁症康复技能训练程式能有效预防抑郁症患者复发和降低其自杀风险,并提高患者生存质量,具有推广应用价值.%Objective This study aims to investigate the effect of rehabilitation skills training on suicide and relapse prevention of patients with depression.Methods Eighty patients were randomly divided into two groups.One group accepted depression rehabilitation skills training and the other group accepted general health education for 4 weeks.Both groups were followed up by 12 months,and the number of relapse and suicide and the score of Health-related quality of life made by Word Health Organization (WHOQOL-BREF) were recorded.Results The rate of relapse (10.0％ vs.42.5％) and hospitalization (5.0％ vs.20.0％) were lower in skills training group than in control group (P＜0.05).Rate of seeking help of suicide was higher in skills training group than in control group (25.5％ vs.7.5％) (P＜0.05).The suicide mortality was insignificantly different between two groups (0.0％ vs.2.5％) (P＞0.05).The scores of WHOQOL-BREF were significantly higher in skills training group than in control group in follow-up (P＜0.05).Conclusions Rehabilitation skills training program can not only reduce the rate of relapse and suicide but also improve the quality of life of patients with depression.